EDIC 2016

2016 PROGRAMME
INSTITUTE OF EDUCATION, LONDON
17–19 March 2016
BEAT’S FOURTH EATING DISORDERS INTERNATIONAL CONFERENCE
HOSTED BY


Welcome to EDIC 2016.
Let’s join forces to beat eating disorders.
Worried about someone you know?
Looking to signpost to additional support?
Our services provide reassurance and information:
■ Call or text our Helpline 0345 634 1414 or email [email protected]
■ Visit Beat’s website for information about eating disorders and peer support through message boards and online support groups
■ HelpFinder, an online directory of support services
I can talk to people who understand what I’m going through and won’t judge me for the way I’m feeling.
Being able to chat to people who understand is so liberating. Thank you.
EATING DISORDERS ARE SERIOUS BUT TREATABLE, THE SOONER SOMEONE GETS THE TREATMENT THEY NEED THE MORE LIKELY THEY ARE TO MAKE A FULL RECOVERY
I am immensely grateful to Beat for their collaboration in research, recruitment of participants, and provision of ideas on how to conduct and disseminate research.
The staff and volunteers have genuinely contributed to making my research possible and more meaningful.
Planning your research project?
Research represents knowledge and understanding, vital in Beat’s purpose to end the pain and suffering caused by eating disorders. We can help during the design and recruitment of your project.
Visit www.b-eat.co.uk/research
Beat, the UK’s charity supporting anyone affected by an eating disorder.


HOSTED BY
CONTENTS
04 Welcome
06 Scienti c Programme Committee
08 Location and venue
09 Social events
10 General information
11 Communications
12 Additional information
13 Sponsors and exhibitors
17 Exhibition oor plan
18 The conference
20 Venue oor plan
22 Programme
31 Keynote biographies and abstracts 34 Plenary biographies and abstracts 43 Workshop abstracts
54 Short paper abstracts 65 Poster abstracts
87 Programme at a glance
SPONSORS
EXHIBITORS
EDIC 2016
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WELCOME
FROM BEAT, HOSTS OF THE CONFERENCE FOR THE FOURTH YEAR
We are very pleased to welcome you to Beat’s fourth Eating Disorders International Conference.
This year’s conference comes at a very exciting time for Beat as we set out our vision and strategy to deliver dramatic change for eating disorder sufferers and their loved ones over the next ve years.
Each year, thousands of sufferers and their family members contact Beat through our telephone, online and face-to-face services, seeking information, guidance and support as they grapple with the reality of their eating disorder. We are proud of the service we provide but we know that there are thousands more who don’t nd their way to us. So we are investing in our services in order that, by 2021, we are directly supporting ten times as many people as we do today, through the channels and at the times that work for them.
Yet that isn’t enough. We all know that mental health and eating disorder services are under-funded, and that sufferers face stigma and misunderstanding from the media, in their places of work and study, and from society as a whole. We know that more support for research is needed, as well as better data on incidence and prevalence. As the UK’s largest
and leading eating disorder charity, Beat is uniquely
placed to champion the cause of sufferers and their families and to convene the voices of people who want to see change. So over the coming months, we will step up our campaigns for better policy, more funding and a compassionate understanding in society.
We hope that you will join our campaigns for change, use our new services, and take advantage of our networks to share and learn about what’s available, what’s changing and what’s needed.
Enjoy the conference. We hope to see you at the Beat stand.
ANDREW RADFORD, CHIEF EXECUTIVE, BEAT
Andrew joined Beat as Chief Executive in July 2015. He has worked in the charity sector for over 25 years, speci cally within the child and health sectors
CHRIS OUTRAM, CHAIR OF TRUSTEES, BEAT
Chris was appointed as Beat’s Chair of Trustees in March 2011. He is also Founder and Chairman Emeritus of OC&C Strategy Consultants
EDIC 2016 4


FROM DR PAUL ROBINSON,
CHAIR OF THE EDIC 2016 SCIENTIFIC PROGRAMME COMMITTEE
As chair of the Programme Committee, I am pleased to invite you to EDIC 2016, the fourth biennial conference held by the UK’s eating disorders charity Beat, which has earned a well-deserved place in the eating disorders calendar.
The Committee have worked hard to ensure a wide range of engaging topics and we are delighted that, as something new for EDIC, we will be combining research with policy as the Rt Hon Alistair Burt MP joins us on Thursday 17 March to speak as a member of the present government and address questions raised by eating disorders.
This will be a truly international conference, with speakers from France, Germany and Italy, as well as long distance arrivals from the US, Canada and Australia.
The range of subjects included is very wide indeed, with keynote speakers on attachment (Prof Peter Fonagy), neuroscience (Dr Joanna Steinglass), costs of eating disorders (Prof Jennifer Beecham) and the power of the family in treatment (Prof Janet Treasure). Moreover, different approaches to family intervention in the UK, France and Germany are presented in a single plenary session.
Alongside researchers and clinicians, you will also nd sufferers and carers using their rst-hand experiences to embellish the clinical sessions and we invite you
to join us on Friday 18 March for a short dramatic performance ‘Enoughness’.
The Academy for Eating Disorders will be presenting
a lunchtime session on ‘The Nine Truths of Eating Disorders’, while different therapies for eating disorders are well represented with hands-on workshops teaching cutting-edge treatments for anorexia nervosa, bulimia nervosa and binge eating disorder. In short paper, workshop and plenary sessions, descriptions
of candidate therapies for the future such as cognitive affective therapy, dialectical behaviour therapy, mentalization-based therapy and specialist supportive clinical management will be found.
Interesting studies will also be presented as posters, and senior members of the faculty will each be concentrating on a small number of posters, inviting their authors to answer questions about their work during poster strolls.
As well as nding friends and collaborators, old and new, we hope that our high-quality, leading speaker line up at EDIC 2016 will leave you enthused and energised and heading back to your clinical units brimming with ideas about how to help people suffering from eating disorders.
We would love to hear your feedback following the EDIC 2016 to make the event even bigger and better in future years. If you have any comments please
get in touch at [email protected].
Dr PAUL ROBINSON MA MD FRCP FRCPsych
Research Consultant Psychiatrist, St Ann’s Hospital, Barnet, En eld and Haringey Mental Health Trust; Honorary Senior Lecturer and Senior Tutor, University College London
EDIC 2016 5


