EDIC 2014

Abstracts: Scientific paper sessions
Hobbs, N J; Brunel University, UK
At 15 I was diagnosed with Anorexia Nervosa. At 18 I had a near-death experience weighing 25kg. At 22 I became English Champion in Olympic Weightlifting.
Empirical research ignores how anorexia and
adversity might be experienced as empowering and transformative. Stories of personal growth have become lost in the language of medicine and clinical trials which focus on illness and disorder. In this autoethnography
I rehumanise research in order to challenge dominant forms of representation by exploring my personal growth from anorexia and adversity through sport
and exercise.
identity is discussed in the context of Self- Determination Theory.
Conclusions
Parents and professionals are in a strong position to help siblings by offering a variety of supportive options including space to talk, psychoeducation, reassurance, sibling support groups and by challenging stigma.
11.45am – 12pm, Clark Hall Thursday 13 March 2014
A supported family meals programme to ease
transition between inpatient supported eating and
outpatient care in adolescents
Mair, D; Lockwood, C; Young, V; Thomas, M; Riverdale Grange Specialist Eating Disorder Hospital, UK
objective
To address the gap in adolescent eating disorder care, between inpatient supported eating and outpatient care within the family home through a Supported Family Meal programme (SFM).
methods
The clinical team at a specialist eating disorder
hospital in the UK developed a SFM programme based on theoretical models of behaviour change and the Maudsley method of caring for individuals with eating disorders. The programme involves a family assessment followed by SFM at the inpatient unit initially, progressing to the family home. Parents are taught techniques for managing dif cult mealtimes and how to adopt a coherent and empathetic response to challenging situations. Mealtimes are managed according to precise guidelines and boundaries agreed in advance. Families are taught to recognise the signi cance of their role in the recovery process. The acceptability and feasibility of the programme
was evaluated as part of annual clinical audit through qualitative family feedback forms.
Results
Audit data indicate that the SFM programme reduces parental anxiety surrounding meal times and gives parents practical skills and con dence in managing meals in the home. Families report an easier transition from inpatient to outpatient care than they would have expected without the SFM programme.
Conclusion
Acceptability of the SFM programme amongst families is good and data indicate that the intervention may be bene cial in the recovery of adolescents with anorexia nervosa. We conclude that a research study is warranted to formally assess the feasibility and acceptability of the programme
By digging deeply into my personal experiences, as
well as exploring the social context in which they are situated, I identify ve sub-themes: Relationship with sport and exercise, Creation of a sporting body; Healing, transformation and growth, The power of yoga, and Sporting lessons. Through my autoethnography and re ections on previous research, I identify ways in which sport and exercise can be used to facilitate personal growth which may allow those in the grips of anorexia and adversity to reconstruct the meaning of their suffering and embrace a consciously fuller way of life.
PARALLEL SESSIoN FIVE: CARINg FoR AN
EATINg DISoRDER
11.30am – 11.45am, Clark Hall Thursday 13 March 2014
“It just seems so hard” – growing up while your sibling has an eating disorder: a thematic analysis Grunwald, J; John, M; University of Surrey, UK
Background
Siblings have been presented as ‘forgotten victims’ of eating disorders and have featured very little in the research literature.
objectives
Caring for someone with an eating disorder can impact negatively on physical and mental health. Any such impact on adolescent siblings would come at a time of developing identity.
methods
Eight adolescent siblings of females with diagnoses of Anorexia Nervosa were interviewed. The data was analysed using Thematic Analysis.
Results
Siblings appear affected by the eating disorder which they view as pervasive in all domains of their lives. They try to make sense of it and its impact on their family
and develop their own sophisticated understanding of eating disorders with ‘externalisation’ a common theme. The impact of the eating disorder on their developing
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Abstracts: Scientific paper sessions
12pm – 12.15pm, Clark Hall Thursday 13 March 2014
An Anorexic mum
Flicker, J
Eating Disorders can be beaten, as a parent that’s what I clung onto when faced with the terrors of anorexia consuming my daughter. It gave me hope. It gave no clue as to what might be needed to achieve it. The challenges with services, the illness, the treatment, myself, there is not much guidance on how to be a parent. Do you ever leave an eating disorder behind you? What is recovery? At the time of my daughter’s illness a doctor told us there were 4 stages of recovery:
1 Accepting enforced nourishment to regain a healthy weight.
2 Sustaining a healthy weight gain by abiding by a given set of rules.
3 Being conscious of what’s eaten and aware of weight.
individuals with an eating an Eating Disorder in the most realistic time frame with minimum waiting times.
method
The workshop will provide a “snapshot” of this way
of working and highlight the 5 point structure of the day informed by The Maudsley Carers’ skills model which comprises didactic teaching, elements of group discussion and experiential learning for carers to practise micro skills.
Results
Outcome data from the carers’ skills workshops will be presented and complemented by participation and feedback by a carer who has partaken in one of the carers’ workshop. There will be plenty of opportunity for conference workshop attendees to participate in discussion.
Conclusion
We would like to use the workshop to highlight how
the intensive one day carers’ skills workshops provide a unique opportunity for carers from both child and adult contexts, residing within an extensive geographical location, to come together and share their experiences of being in differing stages of a shared journey. This is a model where skills and discussions from a wide range of experiences, allow differences to be highlighted and a rich tapestry of perspectives to be woven in throughout the day, opening opportunities for the model to be used to its full potential.
12.30pm – 12.45pm, Clark Hall Thursday 13 March 2014
How do eating disorders affect to caregivers?
Preliminary results in a Spanish sample
Quiles, Y; Pérez, B; Pamies, L; Escolano, M; González, L; Quiles, MJ;
University Miguel Hernandez, Spain
Background
Family members of relatives with eating disorders experience high levels of distress due to the dif culties in their care giving role. The aim of this study was to examine the experience of care giving for people
with eating disorders and to explore the relation between that experience and some clinical and psychosocial features.
methods
A cross sectional study was conducted among carers of relatives with an eating disorder. The sample consisted of 101 Spanish carers of people with eating disorders and was collected from the Eating Disorders Unit of the San Juan University Hospital. Participants had a mean age of 47.89 (sd = 8.53). Carers completed the Spanish version of the Eating Disorders Symptom Impact Scale (EDSIS). The EDSIS is made up of 24 items divided into four scales: nutrition, guilt, dysregulated behaviours and social isolation.
4 Not conscious of food eaten and naturally maintaining a healthy weight.
And what of ‘me’, even if my daughter could achieve recovery, would I ever recover? Well it’s been 7 years since my daughter rst became ill. I’ve done a lot of experience in that time, learnt the bene t of Parent/ Carer Support Groups, the value of Empowering Families. I’ve re ected a lot on our experiences, how professionals could be different, what would be more helpful. Not sure we aspired to Stage 4, when, if ever did we get back to normal and what is ‘normal’? It might just be interesting to explore issues from the perspective of a parent, what it’s like to be ‘beaten up’ by an eating disorder and still be here to tell the tale!