EDIC 2016 SCIENTIFIC PROGRAMME COMMITTEE
BEAT WOULD LIKE TO THANK THE EDIC 2016 SCIENTIFIC PROGRAMME COMMITTEE FOR THEIR INVOLVEMENT IN THE PLANNING OF EDIC 2016
Chair, Dr PAUL ROBINSON MA MD FRCP FRCPsych
> Research Consultant Psychiatrist, St Ann’s
Hospital, Barnet, En eld
and Haringey Mental Health Trust; Honorary Senior
Lecturer and Senior Tutor, University College London, UK
Dr Paul Robinson is a Consultant Adult Psychiatrist and has specialised in eating disorders psychiatry
for over 25 years, working at the Maudsley, at Johns Hopkins Hospital, Baltimore, the Gordon Hospital, and the Royal Free Hospital. He was Consultant
Lead in the Russell Unit at St Ann’s Hospital in North London and is now a researcher there. He is a founder member and former chair of the Eating Disorders Section of the Royal College of Psychiatrists and has been the principle author of two College reports on eating disorder services and a guidance document
on the management of anorexia nervosa in general hospital settings (MARSIPAN). He has written a book on the community treatment of eating disorders, one on severe and enduring eating disorders, and has co-edited one on MARSIPAN implementation. He is also an Honorary Senior Lecturer and Senior Tutor at University College London, his former medical school.
Prof ULRIKE SCHMIDT MD PhD FRCPsych > Professor
of Eating Disorders, Institute of Psychiatry, Psychology
and Neuroscience, King’s College London, UK
Professor Schmidt is a Consultant Psychiatrist in the
eating disorders unit at the South London and Maudsley NHS Foundation Trust and
Professor of Eating Disorders and Head of Department of Psychological Medicine at the Institute of Psychiatry, Psychology and Neuroscience, King’s College
London. Her research ranges from translational to dissemination research. In particular, it focuses on intervention development, including both talking therapies and brain-directed treatments. She has published some 300 peer-reviewed papers. She is the
recipient of the 2005 National Health Service Award for Innovative Service Delivery, the 2009 Academy for Eating Disorders’ Leadership Award for Clinical, Educational and Administrative Service and the 2014 Hilde Bruch Award for Outstanding Achievements in Eating Disorders Research and Treatment.
Prof JANET TREASURE OBE PhD FRCP FRCPsych
> Professor of Psychiatry, King’s College London and South London and Maudsley NHS Trust, UK
Professor Treasure is a Psychiatrist who works in
research and teaching at King’s College London and as a clinician at the South London
and Maudsley NHS Foundation Trust. Professor Treasure’s research interests include conjoint working with patients and carers using translational research to develop new forms of treatment.
Dr NATHALIE GODART MD PhD > Child and Adolescent
Psychiatrist, Institut Mutualiste Monsouris, Contrat d’Interface INSERM U1178, Paris, France
Dr Godart is an Adolescent Psychiatrist particularly
involved in carers for adolescents suffering from eating disorders. She works as part-time
clinician and a part-time researcher. She is head of the 30-bed inpatient unit in the Adolescent and Young Adult Psychiatric Department in Institut Mutualiste Montsouris (Pr Corcos), Paris. She also works in the INSERM U 1178 eating disorders research unit (Pr B Falissard). She is involved in research programmes concerning eating disorders focused on depression and anxiety comorbidities and treatment (family therapy, inpatient treatment). She is Vice-President of the French national and regional network of eating disorders carers (AFDAS-TCA and Réseau TCA Francilien).
EDIC 2016
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Prof BEATE HERPERTZ- DAHLMANN MD
> Director of the Department for Child and Adolescent
Psychiatry, Psychosomatics
and Psychotherapy, Technical University, Aachen,
Germany
Professor Beate Herpertz- Dahlmann is a licensed paediatrician and licensed
child and adolescent psychiatrist and psychotherapist. She is the head of a large university clinic for general child and adolescent psychiatry and has specialised
in eating disorders for more than 25 years. She
is President of the German Society for Child and Adolescent Psychiatry and was a member of the board of the European Society for Child and Adolescent Psychiatry (ESCAP) until summer 2015. She is also
a former chair of the Scienti c Council of “Autism Germany”. She is one of the main authors of the German clinical guidelines for anorexia nervosa. She has inaugurated day patient treatment for childhood and adolescent anorexia nervosa in Germany and
was principle investigator of a randomised controlled trial for comparing day patient and inpatient treatment published in the Lancet. She has now started a new project to establish home treatment
for anorexia nervosa in the young at several clinical sites in Germany.
Dr POOKY KNIGHTSMITH HESMONDHALGH
> Associate Fellow, Evidence Based Practice Unit (EBPU), University College London and Anna Freud Centre;
Trustee, Beat, UK
The child is always at the centre of Pooky’s work, where her rst
question is always ,”how will this bene t children
and young people?” Question two, which follows
fast, is, “how can this be made usable, practical and relevant for those who work with them?” Pooky is a passionate ambassador for mental health who loves
to research, write, speak, teach and share all manner of ideas about mental health, well-being and PSHE. Her enthusiasm is backed up both by a PhD in child and adolescent mental health from the Institute of Psychiatry, King’s College London, and her own lived experience of anorexia nervosa, self-harm, anxiety
and depression. She is the author of ‘Self-Harm and Eating Disorders in Schools: A Guide to Whole School Support and Practical Strategies’ (Jessica Kingsley Publishing, 2015). Her new book, which explores the use of poetry as a therapeutic tool, is due for release in 2016. Pooky is best contacted via twitter @PookyH or email [email protected]. Her website is regularly updated with blog posts, resources and book reviews: www.inourhands.com.
Mrs FIONA BROMELOW BA
> Parent Advocate, FEAST, Gloucestershire, UK
After graduating from Exeter
University, Mrs Bromelow worked in the care sector
with adults with learning disabilities. She then took
time out of paid employment to look after her young children, returning to work in an
administrative role within NHS General Practice in 1995. She became involved in ‘the eating disorders world’ after the diagnosis of one of her children in 2001 and was one of the founding members of FEAST (Families Empowered and Supporting the Treatment of Eating Disorders). She has been a member of the FEAST board since 2009 and was secretary between 2011 and 2013. She is currently chair of the FEAST
UK Task Force. She was a Beat Carers’ Ambassador between 2008 and 2011 and is a supporter of Charlotte’s Helix.
EMILY ANTCLIFFE > Expert by experience, London, UK
Emily is a member of the committee as an expert by experience. Emily suffered
from anorexia nervosa in her mid-twenties for ve years,
becoming ill in her nal year at Edinburgh University. She
completed her degree and moved to London, taking up a post on the civil service fast stream before receiving a formal diagnosis and entering treatment. She was treated under the care of Dr Paul Robinson at the Russell Unit in London as a day patient, returning to work after six months and continuing as an outpatient until 2007 when she was discharged. Emily has now fully recovered, has two children, works full time as a senior civil servant and regularly runs marathons (with a best time of 2.59.23).
EDIC 2016
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LOCATION AND VENUE
The conference takes place on Thursday 17 March, Friday 18 March and Saturday 19 March 2016 at the:
Institute of Education (IoE)
20 Bedford Way, London WC1H 0AL
CLOAKROOM AND CONCIERGE
There are cloakroom and left-luggage facilities available during the registration opening hours. Cloakroom facilities are located on level 3
at the top of the stairs that lead down to the registration area.
FACILITIES
There are additional refreshment facilities and seating located on level 4 of the Institute. There are toilets on every level of the Institute, which are well signposted. A oorplan is included on pages 20 and 21, which includes the toilet locations.
SMOKING POLICY
Smoking is prohibited in all areas of the Institute of Education. Delegates can smoke on either Bedford Way (exit via the doors at street level on level 3) or on the concourse (exit via the revolving doors on level 4).
ACCESSIBILITY
Systems for the hearing impaired are available in all rooms.
There are accessible WCs on levels 1, 4, 5 and 7.
FIRST AID
There will be trained rst aiders on site for the duration of the conference. If you should feel unwell, please inform a member of the EDIC team who will assist you further.
EUSTON
EUSTON SQUARE
INSTITUTE OF EDUCATION
RUSSELL SQUARE
TRAVELLING TO EDIC 2016
By London Underground (Tube)
Tube stations within a 5 to 15-minute walk of the venue include:
Russell Square Euston
Euston Square >
By bus
line (closest)
and lines
lines
> >
Piccadilly
Northern
and
,
Bus number 59 stops in Tavistock Square, which is a 5-minute walk from the venue.
By rail
The closest station to the venue is Euston.
Car parking
There is no car parking available at the venue. The closest public car park is directly opposite the venue, underneath the Royal National Hotel. For further information visit www.ccparking.co.uk.
Victoria
Circle
Hammersmith & City
Metropolitan
EDIC 2016
8
EUSTON RD.
ENDSLEIGH ST.
TAVITON ST.
MARCHMONT ST.
GORDON ST.
TAVISTOCK PL.
CORAM ST.
WOBURN PL.
GOWER ST.
MALET ST.
RUSSELL
SQUARE


SOCIAL EVENTS
THEATRICAL PERFORMANCE
Friday 18 March 2016 6.15pm – 7.15pm, Logan Hall
‘ENOUGHNESS’ BY FIONA HAMILTON
> Performed by Pameli Benham and Fiona Hamilton BITE SIZED PROJECT
This performance of three short spoken word pieces offers food for thought on issues highlighted by eating disorders that touch all our lives.
‘Enoughness’ explores themes of ‘enough’ and pressures from society that can deplete or overwhelm. ‘Invisible’ considers invisibility as a superpower and
as a characteristic of mental distress. ‘Counting
Down to Human’ provides a dialogue on measuring, counting, current understandings of the brain, and what remains unknown.
The triptych with thought-provoking images opens up space for reconsideration of familiar themes from fresh angles. It draws on insights from families, carers and professionals, and from rst-hand accounts by people living with or recovering from eating disorders.
The performance and subsequent discussion will last approximately 45 minutes.
‘Bite Sized’ by Fiona Hamilton is available from Vala Publishers www.valapublishers.coop/bitesized
LUNCHTIME SEMINAR
Saturday 19 March 2016 12.45pm – 1.30pm, Logan Hall
NINE TRUTHS OF EATING DISORDERS: AN ACADEMY FOR EATING DISORDERS INVITATION
The world is full of myths about the eating disorders, about the people who suffer from them, and about the role of people who care for those sufferers.
The Academy for Eating Disorders (AED) has been hearing those myths for long enough and has decided to push back against them, in collaboration with a group of like-minded partner organisations. Therefore, in 2015, a coalition of organisations (including the AED) produced the ‘Nine Truths about Eating Disorders’ document, designed to counter the myths with plain, simple facts.
This presentation will outline the background to
the development of the ‘Nine Truths’ document (particularly the work of Cindy Bulik), the nine truths themselves and the facts behind them, and the way that the truths are being disseminated. Attendees will be encouraged to disseminate them further, via a range of methods.
YOUNG AMBASSADOR ARTWORK
On display throughout the event Jeffery Hall Foyer
During the event, we will be showcasing artwork
that has been created by Beat’s talented Young Ambassadors. Beat Young Ambassadors are a network of volunteers across the UK aged 14 - 25 with personal experience of eating disorders.
They are trained and supported by Beat staff to raise awareness through ve main areas – campaigning, fundraising, healthcare, education and the media. Young Ambassadors were given the brief to put together a visual representation of what recovery means to them.
The artwork will be displayed in the Jeffery Hall Foyer throughout the event. Thank you to our Young Ambassadors who contributed to the display.
CHARLOTTE’S HELIX DNA SAMPLES
Jeffery Hall
Have you heard? Charlotte’s Helix is bringing ground- breaking genetic research to the UK. A part of the international ‘AN25K’ challenge to source 25,000 DNA samples and crack the genetic codes of anorexia, we need your help, with or without a personal history
of anorexia. A specialist team from King’s College London will be available to talk about the science, what the research means for future care, and to take names and samples from any would-be volunteers. Want to ask questions? Want to register an interest? Want to volunteer a sample? We are eager to meet you! We will be found in the exhibition area in front of the stage in the Jefferey Hall throughout the event.
EDIC 2016
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GENERAL INFORMATION
All delegates must register at the registration desk
on their rst day of attendance at the conference. If you are attending multiple days you do not need to report to the desk each day, but please ensure you wear the correct colour lanyard and badge for the day you are attending.
REGISTRATION DESK
This is located in the Crush Hall on level 1 and is open at the following times:
Anyone wearing a lanyard that does not permit them access to that particular day of the conference will be required to pay the appropriate registration fee for that day if they wish to attend. Participants are requested to wear their badge at all times.
LUNCH AND REFRESHMENTS
Lunch and refreshments are included in the registration fees and will be served during the scheduled programme breaks. There will also be refreshments and pastries available during registration. Lunches will be served in the Jeffery Hall and refreshments in the Jeffery Hall Foyer. Presentation of your badge will be required to access the lunch area. Delegates who provided dietary requirements that could not be catered for within the main lunch will have separate meals prepared. These will be available to collect at the beginning of the lunch period from the bar area opposite the registration desks in the Crush Hall. If this applies to you, you will have been noti ed by email prior to the event.
PHOTOGRAPHY
Please be aware that we will be taking photographs and video at EDIC 2016, which may be included
in Beat’s printed publications, on our website and may also be circulated to the media. If you have any questions, please discuss this with a member of the EDIC team on the registration desk.
LOST AND FOUND
Enquiries regarding items lost or found can be made at the registration desk located in the Crush Hall. To minimise losses, please ensure that delegate bags are not left in any of the session rooms.
CPD ACCREDITATION AND CERTIFICATE OF ATTENDANCE
The Eating Disorders International Conference 2016 is CPD certi ed. A CPD certi cate of attendance will be emailed to all participants after the conference, upon completion of a short evaluation questionnaire. Evaluations and certi cates will be emailed to the address supplied during registration.
Thursday 17 March > Friday 18 March > Saturday 19 March >
EXHIBITION AREA
8am - 7pm 8am - 6.30pm 8am - 6pm
This is located in Jeffery Hall and is open at the following times:
Thursday 17 March > Friday 18 March > Saturday 19 March >
11am - 6.30pm 8am - 6pm 8am - 4.30pm
SPEAKER GREEN ROOM
This is adjacent to the Logan Hall on level 1, and is open at the following times:
Thursday 17 March >
> 1pm - 2pm
Saturday 19 March
DELEGATE LIST
A delegate list is included in your delegate bag.
The list includes delegate names, institutions and countries. If you are keen to meet with someone from the delegate list, we encourage you to include a note on the message board at the registration desk.
BADGE POLICY AND SECURITY
A name badge and lanyard will be provided to you when you register for the conference. The lanyards will be colour coded to allow EDIC staff to distinguish between speakers, full delegates and day delegates.
Friday 18 March >
8am - 9.30am
8am - 9.30am > 1pm - 2pm
>
> 1pm - 2pm
8am - 9.30am
EDIC 2016
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COMMUNICATIONS
INTERNET
There is free WiFi available throughout the venue, through the eduroam service. Delegates with an existing eduroam account will be automatically connected to the WiFi. Those who don’t have
an account can login as a guest by following the instructions below. The event code is: EDIC2016.
1. Join the UCLGuest Wireless Network.
2. Open a web browser and navigate to a page
outside of UCL ie www.b-eat.co.uk. The browser will automatically redirect to the UCLGuest Welcome page. (This step might have to be repeated if the rst try is unsuccessful.)
3. Click on the link to the Self Service page; enter your information in the elds provided.
4. Click Generate Account.
5. Your username and password will be displayed on
the screen; these details will also be sent to your email address. Make a note of your username and password as you will need them each time you login to UCLGuest (the system will not remember your login details). The details will be valid for the whole conference.
6. Click on the link to the Login page and enter
your details. (Please be aware it may take up to 60 seconds for your account to become active after it’s been generated. If you cannot login, please wait a short while and try again.)
7. In the new window opening up automatically, click Accept and you will be connected to the WiFi.
MOBILE PHONES
It should be noted that mobile phones must be switched off when delegates are in session halls.
SOCIAL MEDIA
Please use the hashtag #EDIC2016 when
discussing the event on social media. We encourage participants to connect with fellow attendees through social media. Beat’s twitter handle is @BeatED and facebook page can be found at www.facebook.com/beating.eating.disorders.
MESSAGES AND CORRESPONDENCE
Messages for fellow delegates should be handed in at the registration desk in the Crush Hall. Noti cation of messages will be displayed on the message board situated at the registration area. Please check the board daily and pick up your messages – they may be urgent.
EDIC 2016
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ADDITIONAL INFORMATION
FOR THOSE TRAVELLING TO EDIC 2016 FROM OUTSIDE THE UK
USEFUL CONTACT INFORMATION WHILE IN THE UK
To contact the police, the re brigade or an ambulance in an emergency the number to dial is 999. The non-emergency number for the police is 101.
The non-emergency number for the NHS and medical services is 111.
Should you need to contact your embassy, details of all foreign embassies can be found on the London Diplomatic List at www.gov.uk/government/publications/foreign-embassies-in-the-uk.
BANKING AND CURRENCY EXCHANGE
British currency is Pound Sterling (GBP).
Branches of all the major UK banks may be found in the centre of London. The closest to the venue is HSBC, Woburn Place, WC1H 0LQ.
Generally, weekday opening hours for banks are 9.30am – 4.30pm although this does vary. A limited number are open on Saturday mornings. For exchanging foreign currency and travellers’ cheques, the banks usually provide the most competitive rate. However, it is also possible to change money in airports, larger rail stations, travel agents, some larger hotels (if you are a resident) and in most Post Of ces. There is usually a handling fee and commission charge.
CREDIT CARDS
Commonly accepted credit cards in hotels, restaurants and shops are Visa and MasterCard. Though American Express and Diners Club cards are widely accepted, not all establishments will accept these. Only Visa and MasterCard will be accepted for delegate registration at the conference.
ELECTRICITY
The voltage in the United Kingdom is 220-240V and Type G British 3-pin plugs are used.
INSURANCE POLICY
The organisers cannot be responsible for medical, travel or personal claims. Participants are strongly advised to take out an insurance policy covering three areas: health and accident, loss of luggage and cancellation (travel and registration).
VALUE ADDED TAX (VAT)
Value Added Tax and similar taxes are charged on most goods and services in the United Kingdom. VAT in the United Kingdom is currently 20%. EDIC 2016 conference fees are VAT exempt. As a participant in the Eating Disorders International Conference, you may have the possibility – under certain conditions – to recover the VAT paid on certain types of expenses incurred. This may apply to both non-European business travellers visiting Europe and to European business travellers to other EU countries. For further information, please contact Customs and Excise on departure at the airport.
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SPONSORS
THE EATING DISORDERS INTERNATIONAL CONFERENCE 2016 HAS KINDLY BEEN SPONSORED BY THE FOLLOWING ORGANISATIONS:
STAND NUMBER 10
About eating disorder services
at Partnerships in Care
Our services in North London and Gloucestershire provide high-quality and individualised residential care for young people with eating disorders. We work together with service users and their families to achieve the best possible outcomes. Our eating disorder services offer Ofsted registered schools to ensure education is maintained whilst
in our care.
Rhodes Farm Clinic in North London is a specialist treatment centre for children and young people aged 6 - 18 years who are diagnosed with an eating disorder and require acute inpatient care.
Althea Park House and Ashleigh House in Stroud, offer a warm and nurturing environment where young men and women aged
15 - 25+ years receive treatment within a community care home setting for complex, severe and enduring eating disorders.
For further information on our eating disorder services, please visit www.partnershipsincare.co.uk or call us on 0800 218 2398.
STAND NUMBER 1
About Newmarket House
Healthcare Limited
Founded in 1996, this small residential hospital, dedicated solely to the treatment of severe eating disorders, continues to provide safe, comprehensive treatment within the non-
clinical environment of a family house. This niche service offers intensive support focusing on the immediate physical needs of the patient combined with a weekly therapeutic programme, individual psychotherapy and family therapy.
As patients’ physical health improves, they are encouraged to take increased responsibility, develop effective skills to resolve dif culties and foster an identity beyond their eating disorder.
We work closely with NHS referring teams to ensure that the transition to discharge and independent living is as seamless as possible, to minimise the possibility of relapse.
For further information visit www.newmarket-house.co.uk.
About Wiley
Wiley proudly publishes the European Eating Disorders Review, the professional journal of Beat. Wiley is the leading society publisher, offering libraries and individuals 1,500 online journals, thousands
of books and ebooks, reviews, reference works, databases and more.
For more information,
visit www.wiley.com or
our online resource at www.onlinelibrary.wiley.com.
EDIC 2016
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EXHIBITORS
THE FOLLOWING ORGANISATIONS HAVE EXHIBITION STANDS AT THE EATING DISORDERS INTERNATIONAL CONFERENCE 2016:
STAND NUMBER 6
About Beat
Beat is the UK’s charity supporting anyone affected by an eating disorder. We exist to provide hope and improve life for the 725,000 individuals in the UK diagnosed with an eating disorder, as well as their friends, families, colleagues and professionals.
We provide information and reassurance through our Helpline, which people can call or email, peer self-help support on our website where people can engage with our message boards, or online support groups and HelpFinder, an online directory of eating disorder services. Helpline 0345 634 1414, email [email protected] or visit www.b-eat.co.uk.
STAND NUMBER 12
About Vincent Square Eating Disorder Service
Vincent Square Eating Disorder Service located
in Kensington, London, provides specialist eating disorder treatment through outpatient, day patient and inpatient care. We accept national referrals to all our services. Central and North West London is one of the largest trusts in the UK caring for people with a wide range of physical and mental health needs. Find out more at www.cnwl.nhs.uk/vincent-square.
STAND NUMBER 3
About The Huntercombe Group
The Huntercombe Group provides inpatient CAMHS services for young people with complex mental health conditions including eating disorders. We have six hospitals across the UK providing general admissions, eating disorder services, low secure and PICU as well as transitional services for 17 - 21 year olds.
Visit www.huntercombe.com for more information.
EDIC 2016
STAND NUMBER 8
About Cygnet Healthcare
Cygnet Health Care provides a national network
of high-quality specialist mental health services.
At Cygnet Hospital Ealing we offer a highly specialised rapid assessment and treatment service (including rehabilitation) for women aged 16 and over with a diagnosis of eating disorder, managed by a dynamic, highly skilled MDT. Find out more at www.cygnethealth.co.uk.
14