12.15pm – 12.30pm, Clark Hall Thursday 13 March 2014
Innovative approaches to the development of an intensive one day carers’ skills workshop
Price, S; Hawkins, J; Cottrell, J; Oxford Health Cotswold House Specialist Eating Disorders Service, UK
Background
Carers’ in eating disorder services are seen as a valuable resource however the role of carer often presents enormous strain.
objective
The aim of the workshop is to present how training provided by Gill Todd was adapted and developed to provide an idiosyncratic version of the workshop programme, to provide the most ef cient, supportive and potentially cost effective approach. By offering intensive one day workshops to carers residing within an extensive geographical area, we are able reach a maximum number of people living with or supporting
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Abstracts: Scientific paper sessions
Results
The EDSIS scores by clinical and psychosocial features presented the following ndings: a positive and low correlation between the amount of contact with the sufferer and the social isolation subscale (r = .27, p < .05). There were no association between EDSIS-S subscales and carers’ age, patients’ age and illness duration (p
> .05). There were gender differences; men had lower scores than women in EDSIS-S subscales (p < .05). There were no differences with respect to the diagnostic type (p > .05).
Conclusion
These results provide a context within which to examine the type of interventions appropriate to assist caregivers in various situations.
12.45pm – 1pm, Clark Hall Thursday 13 March 2014
Domestic Abuse Among Women with Eating
Disorders during the Perinatal Period: Do Depression
and marital Status Affect Risk?
Kothari, R1; Easter, A2; Lewis, R2; Howard, L M2; Micali, N2; 1Behavioural and Brain Sciences Unit; 2UCL Institute of Child Health, UK
Background
Women with mental health problems are at particularly high-risk of experiencing domestic abuse during the perinatal period. Experience of an eating disorder (ED) has been associated with high prevalence of domestic abuse generally.
objective
abuse have been associated with adverse outcomes for mother and child. The fact that maternal ED is associated with higher odds of reporting domestic abuse over the perinatal period should alert health professionals as to the importance of being equipped to identify and support women with ED and their children. Our ndings suggest that being unmarried and/or suffering from depression could increase risk for domestic abuse among women with an ED, and these factors could help to identify and support the most vulnerable individuals.
PARALLEL SESSIoN SIx: mALES WITH
EATINg DISoRDERS
11.30am – 11.45am, Room 642 Thursday 13 March 2014
The Palatable Eating motives Scale (PEmS) reveals
sex differences behind eating tasty foods that can
predict binge-eating risk
Burgess, E1; Turan, B; Lokken, K L; Morse, A; Boggiano, M M;
1University of Alabama at Birmingham, UK
objectives
The purpose of this study was to use an original Palatable Eating Motives Scale (PEMS) to examine whether different motivations for eating tasty foods could predict risk of binge-eating and assess if these motives differed between the sexes.
methods
N=150 racially-diverse college students (M age: 24.4,
M BMI: 26.3 kg/m2) were administered the PEMS, the Binge-Eating Scale (BES), a demographics questionnaire, and were measured for BMI. The PEMS yields four motives: Social, Coping, Reward Enhancement, and Conformity. These were entered into a linear regression to predict BES scores. Age, sex, ethnicity, BMI and any variance between PEMS subscales were controlled.
Results
Sex was signi cant (p<0.05), thus separate models were tested. High scores on Coping (eating to cope with negative affect, stress, or problems; p<0.05), Reward Enhancement (eating to enhance positive moods; achieve a pleasant feeling; p<0.001), and Conformity (eating to adhere to societal and interpersonal expectations; p<0.05) predicted higher binge scores
in females. In contrast, only Coping motives (p<0.001) predicted higher binge scores among males.
Conclusions
The PEMS previously showed that Coping predicts
BMI in this population but here we report that certain motives to eat palatable foods also predict binge- eating risk, independent of BMI. Knowing the binge-risk motives for females and males should help prevent the development of eating disorders and improve treatment
This is the rst study to investigate prevalence of physical abuse and emotional cruelty among women with a lifetime diagnosis of ED during the perinatal period. We additionally investigate whether maternal depression and marital status explain any associations observed.
method
Women from a large general population cohort, the Avon Longitudinal Study of Parents and Children (n=9058) completed questionnaires regarding their experience of eating disorders and domestic abuse, both prenatally and up to 33 months postnatally.
Results
In comparison to women with no history of psychiatric disorders, women with lifetime ED show higher prevalence and higher odds of experiencing both physical abuse (3.1% - 12.9% versus 1.7 -- 4.0%)
and emotional cruelty (14.4% -- 25.8% versus 6.8% - 14%) during the perinatal period. Marital status and depression were found to mostly explain the associations observed.
Discussion
Both ED during pregnancy and experience of domestic
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Abstracts: Scientific paper sessions
strategies by considering one’s individual motives behind eating tasty foods which are known to trigger and exaggerate binge-eating. The results also stress the need to consider sex differences in future binge-eating assessment and treatments.
11.45am – 12pm, Room 642 Thursday 13 March 2014
Exploring men’s experiences and understanding of binge eating disorder: an interpretative phenomenological analysis
Spyrou, S; London Metropolitan University, UK
Background
Binge Eating Disorder (BED) appears to have a fairly equal prevalence in men and women. However,
men with BED have been overlooked in research as studies have mainly focused on women. As a result, there appears to be a limited understanding of men’s experiences and treatment needs of BED.
Aims/objectives
A qualitative study was undertaken to explore men’s experiences and understanding of BED including their experiences in seeking, accessing and receiving treatment.
methods
Semi-structured interviews were carried out with six men who had a diagnosis of BED. Data was analysed using Interpretative Phenomenological Analysis.
Results
Four super-ordinate themes emerged: the experience of BED; the process of understanding; the stigmatised male self and the experience of treatment.
Discussion
The experience of BED was described as a divergent experience of negative and positive facets, characterised by a futile struggle to control their eating. The men described living a constrained life with BED similar to living in an inescapable trap. In trying to make sense
of their BED, the men discussed the function of BED in their lives and they compared BED to an addiction. The experience of BED in men encompassed feelings of isolation and stigma due to having what they perceived as a female and/or homosexual disorder. These men discussed their strong adherence to male stereotypes
of masculinity and having BED was perceived as unacceptable and emasculating. The participants’ struggles with treatment were emphasised as they sought to nd unavailable support and received
what they felt to be inadequate treatment care.
The applicability of these ndings for professional practice is discussed and includes exploring men’s
recommendations towards tailoring treatment to meet their needs, for example all-male group therapy and addressing masculinity and stigma.
12pm – 12.15pm, Room 642 Thursday 13 March 2014
male clinicians’ experiences of working with patients with eating disorders
Viljoen, D; Hertfordshire Community Eating Disorders Service, UK
Background
Gender is a signi cant and subtle factor in therapy. However, little is known yet about male clinicians’ views and experiences of their gender in the treatment of mental health problems.
objective
This study aimed to explore male clinicians’ perceptions of the relevance of their gender in the treatment of patients with eating disorders. The study also aimed to investigate what the issues were for men who treated a primarily female patient group.
methods
Five male clinicians in the eating disorders eld were qualitatively interviewed. The verbatim transcripts were analysed case-by-case using the principles of interpretative phenomenological analysis.
Results
Super- and subordinate themes captured the essence
of the participants’ shared experiences. Male clinicians reported that their gender was relevant, signi cant and valuable in both the treatment of patients (e.g. providing alternative experiences to male gures in patients’ lives; working with male family members and male patients; clinician-patient gender matching; co-working with female clinicians) and within their services (e.g. balancing predominantly female treatment environments). Two additional themes were highlighted as potential issues for male clinicians, namely ‘sexuality’ in the treatment context and male clinicians’ personal relationships with food, weight and body image.
Overall, the notion of the ‘relevance of a male clinician’s gender’ is complex and dependant on factors such as age, skills and personality.
Conclusions
The pilot study extended knowledge in the eld and highlighted the importance of male clinicians’ gender as context for the interaction with and treatment of patients with eating disorders. Recommendations were made on how feminist ideas, self-re exivity regarding gender and a therapist’s gendered ‘use of self’ in both the treatment and team context could be used to provide gender- sensitive treatments for patients with eating disorders.
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Abstracts: Scientific paper sessions
12.15pm – 12.30pm, Room 642 Thursday 13 March 2014
Sex Differences in the Links Between Disordered
Eating and Admiration for People with Anorexia
Nervosa and muscle Dysmorphia
Grif ths, S1; Mond, J; Murray, S; Touyz, S; 1School of Psychology, University of Sydney, Austrailia
Background
Disordered eating in young women is positively associated with their admiration for women with anorexia nervosa. However, little is known about sex differences in this association, or whether the association extends to muscle dysmorphia.
Aims
The present study aimed to investigate sex differences in the associations between young peoples’ disordered eating and their admiration for people with anorexia nervosa and muscle dysmorphia.
methods
Male (n = 174) and female (n = 325) undergraduates read one of four descriptions of a male or female character with anorexia nervosa or muscle dysmorphia. Participants then answered questions about their admiration for the characters and completed a measure of disordered eating.
Results
Averaged across character diagnosis and character sex, female participants expressed greater desire to be like the characters than males. For females, moderate to large positive correlations were observed between disordered eating and admiration for characters
with both anorexia nervosa and muscle dysmorphia. For males, moderate positive correlations emerged between disordered eating and admiration for muscle dysmorphia, and a single small positive correlation was observed for anorexia nervosa.
Conclusions
The results indicate important sex differences in the associations between young peoples’ disordered eating and their admiration for anorexia nervosa and muscle dysmorphia.
12.30pm – 12.45pm, Room 642 Thursday 13 March 2014
A group for men with Eating Disorders: When ‘‘Lone Wolves’’ Come Together
Leo, R1; Laszlo, B; 1Clinical Psychology Service, Somerset Partnership NHS Foundation Trust
In this clinical essay, we describe the experience of creating and delivering a groupfor men with eating
disorders. We outline our motivation for developing
a therapeutic intervention of this nature and describe the format that we established. We then focus on the dynamics of the group that evolved and the themes that emerged in relation to issues of masculinity. We consider implications and recommendations for people interested in establishing groups for men with eating dif culties.
12.45pm – 1pm, Room 642 Thursday 13 March 2014
A Touchy Subject: Exploring male Eating Disorders in a Northern Ireland context
Foye, U; Best, D; University of Ulster, UK
For decades the societal perceptions of eating disorders such as Anorexia and Bulimia Nervosa have been to view these disorders as a woman’s illness. With the gender split being recognised and studies suggesting increasing incidence rates within this population, seen as high as 25% (Hudson, Hiripi, Pope & Kessler, 2007), it is important to explore this trend across varying contextual experiences.
Within Northern Ireland little research has addressed the topic of eating disorders with gures showing
males accounting for only 9.5% of outpatients receiving treatment with regional variations as low as 3.73%.
With increased suicide rates and poor mental health becoming a crowing concern with young men in NI an understanding of the issue of eating disorders is needed to ensure provision and services can met the growing demands of this group.
As part of a larger scale study at the University of Ulster the theme of male eating disorders was explored using a qualitative design using focus groups and interviews with key stakeholders, inclusive of counsellors (n=6), community workers (n=3) and NHS specialist teams (n=5)to explore the issues and needs of male EDs in NI. A case study narrative was used to further explore this theme through the personal experience of a male service user and his family.
The study explored personal and professional experiences showed the increased concern among professional regarding the topic of male eating disorders along with themes of stigma, the Northern Ireland culture of masculinity and unique barriers that face males seeking treatment within this context.
With increased mental health needs of young men within a NI context, it is important to explore and understand the challenges that face those working with this at risk population.
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Abstracts: Workshops WoRKSHoP 1.1:
4pm – 5.30pm, Logan Hall Thursday 13 March 2014
mARSIPAN for adult patients: a training workshop for the multidisciplinary team
Dahabra, S; Robinson, P
objective
Increase knowledge of best practice in assessment and management of patients with severe anorexia nervosa who are medically unwell using MARSIPAN guidelines.
methods
An interactive workshop which will use a scenario of a patient admitted to a medical ward with severe anorexia nervosa and who is medically unwell (the so-called MARSIPAN patient). The scenario will be developed in stages. At each stage the audience will be invited to assess the situation and consider options for successful management. The psychological and social aspects will be considered. The audience will be asked, in turn, to consider the position of the mental health and physical health teams. The importance of disciplines working
as one care team will be stressed and how to achieve this will be discussed. Reference will be made to the MARSIPAN guidelines at each stage to highlight good practice in mental and physical health care.
Results
Attendees will be able to safely and collaboratively manage a patient under their care who has been admitted with severe anorexia nervosa and who is medically unwell with reference to MARSIPAN
Conclusions
The unacceptably high morbidity and mortality rates in this group of patients can be reduced by increasing knowledge and awareness of MARSIPAN. Reference: MARSIPAN: Management of Really Sick Patients with Anorexia Nervosa, Royal College of Psychiatrists, College Report 162, October 2010. Participants will be asked to describe their experience with MARSIPAN locally and to try and solve their local problems in implementation.