STAND NUMBER 2
About The Priory Group
Priory is the UK’s largest independent provider of eating disorders services with hospitals nationwide including four CAMHS and 14 adult units. Specialist multi disciplinary teams offer a wide range of tailored therapies, working closely with patient’s network to support families and ensure appropriate ongoing care. We work with NHS commissioners and the private sector treating international patients. Find out more
at www.priorygroup.com/eating-disorders.
STAND NUMBER 5
About Vivre Care
Established in 2007, Vivre Care provides cost effective, specialist support for women with eating disorders across two facilities, Stockwood House and Ellenbrook House. The service offers tailored support for severe and enduring clients with an emphasis on illness management and the rebuilding of a more ful lling lifestyle. Visit our website www.vivre-care.com.
STAND NUMBER 7
About Ellern Mede
Ellern Mede is an internationally renowned specialist service for people with eating disorders. Based in London for over 16 years, our expert clinicians offer both inpatient and outpatient treatments tailor made to each individual. We offer short-term recovery- focused treatment as well as high dependency intensive treatment for complex, challenging cases. Visit www.ellernmede.org to nd out more.
STAND NUMBER 14
About Wisepress
Wisepress.com, Europe’s leading conference bookseller, has a range of books and journals relevant to the themes of the meeting. In addition to attending 200 conferences per year, Wisepress has a comprehensive medical and scienti c bookshop online with great offers. Follow us on Twitter for the latest news @WisepressBooks. Visit www.wisepress.com to nd out more.
EDIC 2016
15


STAND NUMBER 4
About South London and Maudsley NHS Trust Eating Disorders Service for Adults
Our specialist tertiary service offers intensive treatment to service users, including those with co-morbidities,
in an inpatient, step-up, day care or outpatient setting. We treat a range of eating disorders alongside co- morbidities from rst presentation to severe and intractable. Treatment programmes are evidence- based care packages tailored to meet the needs of service users and their carers. We offer assessment, treatment and management to people with anorexia nervosa, bulimia nervosa, binge eating disorder or mixed eating disorder symptoms (eating disorders not otherwise speci ed). Interventions may comprise of individual, group and family therapy, dietetics, and risk management that cannot be managed in a primary or secondary care service. For more information please visit: www.national.slam.nhs.uk.
STAND NUMBER 9
About Charlotte’s Helix
Charlotte’s Helix, partnered with King’s College London, is the UK arm of the AN25K Challenge. AN25K requires 25,000 DNA samples from anyone with a history of anorexia to help crack the genetic codes of the illness. Please help us by lending your support. Visit us at EDIC, or at www.charlotteshelix.net to nd out how.
STAND NUMBER 11
About Phoenix Wing, Barnet, En eld and
Haringey Mental Health Trust
The Phoenix Wing provides a comprehensive specialist eating disorders service to the North, Central and North East London sectors. Individualised care is offered to patients and their carers in community, day service and inpatient settings by a dedicated and experienced multiprofessional team. Find out more
at www.beh-mht.nhs.uk/mental-health-service/ mh-services/eating-disorders.htm.
EDIC 2016
STAND NUMBER 13
About Academy for Eating Disorders
The Academy for Eating Disorders is a global professional association committed to leadership in eating disorders research, education, treatment, and prevention. Its goals are to generate knowledge and integrate collective expertise about eating disorders, provide platforms to promote understanding, knowledge sharing and research-practice integration, build capacity in the next generation of eating disorders professionals and foster innovation and best practice by recognising excellence in the eld. Find out more at www.aedweb.org.
16


EXHIBITION FLOOR PLAN
JEFFERY HALL
FIRE EXIT
6 7
ELVIN HALL
5 4 035 2 1
FOYER
CATERING AREA
14
8
9 10 11 12 13
EXHIBITOR STAND INFORMATION
STAND > 1 >
2 > 3 > 4 >
5 > 6 > 7 > 8 >
ORGANISATION
NEWMARKET HOUSE HEALTHCARE LIMITED
THE PRIORY GROUP
THE HUNTERCOMBE GROUP SOUTH LONDON AND MAUDSLEY NHS TRUST VIVRE CARE
BEAT
ELLERN MEDE CYGNET HEALTHCARE
STAND >
9 >
10 >
11 >
12 >
13 >
14 >
ORGANISATION
CHARLOTTE’S HELIX PARTNERSHIPS IN CARE PHOENIX WING, BARNET, ENFIELD AND HARINGEY MENTAL HEALTH TRUST VINCENT SQUARE EATING DISORDER SERVICE ACADEMY FOR EATING DISORDERS
WISEPRESS


THE CONFERENCE
The Eating Disorders International Conference 2016 is made up of a combination of keynote and plenary sessions, workshops, short paper sessions and posters that will be on display.
Full programme grids can be found on pages 22, 23, 26 and 28. An “at a glance” grid
has been provided on the inside back cover for quick reference.
KEYNOTES
All keynote speakers at EDIC 2016 have been invited to deliver an address by invitation from the EDIC 2016 Scienti c Programme Committee. These sessions cover topics which form part of the main underlying themes of EDIC 2016. All delegates will be in attendance during the keynote lectures, which all take place in the Logan Hall.
Keynote speaker biographies can be found on pages 31 and 32 and abstracts for these sessions on pages 32 and 33.
PLENARIES
All plenary speakers at EDIC 2016 have been invited to deliver their talk by invitation from the EDIC 2016 Scienti c Programme Committee. These sessions cover a variety of topics and, like keynotes, form the part of the conference when all delegates are
in attendance. All plenaries will take place in the Logan Hall.
Plenary speaker biographies can be found on pages 34 to 38 and abstracts for these sessions on pages 39 to 42.
WORKSHOPS
Workshops are 90 minutes in length and are intended to encourage experts to provide some training and experience in their approaches. Across the three days of the conference, there are ve blocks of workshops.
During a workshop block, six different workshops will be delivered at one time. Each delegate will attend one of the six workshops available to them. Once your workshop has started we ask that you do not leave the session as this can be disruptive to the other participants. Please refer to the programme grids on pages 22, 23, 26 and 28 for the room location of the workshops. A venue oor plan is available on pages 20 and 21.
A brief abstract of each of the workshops is included on pages 43 to 53 for your perusal.
SHORT PAPERS
All short paper sessions take place on Thursday 17 March 2016. Each short paper is given a 20-minute slot to present their work, 15 minutes is reserved for presentation and ve minutes for questions. There are six themes for the short papers:
■ TREATMENT
■ PSYCHOLOGY ONE
■ PSYCHOLOGY TWO
■ PSYCHOSOCIAL ONE ■ PSYCHOSOCIAL TWO ■ CLINICAL FEATURES
Five presentations will be delivered within each theme and each delegate will attend one short paper presentation at a time. Delegates can use the ve minutes dedicated to questions to make their way
to another short paper presentation if they wish to change the theme they are attending. We ask that you respect the other delegates in the sessions when transitioning from one theme to another. Please refer to the programme grids on pages 22, 23, 26 and 28 for the room location of the short papers. A venue oor plan is available on pages 20 and 21.
The abstracts for the short paper sessions can be found on pages 54 to 64.
EDIC 2016
18


POSTERS
Posters will be on display throughout the conference in the Crush Hall. The abstracts for each of the posters can be found on pages 65 to 83. Both the poster abstracts and poster boards are numbered, for ease of identi cation.
Poster strolls will be taking place throughout the conference. Poster strolls provide delegates an opportunity to meet the authors of the posters at a speci ed time within the programme. You can nd details of the poster strolls taking place on Thursday on pages 24 and 25, Friday on page 27 and Saturday on pages 29 and 30.
Each poster stroll has been split into a number of themes and each theme has then been broken down into groups. Each group will be led by either a speaker at EDIC 2016 or a member of the Scienti c Programme Committee for EDIC 2016. The themes for the
EDIC 2016 Posters are:
■ EXPLANATORY MODELS
■ PSYCHOPATHOLOGY
■ PHYSICAL ASPECTS AND SEED
■ POPULATION STUDIES AND MALES
■ TREATMENT
BEST POSTER
SAGE Publishing have kindly donated a copy of ‘Therapy for Eating Disorders’ by Sara Gilbert and £75 worth of vouchers as a prize for the Best Poster at EDIC 2016. The EDIC 2016 Scienti c Programme Committee will rate the posters and announce the winner during the conference.
Sara Gilbert’s ‘Therapy for Eating Disorders’ takes readers through the complexities of working with eating disorders, drawing on practical, cognitive behavioural and educational approaches to theory, assessment, treatment and practice.
EDIC 2016 delegates are also able to bene t from 25% off ‘Therapy for Eating Disorders’ To receive your discount, nd the book at www.sagepublishing.com, add to your basket, and enter the code UK16CF3 at the checkout (this offer is valid until 30/06/2016 and cannot be used in conjunction with any other offer).
COPIES OF PRESENTATIONS
Some speakers have given their consent to their presentation being shared with delegates after the conference. The presentations or handouts for these sessions will be made available to delegates after the conference. You will receive an email with information detailing how to access these within two weeks of the event.
DISCLAIMER
All best endeavours will be made to present the programme as printed. However, the EDIC 2016 organisers (Beat) and the Scienti c Programme Committee reserve the right to alter or cancel, without prior notice, any arrangements, timetables, plans or other items relating directly or indirectly to the EDIC 2016 Conference, for any cause beyond its reasonable control. The EDIC 2016 organisers and the Scienti c Programme Committee are not liable for any loss or inconvenience caused as a result of such alteration.
COPYRIGHT
Please be aware that the information and materials displayed and/or presented at all sessions of this conference are the property of EDIC 2016 (and/
or the presenter) and cannot be photographed, copied, photocopied, transformed to electronic format, reproduced or distributed without the written permission of Beat and/or the presenter.
The EDIC 2016 organisers (Beat) and the Scienti c Programme Committee take no responsibility should the material presented or provided for a publication be determined to defame, libel or slander an individual or organisation, violate the con dentiality of any individual or organisation, or infringe on another’s copyright.
EDIC 2016
19