WoRKSHoP 2.1:
11am – 12.30pm, Logan Hall Friday 14 March 2014
The maudsley model of Anorexia Treatment for Adults (mANTRA): An introduction to model, evidence-base and treatment
Schmidt, U
Aims
Anorexia nervosa (AN) is a highly distinctive disorder at the brain-body interface. Whilst therapeutically
‘malleable’ during the early stages, once established it is usually remarkably persistent. Psychological treatments for adults with anorexia nervosa have limited ef cacy. Some years ago, we proposed a maintenance model
of AN (The Maudsley Model of Anorexia Treatment for adults, MANTRA), combining intra- and interpersonal factors and we have recently re ned this model. The model encompasses four main maintaining factors [a thinking style characterised by rigidity, detail focus and a fear of making mistakes, an avoidant emotion processing and relational style, positive beliefs about the utility of anorexia for the person, and a response of close others to the illness characterised by high expressed emotion and enabling of and accommodation to the illness.
methods & Results
In this workshop we will describe how the model has been translated into a novel treatment for anorexia nervosa and the evidence from case series, randomised controlled trials and qualitative process evaluations supporting this treatment model. Using an interactive format and case examples, we will demonstrate key elements and techniques of MANTRA that are used at different stages of treatment.
Discussion
We will discuss how MANTRA techniques are sequenced and integrated with each other in the treatment of adults with AN.
WoRKSHoP 3.1:
4.30pm – 6pm, Logan Hall Friday 14 March 2014
Pregnancy and eating disorders: what do patients need?
Micali, Nadia and Easter, Abigail
This workshop will focus on increasing evidence, mainly from research carried out by or team, on perinatal Eating disorders and their impact on mother and child. We will discuss the research ndings on pregnancy in women with eating disorders, including: the prevalence of eating disorders during pregnancy, current knowledge on the effects of maternal eating disorders on pregnancy and perinatal outcomes.
We will then focus on the clinical implications for assessment and treatment in pregnancy and the post- partum. Interactive case discussion and/or clinical vignettes presentation will follow with participation from the audience. We will also report on our recent qualitative ndings of the experiences of pregnancy for women with ED. The workshop will close with a general discussion of the topic.
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Abstracts: Workshops WoRKSHoP 4.1:
11.30am – 1pm, Logan Hall Saturday 15 March 2014
using motivational Interviewing to manage eating disorders symptoms
Rhind, C; Hibbs, R; Todd, G; Macdonald, P
Background
managing severely sick young people with anorexia nervosa: a training workshop
Professor Debra Katzman, Paediatrician; Graeme O’Connor, Dieitian; Dr Dasha Nicholls, Child and Adolescent Psychiatrist
Aim
To reduce morbidity, mortality and length of stay through effective management of medically unstable young people in paediatric settings.
Learning objectives
1 Increase knowledge of best practice in assessment and management of young people with severe anorexia nervosa
2 Recognise and advise others on the early signs of an eating disorder
3 Be able to comprehensively assess risk using the Junior MARSIPAN risk assessment framework
4 Safely manage refeeding in a paediatric setting
5 be familiar with existing guidelines to improve practice.
methods
This workshop will use case examples to explore principles of assessment and management of young people with anorexia nervosa. Taking a ‘care pathway’ approach delegates will be invited to discuss key considerations at three time points: recognition/ rst presentation; comprehensive assessment of risk and acting thereon, and management of refeeding in an acute paediatric setting. The role of the multidisciplinary team will be emphasised throughout, and reference made to differences in practice across the globe.
Timings
- Introduction – 5 mins Dasha
- Earlyrecognition-IntroductiontotheAEDMedical Care Standards Brochure – 20 mins (Debra lead)
- RiskassessmentandOrientationtotheJunior MARSIPAN document– 20 mins (Dasha)
- Refeedinginapaediatricsetting–20mins(Graeme) - Discussion and practice points – 15 mins
WoRKSHoP 2.2:
11am – 12.30pm, Elvin Hall Friday 14 March 2014
Working from the bottom up- the remediation of cognitive biases in eating disorders
Cardi, V; Rhind, C; Hibbs, R; Treasure, J
Background
People with eating disorders (EDs) have a biased processing of social stimuli with hyper-sensitivity to rejection and attentional vigilance towards faces depicting criticism, anger and social rank.
The collaborative care intervention in eating disorders is based on a theoretically-driven and empirically- supported approach. For change to occur in adults with eating disorders it is important to provide a social context that encourages an individual’s self-motivation as opposed to the individual experiencing a sense of pressure, coercion or other forms of external regulation.
Motivational interviewing emphasizes the importance of self-motivation for changing health behaviours, and posits that self-motivation is a function of the social context. Thus training carers in some of the basic skills of motivational interviewing is a core aspect of this approach.
Aims
This workshop will describe the background, theoretical rationale, and empirical evidence for this approach and present a ‘train the trainers’ intervention to support carers of people with eating disorders.
methods
In this workshop we will present some of the training materials which teach the basic skills of this approach. Presenters will share the principles of motivational interviewing and put them into practice by analyzing different interactions and dif cult scenarios.
We will share examples of how to assess family patterns and how to mentor families. Attendees will be encouraged to share their experiences and any concerns about working with families.
Results (i.e. learning objectives)
Following the workshop, participants will be able
to describe the basic principles of motivational interviewing, have an introduction to the analysis
of interactions using the Motivational Interviewing Treatment assessment code, and assess the feasibility and acceptability of a ‘train the trainers’ intervention.
Conclusions
This workshop will encourage learning, training,
and discussion of managing eating disorder symptoms using motivational interviewing to enhance self- motivation to change.
WoRKSHoP 1.2:
4pm – 5.30pm, Elvin Hall Thursday 13 March 2014
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Abstracts: Workshops
These dif culties are theorized to contribute to the development and maintenance of interpersonal dif culties and, in turn, exacerbate illness symptoms. Cognitive Bias Modi cation Training (CBMT) is a novel computer-based approach to moderate these biases which has been of bene t in people with depression and anxiety.
Aims
The aims of this workshop are: 1) to present the evidence base in support of these biases and have
an open discussion on how this impacts on signi cant interpersonal relationships; 2) to present a model of EDs that focuses on the role of these automatic biases in underpinning and maintaining illness symptoms; 3) to demonstrate the process of training both attentional and interpretation biases and discuss the preliminary ndings of using this approach; 4) to discuss the feasibility and acceptability of using this procedure in participants with EDs.
methods
Both clinical researchers and clinicians will engage participants in experiential learning of CBMT training material and clinical case material to illustrate and encourage discussion of CBMT in practice.
Expected results (i.e. learning objectives)
1 To describe cognitive bias of social stimuli in people with EDs and understand how these underpin and maintain illness symptoms;
2 To summarize empirically supported principles of CBMT, and discuss implications of its use in people with EDs.
3 To critically appraise the use of CBMT in clinical practice, highlighting potential barriers and bene ts.
Conclusions
This workshop will encourage experiential learning, training, and discussion of CBMT to remediate cognitive biases in EDs.
WoRKSHoP 3.2:
4.30pm – 6pm, Elvin Hall Friday 14 March 2014
CBT in the treatment of Binge Eating Disorder and obesity
Dr J Vanderlinden, Ph.D & Dr Riccardo Dalle Grave, M.D.; University Psychiatric Center KULeuven, Campus Kortenberg, Belgium and Department of Eating and Weight Disorder. Villa Garda Hospital. Garda (Vr) Italy
obesity. The program consists of well-structured group therapeutic sessions and focuses on the following therapeutic goals: (1) psycho education with regard
to the risks of obesity and binge eating, (2) learning
new and healthy eating behaviours while promoting
an active life style, (3) becoming aware of the different triggers of binge eating and learning alternatives to deal with these dif cult situations; (4) installing a functional self-evaluation system; (5) improving self-esteem; (6) dealing with /tolerating of emotions by means of heart coherence training; and (7) preventing relapse. Loss
of weight is not a primary goal. The main focus is on improving the general well-being and quality of life of the patients.
Results of a prospective study without a control
group consisting of three measurements (a baseline measurement and 2 FU assessments up to 5 years after the start of the CBT treatment) of this program will be presented. Our data show that a CBT approach offered 1 day a week during on average 7 months, produces bene ts on both eating behaviours, weight and psychological parameters, that are durable up to 5 years post-treatment!
Part 2 will begin with a brief description of the current status of cognitive behavioural therapy for obesity (CBT-OB). Then, the key procedures of CBT-OB will be described, from assessment to the end of treatment. Particular emphasis will be placed on the innovative ways to identify and manage the barriers to weight loss and weight maintenance.
Other topics will include the procedures for administering CBT-OB at different levels of care
(from outpatient to intensive rehabilitation units), in combination with bariatric surgery and drug therapy and within a multidisciplinary team. The main procedures will be illustrated with clinical examples and participants will be encouraged to present their own clinical cases for discussion.
WoRKSHoP 4.2:
11.30am – 1pm, Elvin Hall Saturday 15 March 2014
Cultural differences in caregivers: do we care differently?
Treasure, Janet; Tsiaka, Maria; Quiles, Maria Jose; Quiles, Yolanda
Aims
The aims of this workshop are to: 1) Stimulate a critical appraisal of family management of caring for a person with an eating disorder. 2) Learn about cultural differences in care style. 3) Discuss practical examples.
Content
The workshop will be structured as follows:
In part 1 a manualised CBT program for the treatment of patients with obesity and binge eating disorder will be presented. The program runs one day a week during a 24 week period. It is aimed for both men and women with binge eating disorder often in combination with
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Abstracts: Workshops
Part 1: Background, theoretical rationale, and empirical evidence for family care. Presentation of recent empirical ndings. Tailoring the approach for British, Greek and Spanish samples. Comparative analyses between them
Part 2: Putting it into practice: Work in small groups to assess family patterns
1 Analysing Interactions: role-playings
2 How can we manage it?
Contributions and timing
Prof. Janet Treasure, Maria Tsiaka, Maria Jose Quiles y Yolanda Quiles will contribute equally to the development and presentation of the materials of the workshop.
The entire workshop will be approximately 1.5 hours in duration. Approximately 30 minutes of the workshop will be primarily didactic/involve formal presentation of research materials; 30 minutes will involve direct audience participation through moderated group discussions; and 30 minutes will be spent working in small groups, using role plays and discussions
WoRKSHoP 1.3:
4pm – 5.30pm, Drama Studio Thursday 13 March 2014
Anorexia nervosa: a well ingrained, maladaptive habit?
Walsh, B T
In this workshop, based on recent advances in cognitive neuroscience, the author presents for discussion a formulation in which the marked persistence of anorexia nervosa can be usefully understood as a well- ingrained maladaptive habit.
Anorexia nervosa is a well characterized disorder
with remarkable persistence both across history and among affected individuals. Food restriction, the
salient behavioral feature of the disorder, often begins innocently but gradually takes on a life of its own. Over time, it becomes highly entrenched and resistant to change through either psychological or pharmacological treatment. Cognitive Neuroscience has described
two related but distinct processes that underlie the acquisition of new patterns of behavior, namely, action- outcome and stimulus- response learning. It is likely
that both processes are engaged in the development
of anorexia nervosa and that stimulus-response learning (that is, habit formation) is critical to thepersistence of the dieting behavior.
The formulation of the dieting behavior characteristic of anorexia nervosa as a well-entrenched habit provides a basis for understanding the striking persistence of this disorder. This model helps explain the resistance of
anorexia nervosa to interventions that have established ef cacy in related disorders and implies that addressing the dieting behavior is critical, especially early in the course of the illness, before it has become ingrained.
Workshop participants will be invited to examine and challenge this formulation and put its validity and acceptability to the test.
WoRKSHoP 2.3:
11am – 12.30pm, Drama Studio Friday 14 March 2014
Radically open - Dialectical Behaviour Therapy for over controlled Disorders
Chen, E
The workshop will cover the basic theory, principles and skills taught in Radically Open Dialectical Behaviour Therapy, a novel adaptation of Dialectical Behaviour Therapy (Lynch et al., 2013). This adaptation addresses emotionally over controlled behaviour as the underlying problem in anorexia nervosa and in other disorders. Originally standard Dialectical Behaviour Therapy addressed out-of-control emotional behaviours e.g., suicide attempts.
This workshop will outline some of the new skills taught to clients as well as therapists. This workshop will be co-taught with Professor Tom Lynch from the University of Southampton who has developed Radically Open
- Dialectical Behaviour Therapy for over controlled Disorders. This new adaptation of DBT is being utilized for inpatients and outpatients with anorexia nervosa.
WoRKSHoP 3.3:
4:30pm – 6pm, Drama Studio Friday 14 March 2014
Working across cultures – therapeutic challenges in engagement with adolescents and their families. Dodge, L
Background
Eating disorders amongst non-western groups
are increasing both in countries of origin and in
host societies. Treatments remain largely informed by Western concepts. Evidence for family based interventions in the treatment of adolescent eating disorders has increased but with the exception of Joyce Ma’s work in China there is little focus on family interventions outside the West.
Working with families who have been through the process of immigration presents particular challenges to clinicians including language, cultural beliefs surrounding anorexia and psychiatric disorder, the
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Abstracts: Workshops
meaning of behaviors driven by the eating disorder in a particular family context and t between adolescent and parental experiences in a new country. Initial engagement and the establishing of a robust therapeutic relationship require particular skills and re ection on the part of the therapist.
objectives
This workshop will:
- Provideabriefsummaryoftherelevantliteraturein relation to eating disorders and family therapy
- Considerthedilemmasfacingcliniciansworkingwith families in multi-cultural settings
- Includesmallgroupdiscussionsofacasescenario
- Offeropportunitiesforclinicianstosharetheirown experience
WoRKSHoP 4.3:
11.30am – 1pm, Drama Studio Saturday 15 March 2014
Acceptance and commitment therapy (ACT): a new approach to the treatment of eating disorders O’Connor, K
Background
Acceptance and Commitment therapy is a recent therapy that proposes that most psychological suffering is linked to ‘experiential avoidance’, i.e.trying to
avoid situations that are painful or trying to get rid of unwanted internal experiences, such as disturbing or painful thoughts and feelings.