VENUE FLOOR PLAN
LEVEL 1
ELVIN HALL
JEFFERY HALL FOYER
CRUSH HALL
REGISTRATION AREA
DRAMA STUDIO
JEFFERY HALL
EXHIBITION AREA
LOGAN HALL
GREEN ROOM
MALE WC
FEMALE WC
MALE / DISABLED WC
LIFTS TO ALL FLOORS
STAIRS TO ALL FLOORS
LEVEL 3
ENTRANCE / EXIT FROM / TO BEDFORD WAY
Stairs
BOOKSHOP
CLARKE HALL
CLOAKROOM
Stairs down to Level 1
(Logan Hall, Jeffery Hall & Drama Studio)
Stairs up to Level 4


LEVEL 4
Wheelchair
lift to / from Bedford Way
Exit to / Entrance from Bedford Way
NUNN HALL
RECEPTION DESK & SECURITY OFFICE
Stairs to lower levels
LEVEL 7
INSTITUTE OF EDUCATION
ROOM LOCATIONS
Please refer to the programme grids on pages 22, 23, 26 and 28 for the room locations of each session.
Staff will be available throughout the conference to signpost you to the correct rooms. There is also signage throughout the venue to assist you.
The oor levels of each room are as follows:
To Level 7 Wing
CRUSH HALL > JEFFERY HALL > LOGAN HALL > DRAMA STUDIO > ELVIN HALL > CLARKE HALL > NUNN HALL > ROOM 728 >
LEVEL 1 LEVEL 1 LEVEL 1 LEVEL 1 LEVEL 1 LEVEL 3 LEVEL 4 LEVEL 7
Room 790
Room 788 Room 784
Room 780 Room 777
Room 746 Room 744
Room 739 Room 735
Room 731
ROOM 728


PROGRAMME
THURSDAY 17 MARCH 2016
Time Logan Hall
8.45am – 9am
Welcome > Andrew Radford, Chief Executive, Beat (UK) and Chris Outram, Chair of Trustees, Beat (UK)
9am – Keynote lecture one > Chair: Andrew Radford (UK) 9.45am The costs of eating disorders > Prof Jennifer Beecham (UK)
9.45am – 10.30am
Keynote lecture two > Chair: Andrew Radford (UK)
Attachment, eating disorders and developing an evidence-based national curriculum for children and young people with eating disorders > Prof Peter Fonagy (UK)
10.30am – Discussion of keynotes 11am
Time Jeffery Hall
11am – 11.30am
Coffee
Time Logan Hall
Elvin Hall
Drama Studio
Nunn Hall
Clarke Hall
Room 728
11.30am – Short papers one: 1.10pm Treatment
> Chair: Dr Paul Robinson (UK)
More information on the short paper sessions can be found opposite
Short papers two:
Psychology one
> Chair: Prof Janet Treasure (UK)
Short papers three:
Psychology two
> Chair: Dr Valentina Cardi (UK)
Short papers four:
Psychosocial one
> Chair: Dr Nathalie Godart (Fra)
Short papers ve:
Psychosocial two > Chair: Prof Beate Herpertz- Dahlmann (Ger)
Short papers six:
Clinical Features
> Chair: Prof Ulrike Schmidt (UK)
Time Jeffery Hall
1.10pm – 2pm
Lunch
Time Crush Hall
1.30pm – 2pm
Poster strolls: Groups one, two and three
Time Logan Hall
2pm – Plenary one: Speci c groups of patients > Chair: Dr Nadia Micali (USA/UK)
3.30pm - The art of sharing personal narratives: what can three young people with a history of eating disorders teach us about treatment?
> Beat Young Ambassadors (UK)
- Prepubertal anorexia nervosa > Catherine Doyen (Fra)
- Pregnancy and motherhood: effects of eating disorders on mothers and their children > Dr Nadia Micali (USA/UK)
Time Jeffery Hall
3.30pm – 4pm
Coffee
Time Logan Hall
Elvin Hall
Drama Studio
Nunn Hall
Clarke Hall
Room 728
4pm – 5.30pm
Workshop 1.1
Examining how
the new Maudsley approach can
help families to overcome many
of the dif culties
of looking after a young adult with an eating disorder, to overcome some of the issues when caring from a distance, and to
be more positive in their outlook > Prof Janet Treasure and Jenny Langley
Workshop 1.2
An introduction
to integrative cognitive affective therapy for bulimia nervosa > Stephen Wonderlich PhD
Workshop 1.3
Eating out of
your hands:
an interactive workshop for professionals and carers in supporting anorexia nervosa sufferers to eat
> Lorraine Ricks and Dawn Saunders
Workshop 1.4
How shared learning from families’ experience of a loved one’s eating disorder can improve clinical practice and outcome > Susan Ringwood
Workshop 1.5
Experiential interventions
for enhancing motivation in the eating disorders
> Dr Matthew Pugh and Dr Jane Evans
Workshop 1.6
The recovery approach in action: a ‘shared’ experience
> Valentina Cardi and Dr Suman Ambwani
Time Logan Hall
5.30pm – Political speaker > Chair: Andrew Radford (UK)
6.30pm Eating disorder services: then and now > The Rt Hon Alistair Burt MP, Minister of State for Community and Social Care
EDIC 2016
22


PROGRAMME
THURSDAY 17 MARCH 2016 > SHORT PAPER SESSIONS
Time
Logan Hall
Elvin Hall
Drama Studio
Nunn Hall
Clarke Hall
Room 728
Short papers one: Treatment
> Chair: Dr Paul Robinson (UK)
Short papers two: Psychology one
> Chair: Prof Janet Treasure (UK)
Short papers three: Psychology two
> Chair: Dr Valentina Cardi (UK)
Short papers four: Psychosocial one > Chair: Dr Nathalie Godart (Fra)
Short papers ve: Psychosocial two > Chair: Prof Beate Herpertz-Dahlmann (Ger)
Short papers six: Clinical Features > Chair: Prof Ulrike Schmidt (UK)
11.30am – 11.50am
Does practical body image with mirror exposure improve body image and acceptance of a healthy weight
in adolescent inpatients with an eating disorder? > Sarah Astbury
The search for identity: the narrative analysis approach to exploring the self-concept of individuals with bulimia nervosa > Anna M Turek
Binge eating as maladaptive coping strategy among students in the UAE > Dr Sabrina Tahboub-Schulte
The impact of eating disorders on carer-patient relationship: accommodation and enabling
> Dr Maria Rita Troiani
Eating disorders in schools: the role
of pastoral care in reducing incidence > Dr Amy Harrison and Stephanie Watterson
Evolution of depression 13 years after an hospitalisation
for anorexia nervosa: links with clinical state and family history of depression
> Leslie Radon
11.50am – 12.10pm
A feasibility RCT of mentalization based therapy vs specialist supportive clinical management in patients with eating disorders and symptoms of BPD
> Dr Paul Robinson
Understanding the therapeutic relationship between people with anorexia nervosa and their therapists
> Alison Seymour
Exploring the aetiology of early-onset eating disorders with a focus on health education, puberty and gender
> Cathaline Tangau and Dasha Nicholls
An examination of factors associated with expressed emotion in carers
of people with eating disorders
> Dr Yolanda Quiles
The need for community resources and seamless treatment > Amanda Beavan
The impeding
role of self-critical perfectionism on therapeutic alliance during treatment and eating disorder symptoms at follow- up in patients with an eating disorder > Dr Liesbet Boone
12.10pm – 12.30pm
A systematic evaluation
of cognitive remediation therapy (CRT) for the treatment
of children and adolescents with anorexia nervosa > Jennifer Moynihan and Dr Lucia Giombini
A wish to be thinner increases the odds for disturbed eating 20 years later
> Dr Jose n Westerberg Jacobson and Dr Mikaela Willmer
Unraveling the association between thin ideal internalisation and eating pathology: does insecure attachment increase vulnerability in adolescents?
> Prof Lien Goossens
Can meal
support training
in community adolescent services improve recovery time and prevent admission to hospital?
> Dr Xanthe Barkla and Dr Sabia Chaudhry
Predictors of intolerance
of uncertainty in women with eating disorder symptoms > Dr Amy Harrison, Martin Fisher and Dr Lot Sternheim
Perfectionism: a predictor for dietary therapy ef cacy
in overweight and obese women
> Carolina Roque
12.30pm – 12.50pm
Training courses based on the New Maudsley Model, for specialised teams, in Emilia Romagna, Italy
> Dr Maria Cristina Stefanini
To fast or not to fast: examining the impact of the 5:2 diet on a series of executive function tasks in healthy adults
> Kate Mahony and Jasmin Langdon-Daly
The role of attachment
and secondary emotion regulation strategies in the development of bulimic symptoms in adolescents
> Prof Caroline Braet
The importance of therapists’ physical appearance in
the establishment of a therapeutic relationship with clients with eating disorders
> Dr Liz Lawson
But why do we continue to fat talk? An experimental investigation of women’s reactions to body disparaging conversations
> Cai Guo
Self-disgust
within eating psychopathology: associations with disgust sensitivity, depression, anxiety and levels of sensory processing > Katie Bell
12.50pm – 1.10pm
Recognising and managing physical problems on a specialist eating disorder unit
> Dr Agnes Ayton
Novel methods
to help develop healthier eating habits: a systematic review and meta- analysis
> Robert Turton
Increased top-down control in women with anorexia nervosa when viewing emotional infant faces
> Jenni Leppanen
A model for
early detection
and prevention
of development
of eating and feeding disorders in childhood
> Mirta David and Dr Tova Yedidia
Perceptions of eating disorders held by the public: a qualitative investigation of the role of experience > Dr Amy Harrison
Body image during pregnancy: developing a valid measure of body image for pregnant women
> Brittany Watson
EDIC 2016
23


PROGRAMME
THURSDAY 17 MARCH 2016 > POSTER STROLLS
POSTER STROLL GROUP ONE
Thursday 17 March 2016
1.30pm – 2pm, Crush Hall
THEME > EXPLANATORY MODELS
LEAD STROLLER > Prof JANET TREASURE
POSTER NUMBERS
1-5
1 Blindness to the obvious: bringing critical feminist approaches to eating disorders into treatment
> Dr Su Holmes
2 Believe the hype? An exploration of the impact of intermittent fasting (5:2) diets on eating psychopathology and binge eating in healthy participants
> Jasmin Langdon-Daly and Kate Mahony
3 Emotions before and after loss-of-control eating
> Brittany L Stevenson
4 Epigenetic factors and bulemic symptoms
> Prof Peter Arner
5 Daily food craving and its relationship with different stressor types
> Julia Reichenberger
POSTER STROLL GROUP TWO
Thursday 17 March 2016
1.30pm – 2pm, Crush Hall
THEME > PSYCHOPATHOLOGY
LEAD STROLLER > STEPHEN WONDERLICH PhD
POSTER NUMBERS
6-10
6 Not meeting the criteria: a qualitative investigation into a patient’s interpretation and experience of an EDNOS diagnosis
> Cecilia MacDougald
7 The individual experience of seeking help for bulimia nervosa: a qualitative research report > Anna M Turek
8 Social cognition and interpersonal behavior in anorexia nervosa: an experimental investigation > Dr Suman Ambwani and Lea Simms
9 An exploration of women’s experiences of CBT for bulimia nervosa
> Kati Hallikainen
10 Women with disturbed eating behaviour rate less work engagement
> Dr Magnus Lindberg and Marie Bjuhr
EDIC 2016
24


POSTER STROLL GROUP THREE
Thursday 17 March 2016
1.30pm – 2pm, Crush Hall
THEME > PSYCHOPATHOLOGY
LEAD STROLLER > Dr PAUL ROBINSON
POSTER NUMBERS
11-15
11 Attentional biases in patients with eating disorders
> Dr Katarzyna Kucharska
12 Comparison of anorexic and bulimic patients’ pro les attended in an inpatient unit
> Prof Maria-Jose Quiles
13 Aspects of parental experiences in eating disorders: comparison between Greece and Britain > Maria Tsiaka
14 The experience of feeling fat for women with anorexia nervosa
> Dr David Viljoen
15 Remediation of social cognitive de cits in anorexia nervosa after 12 weeks of social cognitive and neurocognitive training
> Dr Katarzyna Kucharska
EDIC 2016
25


PROGRAMME
FRIDAY 18 MARCH 2016
Time Logan Hall
9am – Plenary two: Severe and complicated eating disorders > Chair: Dr Paul Robinson (UK)
10.30am - Severe and enduring eating disorders: clarifying the concept and pursuing effective treatments > Stephen Wonderlich PhD (USA)
- The MARSIPAN project > Dr Paul Robinson (UK)
- The refuge of my prison: life with SEED-AN > Linda Bates (UK)
Time Jeffery Hall
10.30am – Coffee 11am
Time Logan Hall
Elvin Hall
Drama Studio
Nunn Hall
Clarke Hall
Room 728
11am – 12.30pm
Workshop 2.1
Family intervention à la Français
> Dr Nathalie Godart, Dr Irene Kaganski, Zorica Jeremic and Jean- François Mangin
Workshop 2.2
Addressing attachment issues in family therapy for young people with anorexia. Howcanweusea relational re-frame in engaging the family?
> Greg Dring
Workshop 2.3
Optimism about treating severe and enduring anorexia nervosa (SE-AN)? A clinical review and a practical evidence- based treatment
> Prof Hubert Lacey
Workshop 2.4
Eating disorders in pregnancy:
the potential
for adverse outcomes for mother and infant, and the barriers to identifying in antenatal care
> Amanda Bye, Manuela Barona and Nadia Micali
Workshop 2.5
Re-joinging the tribe: teaching anorexic patients social signalling skills based upon a new neuroregulatory model of socio- emotional functioning
> Chandanee Kotecha, Marian Titley and Hayley Smith
Workshop 2.6
What are the ‘active ingredients’ of a dietetic led psycho- education group?: development
and preliminary evaluation of ‘food choices’
> Marilyn Conroy and Karen Jeffereys
Time Jeffery Hall
12.30pm – Lunch 1.30pm
Time Logan Hall
1.30pm – 2.30pm
Keynote lecture three > Chair: Prof Ulrike Schmidt (UK)
Developing a collaborative team approach to the management of eating disorders: the power of the family > Prof Janet Treasure (UK) and Jenny Langley (UK)
2.30pm – 4pm
Plenary three: Talking therapies for adults across the weight range > Chair: Prof Ulrike Schmidt (UK)
- Different individual therapies for eating disorders in adults: the evidence for enhanced cognitive behavioural therapy
> Assoc Prof Susan Byrne (Aus)
- The Maudsley Model of Anorexia Nervosa Treatment for Adults (MANTRA): treatment mechanisms, process and outcome > Prof Ulrike Schmidt (UK)
- Treatment of binge eating disorder> Prof Dr med Martina de Zwaan (Ger)
Time Jeffery Hall
4pm – 4.30pm
Coffee
Time Crush Hall
4pm – 4.30pm
Poster strolls: Groups four and ve
Time Logan Hall
Elvin Hall
Drama Studio
Nunn Hall
Clarke Hall
Room 728
4.30pm – 6pm
Workshop 3.1
Changing eating in anorexia nervosa with exposure and novel behavioural techniques
> Dr Joanna Steinglass, Valentina Cardi and Stephen Wonderlich PhD
Workshop 3.2
An introduction to family based therapy: rationale and overview
> Dr Blake Woodside
Workshop 3.3
Supporting carers of young sufferers using the new Maudsley approach with workshops delivered by experienced carers in the community
> Jenny Langley
Workshop 3.4
A brief dialectical behaviour therapy skills group for bulimia nervosa: a feasibility study
> Dr Anna Hall and Dr Janet Feigenbaum
Workshop 3.5
Calming the storm, does mindfulness have a role? A toolbox for parents and carers
> Ana Ribeiro
Workshop 3.6
A recovery- orientated approach to the treatment of anorexia nervosa > Charles Baily
Time Logan Hall
6.15pm – 7.15pm
Theatrical performance: ‘Enoughness’ > Pameli Benham and Fiona Hamilton
EDIC 2016
26


PROGRAMME
FRIDAY 18 MARCH 2016 > POSTER STROLLS
POSTER STROLL GROUP FOUR
Friday 18 March 2016
4pm – 4.30pm, Crush Hall
THEME > PHYSICAL ASPECTS AND SEED LEAD STROLLER > Dr ERIC JOHNSON-SABINE
POSTER NUMBERS
16-20
16 Severe and enduring bulimia nervosa (SEED-BN): a qualitative study
> Dr Paul Robinson
17 Neutropaenia in adult anorexia nervosa inpatients > Dr Christopher Hopkins
18 Ehlers-Danlos Syndrome: a possible phenotype of anorexia nervosa?
> Dr Lauren Gavaghan, Gemma Peachey
and Bruno Nazar
19 Levels of micronutrients in patients with severe and enduring anorexia nervosa (SEED-AN)
> Dr Paul Robinson
20 What is in uencing body composition in acute anorexia nervosa?
> Dr Nathalie Godart
POSTER STROLL GROUP FIVE
Friday 18 March 2016
4pm – 4.30pm, Crush Hall
THEME > POPULATION STUDIES AND MALES LEAD STROLLER > Dr VALENTINA CARDI
POSTER NUMBERS
21-24
21 Does sexuality and gender role affect eating disorders in men?
> Emily Homma
22 A qualitative study of males’ experience of eating disorders and their treatment
> Dr Paul Frith
23 Prevalence of eating disorders in Latin America – a systematic review
> David R Kolar
24 Disordered eating and body dissatisfaction among university students in Lebanon
> Rayane Chami
EDIC 2016
27