The behavioural rigidity seen in all eating disorders, with the main focus on food and weight , may be seen as a functional avoidance of life experiences, in other words, a form of avoidant coping.
Aim(s)
The workshop will demonstrate how eating disorders can be viewed as experiential avoidance and how ACT-based processes can be used to treat people suffering with eating disorders and help create psychological exibility.
methods
Participants in the workshop will receive didactic and experiential instruction on intervention rationale and components of ACT used in the treatment of eating disorders. There will be opportunities for practice, role plays and discussion. Participants will also be invited to actively develop intervention strategies that are consistentwiththemodelandsensitivetotheunique features of this population.
Results
1 Describe the functional nature of eating disorders.
2 Identify how eating disorders can be conceptualized as experiential avoidance.
3 Identify the six ACT processes of the psychological exibility model.
4 Describe the core components of an ACT protocol for the treatment of eating disorders.
5 Execute interventions that balance values and behavioural activation work with acceptance and mindfulness work.
Discussion
ACT’s unique focus on undermining ineffective control strategies makes it theoretically an ideal treatment for eating disorders and this workshop will allow anyone working with this client group to learn more about the ACT approach in the treatment of eating disorders, as well as, having the opportunity to practise and develop strategies that are ACT-consistent.
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Abstracts: Training tracks TRAININg TRACK 1.1: SEED
4pm – 5.30pm, Nunn Hall Thursday 13 March 2014
How to assess an individual with SEED – a biopsychosocial assessment guide
Dr Vicki Mountford & Dr Niki Kern
Individuals with severe and enduring eating disorders (SEED) may present with a chronic illness course
and intensive use of services. An assessment is an opportunity to engage and provide a framework
for future care. We should therefore think carefully about how to tailor an assessment for such individuals to engender hope, whilst balancing reality and comprehensive physical care. This workshop will present a biopsychosocial guide to assessment of these individuals. The workshop will also explore how the assessment can inform treatment planning. There will be an opportunity for discussion and sharing of clinical experience.
TRAININg TRACK 2.1: SEED
11am – 12.30pm, Nunn Hall Friday 14 March 2014
A therapeutic approach to patients with Severe and Enduring Eating Disorders
Touyz, S
TRAININg TRACK 3.1: SEED
4.30pm – 6pm, Nunn Hall Friday 14 March 2014
Recovery Star how we are using it in step up programme for eating disorders?
Tchanturia, K1,2; Cottee, S; 1South London and Maudsley NHS Trust, London, UK, 2Institute of Psychiatry, London, UK
Aims
To explore whether the Recovery Star is a helpful approach for the eating disorder Step-Up to Recovery treatment programme, utilising clinical experience, pilot data and facilitated discussion.
Content
Anorexia is one of the most complex and dif cult conditions to treat. In some cases long duration of illness affects all aspects of patients’ lives such as: work, relationships, and leisure time. Treatment aims often depend upon clinicians’ de nitions of recovery and current thinking is shifting to incorporate more fully the patients’ de nition of their recovery. This invites more involvement of service users in decisions about their care plan and their treatment, and a shift from medical recovery model to a more exible de nition of recovery.
This approach creates new challenges and opportunities
both for people who have eating disorders and those who treat eating disorders.
This workshop will bring together our recent work with patients who step down/out have been treated on our inpatient ward or in outpatients and who need more preparation and support to return to the community. The Recovery Star group encourages patients to look at their skills and interests and to develop these with aim of improving their quality of life. This might involve increasing meaningful activity or gradual return to education or work, and building a network of social relationships.
A pilot group utilising the format of the Recovery Star model will be discussed addressing step wise approach to main areas of life. We will present pilot data on evaluation of the group.
Contributions
This approach is very much in line with the burgeoning ‘recovery model’ in mental health care, which advocates an individualised, holistic, and strength-focussed approach to treatment and recovery. Further research in this area is warranted, particularly in relation to exploring social and occupational functioning in other EDs, and exploring how functional impairment changes during the course of standard treatment of EDs. We will present work of the multidisciplinary team in our ED service.
TRAININg TRACK 4.1: SEED
11.30am – 1pm, Nunn Hall Saturday 15 March 2014
outpatient treatment: Roots and Shoots: A recovery and growth perspective on working with severe and enduring eating disorders.
Emma Walton and Vicki Wise
Clients with severe and enduring eating disorders (SEED) often have complex needs and co-morbid mental health dif culties, which require the support of multi-disciplinary approaches and at times, the input of specialist services. Despite contributing to a signi cant part of service workload, this client group are often seen as a clinical challenge to many professionals and can be met with some uncertainty about how best to manage in practice.
This workshop will outline the treatment model for working with patients with severe and enduring eating disorders in the context of focusing on a recovery-based model. It will involve some service user-involvement and aims to explore the importance of working with clients in a person-centred way with an emphasis on maintaining stable physical health and ensuring quality of life. It will also demonstrate the importance of personal growth and development of the client, using the concept that the SEED clinic acts as a mere support for client’s own progression and self-recovery.
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Abstracts: Training tracks
This is an interactive workshop and is suitable for all health professionals working with clients with eating disorders and who may be interested in re ecting on their own experiences of working in this clinical domain.
TRAININg TRACK 1.2: NEW
TECHNoLogIES
4.30pm – 5.30pm, Clark Hall Friday 14 March 2014
Video game therapy for Eating Disorders: A complementary strategy for emotional regulation Professor Fernando Fernandez-Aranda, PhD, FAED
In this presentation, Prof. Fernandez-Aranda will describe the potential utility of Video Game therapy for treating mental disorders and ED, and demonstrate how speci c VG approaches could be useful as combined therapy for teaching emotional regulation. Additionally, he will present own case-control studies and video- recorded feedback from ED patients.
TRAININg TRACK 2.2: NEW
TECHNoLogIES
11am – 12.30pm, Clark Hall Friday 14 March 2014
Eating disorders in cyberspace. New technologies, new challenges, new possibilities
Skårderud, F
TRAININg TRACK 3.2: NEW
TECHNoLogIES
4.30pm – 6pm, Clark Hall Friday 14 March 2014
A therapist in your pocket - the use of vodcasts to promote change
Treasure, J; Cardi, V; Ambwani, S
In this presentation Prof Treasure will describe and present evidence about the use of new technologies, vodcasts, carer skills training in the management of eating disorders.
These interventions provide skills and expertise for carers in the management of eating and other dif cult behaviours. The vodcast enables the exposure/ extinction process to be generalised into a wide variety of contexts.