PROGRAMME
SATURDAY 19 MARCH 2016
Time Logan Hall
8.45am – 9am
Welcome > Andrew Radford, Chief Executive, Beat (UK)
9am – Plenary four: Biological factors > Chair: Dr Nathalie Godart (Fra)
10.30am - Genetics of eating disorders with special regard to anorexia nervosa > Prof Anke Hinney (Ger)
- Neuromodulation in eating disorders: a new way of understanding and treating anorexia nervosa and bulimia nervosa > Dr Blake Woodside (Can)
- From regions to circuits: how brain imaging has helped us understand eating disorders > Prof Guido Frank (USA)
Time Jeffery Hall
10.30am – Coffee 11am
Time Crush Hall
10.30am – Poster strolls: Groups six, seven, eight and nine 11am
Time Logan Hall
Elvin Hall
Drama Studio
Nunn Hall
Clarke Hall
Room 728
11am – 12.30pm
Workshop 4.1
The FREED (First Episode and Rapid Early Intervention for Eating Disorders) project: a novel early intervention service for young adults
> Prof Ulrike Schmidt, Dr Amy Brown and Danielle Glennon
Workshop 4.2
Food for thought: cognitive behavioural therapy for the eating disorders
> Prof Glenn Waller
Workshop 4.3
Practical mealtime skills and emotional tools for parents
of children and adolescents
> Eva Musby
Workshop 4.4
Dialectical behavior therapy for borderline patients suffering from anorexia nervosa binge/purge subtype
> Dr Fragiskos Gonidakis and Dafni Karapavlou
Workshop 4.5
Oxymoron: dynamic psychotherapy
in compulsory treatment – working alliance and therapy > Inbar Sharav- Ifergan
Workshop 4.6
Written case formulations in
the treatment of anorexia nervosa: evidence for therapeutic bene ts > Dr Karina Allen and Dr Claire Baillie
Time Jeffery Hall
12.30pm – Lunch 1.30pm
Time Logan Hall
12.45pm – Lunchtime seminar: Nine truths of eating disorders: an Academy for Eating Disorders invitation 1.30pm
1.30pm – Keynote lecture four > Chair: Dr Paul Robinson (UK)
2.30pm Cognitive neuroscience and eating disorders > Dr Joanna Steinglass (USA)
2.30pm – 4pm
Plenary ve: Family and community > Chair: Prof Beate Herpertz-Dahlmann (Ger)
- Family therapy for adolescents with anorexia nervosa: how a randomised controlled trial modi ed our usual treatment program, a story lasting 20 years > Dr Nathalie Godart (Fra)
- Empirical and conceptual developments in family treatments for adolescent anorexia nervosa: how does developing clinical theory t evidence-based practice > Prof Ivan Eisler (UK)
- Day patient and home treatment for adolescents with anorexia nervosa > Prof Beate Herpertz-Dahlmann (Ger)
Time Jeffery Hall
4pm – 4.30pm
Coffee
Time Logan Hall
Elvin Hall
Drama Studio
Nunn Hall
Clarke Hall
Room 728
4.30pm – 6pm
Workshop 5.1
Delivering enhanced cognitive behavior therapy (CBT-E) in real world clinical settings
> Assoc Prof
Susan Byrne and Dr Karina Allen
Workshop 5.2
Specialist supportive clinical management for eating disorders (SSCM-ED). A rst line treatment for eating disorders? A practical workshop > Dr Paul Robinson
Workshop 5.3
Oxytocin in
eating disorders:
a new target for treatment? > Jenni leppanen, Dr Yannis Paloyelis and Dr Kah Wee Ng
Workshop 5.4
Cost-effectiveness of models of
care for young people with eating disorders: the Cost Ed study > Prof Sarah Byford and Dr Hristina Petkova
Workshop 5.5
Parental expressed emotion: explanatory factors in anorexia nervosa > Jeanne
Duclos, Meritxell Campreciòis and Dr Benjamin Carrot
Workshop 5.6
The Morgan-Russell outcome schedule vs patient-reported quality of life and perception of disease > Laura Al-Dakhiel Winkler
EDIC 2016
28