TRAININg TRACK 4.2: NEW TECHNoLogIES
11.30am – 1pm, Drama Studio
Saturday 15 March 2014
The perils and promise of new technologies in the
prevention and early intervention of eating disorders
Helen Sharpe, Peter Musiat, Pooky Knightsmith & Ulrike Schmidt;
Institute of Psychiatry, King’s College London
The workshop will involve brief presentations interspersed with discussion and practical demonstrations of recent advancements in the use
of new technologies for the prevention and early intervention of eating disorders in young people, university students and schools. We will review the eld more generally as well as drawing on speci c examples from our own research.
The workshop will focus on:
1 New risk from new technologies
- Howhastheriseofnewtechnologieschangedthe landscape of risk for eating disorders? What role do online social comparisons play in body dissatisfaction? Do pro-ana communities put people at risk of eating disorders?
2 Using new technologies for prevention
- Whatadvantagesdonewtechnologiesofferover traditional face-to-face approaches for prevention? How have mobile phones, apps, websites etc. been used so far in eating disorder prevention?
3 Using new technologies for awareness raising, detection and early intervention
- Howhaveweusednewtechnologiesinawareness raising about eating disorders? What role can new technologies play in training school teachers to spot warning signs?
TRAININg TRACK 1.3: THERAPIES
4.30am – 6pm, Room 642 Friday 14 March 2014
Systemic family therapy for anorexia nervosa (SFT- An): theoretical concepts, practical application, obstacles and challenges
Ivan Eisler, Kings College London
While there has been considerable progress in recent years in strengthening the empirical base of family therapy for adolescent anorexia nervosa, a great deal remains unknown. This includes a lack of understanding of how the treatment works, what factors may moderate response to treatment and what is needed to improve outcomes. The aim of the workshop will be to explore some of the key conceptual ideas that inform the treatment when it is effective as well as factors that may contribute to the lack of success in treatment both at the individual level (e.g. high levels of co-morbid anxiety or high intolerance of uncertainty) as well at a family level (e.g. insecure attachment in one or both parent, high levels parental self blame or family con icts and hostility).
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Abstracts: Training tracks Clinical examples will be used to illustrate the ideas and
participants will be invited to discuss their own cases.
TRAININg TRACK 2.3: THERAPIES
11am – 12:30pm, Room 642 Friday 14 March 2014
CBT for Eating Disorders: Achievements and challenges
Dr Riccardo Dalle Grave, MD, Department of Eating and Weight Disorders, Villa Garda Hospital
Enhanced cognitive behaviour therapy (CBT-E) has
been designed to improve the effectiveness of CBT for bulimia nervosa (BN) and to be suitable for all forms
of adults with an eating disorder manageable in an outpatient setting. To further expand the range of CBT-E applicability, the treatment has been later adapted to treat also adolescents and patients at intensive levels of care (i.e. intensive outpatient, day-hospital, inpatient and post-inpatient).
Data from a randomized controlled trial indicate
that CBT-E is signi cantly more ef cacious than psychoanalytic psychotherapy in the treatment of BN. Data from studies carried out in Italy and England
show that CBT-E is also a promising treatment for
adult and adolescent patients with anorexia nervosa (AN) and for severe hospitalized patients. These
results are encouraging, but many challenges must
be addressed. Firstly, the outcome of the treatment should be improved because a third of patients do not respond to CBT-E and a subgroup relapse also after the more intensive forms of CBT-E. Secondly, it is not yet clear which the active and super uous elements of the treatment are. Thirdly, only few therapists use CBT-E and of these many colleagues do not seem to apply CBT-E in a rigorous way compromising the effectiveness of
the treatment.
TRAININg TRACK 3.3: THERAPIES
4pm – 5.30pm, Room 642 Thursday 13 March 2014
The role of Interpersonal Psychotherapy (IPT) for the treatment of eating disorders: 15 years’ experience of using his model
Professor Jon Arcelus; Consultant Psychiatrist and Professor
in Eating Disorders. Dr Jonathan Baggott, Consultant Psychiatrist in Eating Disorders
This workshop will give an overview of the use of interpersonal psychotherapy in the treatment of eating disorders. The team in Leicester has been using IPT for eating disorders for the last 15 years. They have adapted the model and created IPT BNm. During the workshop the speakers will rstly discussed current
research in the eld of interpersonal problems and eating disorders. They will then describe the use of IPT in patients with Bulimia Nervosa and bulimia like disorders. The attendees will be taking through each session, particularly focusing in the rst 4 sessions.
The speakers will also brie y discuss the use of IPT for patients with anorexia nervosa. This workshop does
not aim at training professionals into becoming IPT therapists but it hopes to make the case of the use of an alternative treatment for patients with eating disorders. The speakers will also discuss how to further train in
this modality.
The workshop will use a combination of PowerPoint presentations, videos and role plays. There is not expectation for attendees to have any previous knowledge of general IPT. The workshop will also offer the opportunity for those with previous knowledge in IPT to share and discusses their experience, adapting the content of the workshop to the needs of those attending it.
TRAININg TRACK 4.3: THERAPIES
11.30am – 1pm, Room 642 Saturday 15 March 2014
mentalization Based Therapy for eating disorders (mBT-ED): a training workshop
Professor Finn Skårderud and Dr Paul Robinson
Mentalization Based Therapy is a dynamic psychotherapy with roots in attachment theory. It has been shown to be helpful in Borderline Personality Disorder. In the NOURISHED (Nice Outcomes for Referrals with Impulsivity, Self Harm and Eating Disorders) study, we have adapted MBT for use in patients with Eating Disorders and called the method MBT-ED.
In this workshop we will introduce participants to MBT- ED, and demonstrate how the approach can be used to address different elements found in these patients, such as body image disturbance, weight loss and bingeing purging. ED patients present the therapist with particularly challenging ways of thinking and behaving, such as embodied mentalizing, mental detachment due to severe symptoms, pretend mode, psychic equivalence and teleological mode. These terms and their relevance to understanding and helping patients with eating disorders will be explained.
We will use a number of different teaching approaches including didactic seminar, role play by the workshop leaders, video recordings of an actor demonstrating speci c dif culties, and participant role play.
We hope to stimulate participants curiosity in this innovative approach to eating disorders.
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Posters
P:1 Pathological gambling in eating disorders: Prevalence and clinical implications
Susana, Jimenez-Murcia; Steiger, H; Israel, M; Granero, R; Fernandez-Aranda, F; University Hospital Bellvitge- IDIBELL and CIBEROBN, Spain
P:2 Differences in emotional processing styles in anorexia and bulimia nervosa compared to the general population
Newell, C; Dorset HealthCare University NHS Foundation Trust, UK
P:3 Exploring planning abilities in anorexia nervosa
Carral-Fernández, Laura; González-Gómez, J; Ruiz- Torres, M; Gómez del Barrio, JA; University Hospital Marqués de Valdecilla, Spain
P:4 The nature of information processing in eating disordered patients: is “schema-driven processing” only a metaphor?
Starzomska, Malgorzata; Cardinal Stefan Wyszyñski University in Warsaw, Poland
P:5 An examination of the impact of the maudsley Collaborative Care Skills Training Workshops on Spanish carers of people with an eating disorder
Quiles, MJ; Escolano, M; Perez, B; Romero, C; Quiles, Y;
Miguel Hernadez University, Spain
P:6 Collaborative working in eating disorders: post graduate multi professional masters module.
Evans, A-M; Clark, W; Allcock, L; Hagerty, E; Cardiff School of Healthcare Sciences, UK
P:7 Developing the skills of the mDT team to ensure all carers of all inpatients feel supported and suitably educated
Cootes, Rachel1; Cootes, R; Price, S; Rossiter, J;
1Cotswold House Marlborough;
P:8 Empirical examination of the interpersonal maintenance model of anorexia nervosa
Treasure, J; Hibbs, R; Rhind, C; Institute of Psychiatry, King’s College London, UK
P:9 going beyond the surface of the skin: understanding the impact of signi cant life events on the onset of an eating disorder
Hammersley, R; Lobo, KA; Reid, M; London Metropolitan University
P:10 Sexuality in women suffering from an Eating Disorder
Fragiskos, Gonidakis; Krabbariti, V; Varsou, E; Athens University, Medical School, Greece
P:11 Shef eld Eating Disorder Assessment Clinic (SEDAC) – experience of a multidisciplinary clinic for children and young people with an eating disorder
Moss, Gail; Chalhoub, N; N; Shef eld Children’s NHS Foundation Trust, UK
P:12 The Challenges of Starting a Parent/Carer Support group
Flicker, Jacqueline; O’Connor, Kathy
P:13 The role of pride in women with anorexia nervosa: a qualitative study
Faija, Cintia; Fox, J; Gooding, P; Tierney, S; University of Manchester, UK
P:14 using motivational Interviewing to manage eating disorders symptoms
Rhind, C; Hibbs, R; Todd, G; Macdonald, P; Institute of Psychiatry, King’s College London, UK
P:15 obese men’s relationship with food prior to weight loss surgery
Abramowski, Anna; City University, London, UK
P:16 Themes in male eating disorder patients’ identity; with consideration of a patient’s subjective account, theory & implications for practice.
Kitson, Kirsten; Cotswold House Marlborough: Specialist Eating Disorder Service, UK
P:17 Follow-up after two-year in rst episodes of a eating disorders population: analysis of dropouts.
Jana, Gonzalez Gomez1; Gonzalez, J.Gonzalez2; Gil Camarero, e.gil2; Gomes, A2; Carral, L2; Hospital Marqués de Valdecilla, Spain
P:18 What is an ethical discharge weight for adolescents?
Ayton, Agnes; Wedgwood Unit, Huntercombe Hospital Stafford, UK
P:19 Ideal body shape in the chinese media resists western cultural ideals
Mo, J J Y; Oles, S; Tovee, M J; Newcastle University, UK
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Posters
P:20 Correlations among measures of cognitive exibility, mental health, and zinc status: potential implications in anorexia nervosa
Macphail, Emily1; Dyck, RH; 1Hotchkiss Brain Institute/Department of Psychology; 2University of Calgary, Canada
P:21 Impact of a training DVD package for meal time management on CAmHS clinicans
Fiona, Duffy; Butler, M; Small, L; Hart, L; Fyfe, A;
Royal Edinburgh Hospital, UK
P:22 Selective attention to eating and body related stimuli in eating disordered patients: Differentiating vigilance, dif culty to disengage and avoidance
Starzomska, Malgorzata; Cardinal Stefan Wyszyñski University in Warsaw, Poland
P:23 Telephone surveys and patient satisfaction: re ections from an uK adult community eating disorders service
Viljoen, David1; Jarvis, S; 1Hertfordshire Community Eating Disorders Service, UK
P:24 The Welsh Eating Disorder Research Development group – a collaborative forum for developing research proposals
Tan, Jacinta O.A.; College of Medicine, Swansea University, UK
P:25 The role of affective style and adult attachment in predicting eating disorder concerns
Woodward, K; McIlwain, D; Macquarie University, Austrailia
P:26 A randomised controlled trial of mentalization based therapy in patients with eating disorders & borderline personality disorder
Clare, A; Bogaardt, A; Robinson, P; St. Ann’s Hospital, London, UK
P:27 Body image disturbance, body image therapy and outcomes in anorexia nervosa: an audit of inpatient care
Darcy, V; Young, V; Riverdale Grange Specialist Eating Disorder Hospital, UK
P:28 Cognitive-Behavioral interventions for weight loss: cognitive restructuring vs. exposure
Ortega, S; Alvarado, S; Cognitive Therapy Centre of Mexico
P:29 group/multi-family psycho-education for the reduction of family burden
Lembesi, E; Karapavlou, D A; Sestrini, M; Koumoula, A; Tzavela, E C; Charitaki, S; Gonidakis, F; Athens University Medical School, Greece
P:30 Recovery in young people: clinicians’ perspectives
Albizzati, A1; Emanuelli, Francesca2; Merelli, S1; Nicholls, D1; 1Great Ormond Street Hospital; 2Eating Disorders Team, Department of Child and Adolescent
Mental Health
P:31 Stability of recovery characteristics and implications for relapse
Emanuelli, Francesca1; Merelli, S; Nicholls, D; Albizzati, A; Waller, G; 1Eating Disorders Team, Department of Child and Adolescent Mental Health; UK
P:32 The role of clinicians, parents and young people in recovery: clinicians’ perspectives
Albizzati, A1; Emanuelli, Francesca2; Merelli, S1; Nicholls, D1; 1Great Ormond Street Hospital; 2Eating Disorders Team, Department of Child and Adolescent
Mental Health
P:33 The role of Emotional Intelligence and Health Literacy on Disordered Eating: Exploring the barriers to help seeking and treatment engagement
Foye, Una1; Irving, P; Hazlett, DE; 1School of Communtion, University of Ulster
P:34 Clients’ experiences and re ections of treatment on an eating disorders inpatient ward
Clare, A; South West London & St. George’s Eating Disorders Service
P:35 Full recovery from severe and enduring anorexia nervosa: Is it possible and what leads to change?
Dawson, L; Rhodes, P; Touyz, S; University of Sydney, Austrailia
P:36 The HoPE project: A quality of life
group for individuals with Severe and Enduring Eating Disorders.
Hagerty, E; Davies, B; Maindiff Court Hospital, UK
P:37 Clients’ experiences and re ections of treatment on an eating disorders inpatient ward – an interpretative phenomenological study
Clare, A; Stevenson, L; Rosewall, J; Naylor, H; Walker, J; South West London & St. George’s Eating Disorders Service
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