PROGRAMME
SATURDAY 19 MARCH 2016 > POSTER STROLLS
POSTER STROLL GROUP SIX
Saturday 19 March 2016
10.30am – 11am, Crush Hall
THEME > TREATMENT
LEAD STROLLER > Prof BEATE HERPERTZ- DAHLMANN
POSTER NUMBERS
25-29
25 An exploration of experiences of yoga practice and eating disorders from the perspective of women with a history of eating disorders
> Anna Lose
26 Reducing intolerance of uncertainty in adolescents with eating disorders through group treatment
> Dr Amy Harrison and Dr Lot Sternheim
27 Dance movement psychotherapists experience of their body image when working with an eating disorder client group: a feminist autoethnographic exploration
> Hannah Mcilveen
28 A review of case notes of patients discharged from inpatient services at least two years before
> Dr Paul Robinson
29 An interpretative phenomenological analysis of the clinicians’ experience of change during a multiple family therapy for adolescents
with anorexia nervosa
> Zoé Gelin
POSTER STROLL GROUP SEVEN
Saturday 19 March 2016
10.30am – 11am, Crush Hall
THEME > TREATMENT
LEAD STROLLER > Prof ULRIKE SCHMIDT
POSTER NUMBERS
30-34
30 ‘Fine words in theory butter no parsnips in practice’: critical approaches to ‘co-production’ on an inpatient eating disorders ward
> John Adlam
31 The value of values: using clinical values
and philosophy of practice to guide working with people who are experiencing severe eating disorders
> Dr Menna Jones
32 Pilates: an effective exercise intervention for eating disorder patients with osteoporosis?
> Jody Phillips, Kate Brown and Yvonne Hull
33 Getting good outcomes: towards meaningful data collection in an inpatient service
> Dr Caroline Plumb
34 Bridging the gap: smartphone-based support between sessions for adolescent outpatients with anorexia nervosa – a randomised controlled trial protocol
> David R Kolar
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PROGRAMME
SATURDAY 19 MARCH 2016 > POSTER STROLLS
POSTER STROLL GROUP EIGHT
Saturday 19 March 2016
10.30am – 11am, Crush Hall
THEME > TREATMENT
LEAD STROLLER > Dr NATHALIE GODART
POSTER NUMBERS
35-39
35 To go or not to go: brain training in eating and weight disorders
> Robert Turton
36 Evaluating the effectiveness of ‘Teen BodyWise’
at Newbridge House: a psycho-educational body image group for adolescents with anorexia nervosa > Amanda Beavan and Sophie Bates
37 Clinical outcomes of partners with anorexia nervosa compared to parent caregivers
> Emilee Burgess
38 Cognitive behaviour therapy for anorexia nervosa: outcomes in routine clinical practice
> Prof Glenn Waller
39 The effect of transcranial direct current stimulation (tDCS) on body image perception in anorexic and bulimic spectrum disorders
> Sarah Trufhitt
POSTER STROLL GROUP NINE
Saturday 19 March 2016
10.30am – 11am, Crush Hall
THEME > TREATMENT
LEAD STROLLER > Dr JOANNA STEINGLASS
POSTER NUMBERS
40-45
40 Compulsive bowel emptying and rectal prolapse in eating disorders
> Dr Fragiskos Gonidakis
41 Treatment-seeking for binge eating disorder: an interpretative phenomenological analysis
> Charlotte Evans
42 The problem of service non-attendance at adult eating disorder services in the UK:
a preliminary study
> Sarah Muir and Dr Ciaran Newell
43 Understanding adolescent’s experience of supportive observation within a specialist inpatient unit for eating disorder treatment
> Angella Fosuaah
44 The role of ‘the heart’ in recovery from eating disorders: reclaiming and restoring the heart’s courage and imaginative power
> Melanie Oliver
45 Cognitive behavioural therapy as a treatment for anorexia nervosa: a critical appraisal
> Anu Perumbalath
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KEYNOTE BIOGRAPHIES
Prof JENNIFER BEECHAM PHD > Professor of Health and
Social Care, PSSRU, London School of Economics and
University of Kent, UK
Based at both the London School of Economics and the
University of Kent, Professor Beecham has been working at the
PSSRU for nearly 30 years, although she also spent
ten years at the Centre for the Economics of Mental Health at the Institute of Psychiatry, London. Professor Beecham is Deputy Director of PSSRU at the University of Kent and leads two PSSRU Research Programmes: Unit Costs which generates the annual Unit Costs
of Health and Social Care volumes, and Services for Children and Young People.
Professor Beecham’s research takes an economic perspective and has included evaluations of services for adults with needs related to old age, mental health problems, intellectual disabilities and a range of conditions that cross ‘traditional’ health and social care boundaries, such as eating disorders and disability. Over the last 15 years, Professor Beecham has also worked on economic studies of psychiatric, education, health and social care services for children and young people.
Professor Beecham’s PSSRU and Google pro les can be found at www.pssru.ac.uk/people- pro le.php?id=1 and scholar.google.co.uk/ citations?user=a-CnBTkAAAAJ
Prof PETER FONAGY OBE FMedSci FBA PhD
> Head of the Research Department of Clinical, Educational and Health Psychology at University
College London; Chief Executive of the Anna Freud
Centre, London, UK
Peter is currently consultant to the Child and Family Programme at the Menninger Department of Psychiatry and Behavioural Sciences at Baylor College of Medicine, and holds visiting professorships at
Yale and Harvard Medical Schools. He is Programme Director of the UCL Partners Integrated Mental Health programme and a member of the UCL Partners Academic Board, National Clinical Lead of the
Department of Health/NHS England Children and Young People’s Improving Access to Psychological Therapies (CYP IAPT) programme, and a member of the Programme Board for IAPT. He is leader of the Mental Health theme in the North Thames CLAHRC and a Senior Investigator for the National Institute of Health Research. He has occupied a number of key national leadership positions including Chair of the Outcomes Measurement Reference Group at the Department of Health, Chair of two NICE Guideline Development Groups and Chair of the Strategy Group for National Occupational Standards for Psychological Therapies.
His clinical interests centre on issues of early attachment relationships, social cognition, borderline personality disorder and violence. A major focus
of Professor Fonagy’s contribution has been an innovative research-based dynamic therapeutic approach, called mentalization-based treatment, which was developed in collaboration with a number of clinical sites both in this country and in the US. He
is currently PI or Co-PI on research grants worth in excess of £15m. He has published over 400 scienti c papers, 250 chapters and has authored or co-authored 17 books. He is a Fellow of the British Academy, the Academy of Medical Sciences, and the American Association for Psychological Science, and was elected to Honorary Fellowship by the American College of Psychiatrists. He has received Lifetime Achievement Awards from several national and international professional associations, including the British Psychological Society and the World Association for Infant Mental Health.
Prof JANET TREASURE OBE PhD FRCP FRCPsych
> King’s College London and South London and Maudsley NHS Trust, UK
Professor Treasure is a psychiatrist who works in
research and teaching at King’s College London and as a
clinician at the South London and Maudsley NHS Foundation Trust. Professor Treasure’s research interests include conjoint working with patients and carers using translational research to develop new forms of treatment.
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JENNY LANGLEY
> Experienced Carer, trained by and working as a volunteer
in collaboration with Beat, the Maudsley and King’s College London, UK
Since Jenny’s son recovered from anorexia nervosa, she has
taken on a variety of roles within the voluntary sector both to raise awareness that men
and boys get eating disorders too, and also to help families struggling with the day-to-day challenges
of living with an eating disorder of any gender. Her family roles include author of ‘Boys Get Anorexia Too’, Tonbridge Carers Group facilitator and founder, and teacher of Collaborative Carer Skills Workshops in Kent. As a Beat Associate Trainer, Jenny teaches in
a wide variety of settings about body image, self- esteem and understanding eating disorders. In 2014, Jenny was awarded the Beat Education and Awareness Award.
Dr JOANNA STEINGLASS
> Florence Irving Associate Professor in Clinical
Psychiatry, Center for Eating Disorders at NYSPI/ CUMC, USA
Dr Steinglass graduated from Amherst College, and received her MD from Harvard
Medical School. She completed her psychiatry training at NYSPI/Columbia University, College of Physicians and Surgeons. She completed a Research Fellowship in Eating Disorders under the mentorship of B Timothy Walsh MD and has continued as faculty in the Center for Eating Disorders since that time. Her research aims to understand the neural mechanisms of the persistence of anorexia nervosa and to develop mechanism-based new treatments.
KEYNOTE ABSTRACTS
KEYNOTE LECTURE ONE
Thursday 17 March 2016 9am – 9.45am, Logan Hall
THE COSTS OF EATING DISORDERS
> Prof Jennifer Beecham, Professor of Health and Social Care, PSSRU, London School of Economics and University of Kent, UK
Eating disorders can have long-term impacts on both adults and young people, as well as their families, friends and wider community. In the context of
such wide-ranging human costs – distress and poor health, for example – it would seem self-evident that treatment should be available to all those with an eating disorder.
From this perspective, it is unfortunate that it is not just exponents of the ‘dismal science’ (economics) that now consider the issue of scarce resource as central to discussions around treatment and support. Downward pressure on budgets – as good a euphemism for cuts as seen for a long time, as well as increasing demands and raised expectations, mean that the imperative
to ‘spend resources wisely’ is high on the agenda of decision-makers at all levels.
In this, the rst EDIC keynote lecture on The Costs
of Eating Disorders, I will draw on existing literature and recently completed research to identify what
we know about treatment and support costs for adults and young people with an eating disorder, and who bears those costs. I will look at cost of illness studies and identify why they are useful, but also why comparisons may be of limited use. As many of these study types focus on health care and treatment costs, I will also draw on individual-level economic evaluations to identify additional costs to other services and to families.
Such information is important in highlighting the need to provide treatment and can show that high future costs, perhaps occurring in 10 or 20 years, may be avoidable. But what is also needed is information to help make choices today: what services to provide and at what cost and with what outcomes. The lecture will also consider what evidence there is to support such decisions.
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KEYNOTE LECTURE TWO
Thursday 17 March 2016 9.45am – 10.30am, Logan Hall
ATTACHMENT, EATING DISORDERS AND DEVELOPING AN EVIDENCE-BASED NATIONAL CURRICULUM FOR CHILDREN AND YOUNG PEOPLE WITH EATING DISORDERS
> Prof Peter Fonagy OBE FMedSci FBA PhD
This presentation will attempt to describe the development of community-based eating disorder services for NHS England following the identi cation of resources by Central Government. It will describe, from a personal perspective, the process of arriving at expert consensus for a care pathway for community eating disorder services and the development of curricula to support the training of professionals
to work in such services. The case will be made
for specialist services for this diagnosis linked to a dynamic approach to the nature of eating disorder
as a mental health problem and the therapeutic in uence of a treatment environment where the coherent perception of the young person, from diverse perspectives, can be seen as part of a healing process. To understand this, the notion of epistemic trust will be introduced to address the vulnerabilities of young people with eating disorders and their limited abilities to mentalise their social context and create secure and trusting learning relationships.
KEYNOTE LECTURE THREE
Friday 18 March 2016 1.30pm – 2.30pm, Logan Hall
DEVELOPING A COLLABORATIVE TEAM APPROACH TO THE MANAGEMENT OF
EATING DISORDERS: THE POWER OF THE FAMILY > Prof Janet Treasure OBE PhD FRCP FRCPsych, King’s College London, and South London
and Maudsley NHS Trust, UK > Jenny Langley, Experienced carer, trained by and working as a volunteer in collaboration with Beat, the Maudsley
and King’s College London, UK
A team approach is helpful in the management
of eating disorders. The social network should be part of this team. This approach should involve
three components. Working together with shared understanding and skills to foster a collaborative effort. The joint team skills include compassion, positive communication and behaviour change skills. The teams responsibility is to care for themselves so that they can avoid the traps caused by problematic emotional regulation and colluding with the illness by allowing accommodation to occur. In this talk we discuss how this is implemented and consider the bene ts of working in this manner.
KEYNOTE LECTURE FOUR
Saturday 19 March 2016 1.30pm – 2.30pm, Logan Hall
COGNITIVE NEUROSCIENCE AND
EATING DISORDERS
> Dr Joanna Steinglass, Florence Irving Associate Professor in Clinical Psychiatry, Center for
Eating Disorders at NYSPI/CUMC, USA
Advances in the eld of cognitive neuroscience have led to understanding links between the brain and behaviour. Eating disorders are de ned, in part, by behavioural phenomena. As cognitive neuroscience techniques begin to be applied to the study of eating disorders, the neural mechanisms underlying these illnesses begin to be elucidated. Joanna will review the progress in the eld and assess the impact of these discoveries on our understanding of the neural mechanisms underlying eating disorders and related development of treatment.
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PLENARY BIOGRAPHIES
KERRY McLEOD > Beat Young Ambassador, UK
Kerry McLeod is a Beat Young Ambassador in Scotland. She is 21 years old and currently lives in Aberdeen where she
is completing her nal year of Nutrition and Dietetics at University. She was diagnosed
with anorexia nervosa in her early teens. From the age of 12 to 15 years, anorexia
nervosa was her best friend and worst enemy. Outpatient treatment proved unsuccessful for Kerry and consequently, she was hospitalised for six months. Now, she is privileged to be using her experience in a positive way to educate others and raise awareness of these serious mental health conditions.
TILLY SYMONDS > Beat Young Ambassador, UK
Tilly is 21 years old and
from London. She is an ex- grammar school student who will be studying Paediatric
Nursing at University from September. She is recovering from a chronic case of anorexia
nervosa, an illness that she has suffered with since she was 11 years old. As a Beat
Young Ambassador, she will be sharing her story through her own personal perspective of having suffered from an eating disorder.
ELIZA MOYSE > Beat Young Ambassador, UK
Eliza is 18 years old and currently on a gap year. She works full-time and has been a Beat Young Ambassador
since June 2015. Eliza was diagnosed with anorexia
nervosa in 2014, having suffered with the condition for two years prior
to this. She began to get ill around the beginning of her GCSEs as a coping strategy and was later diagnosed with body dysmorphic disorder. She recovered through cognitive behavioural therapy and frequent medical check-ups, and got discharged from the NHS eating disorder service in May 2015. She now represents
Beat talking at events at schools, online and to health professionals about her experiences, as well as running a personal blog about recovery alongside her work with Beat.
CATHERINE DOYEN MD
> Head of the Department of Child and Adolescent Psychiatry, Sainte Anne’s
Hospital, Paris, France
For more than ten years Catherine Doyen has worked
as the medical manager of an inpatient unit for young people
with eating disorders in Robert Debré Hospital
(Paris). Her clinical and research interests are focused on developmental approaches: family support and cognitive remediation. She developed with Solange Cook-Darzens some specialised inpatient programmes for prepubertal subjects with anorexia nervosa and family approaches were central. A French model of multiple family group therapy was also initiated in this unit and its implementation is in progress in France. Trained by London teams specialised in the eld of eating disorders in childhood or in adulthood, cognitive remediation was also developed and is the subject of the university research: the RECOGEMA project.
Catherine co-authored a French manual for the diagnosis and the treatment of eating and feeding disorders in childhood with Pr Marie-Christine Mouren. She has also written books with Solange Cook-Darzens dedicated to families or to young people who have to cope with anorexia nervosa .
Catherine has recently been appointed as the Head of the Child and Adolescent Psychiatry Department of Sainte Anne’s Hospital (Paris). Her new orientations include: family support, cognitive development,
and implementation of new technologies for eating disorders but also for pervasive developmental disorder.
Dr NADIA MICALI MD MRCPsych PhD FAED
> Associate Professor of Psychiatry, Department of Psychiatry and Mindich Child Development Institute, Icahn
School of Medicine at Mount Sinai, New York and Senior
Lecturer and Honorary Child Psychiatrist at the Institute of Child
Health, University College London and Great Ormond Street Hospital, UK
Dr Micali obtained her PhD from the Institute of Psychiatry, King’s College London and she is also a trained epidemiologist. Over the course of her career,
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Dr Micali has written over 80 peer-reviewed papers and has given over 50 lectures and presentations around the world. She has served as an elected executive member of several societies, including the Eating Disorders Faculty, the Child and Adolescent Psychiatry Surveillance System, and the Eating Disorders Research Society (of which she was 2015 President). Dr Micali is also an active member and fellow of the Academy of Eating Disorders.
Dr Micali’s research focuses on understanding biological and intergenerational risk for eating disorders using a developmental perspective. Her research has investigated the epidemiology of adolescent eating disorders and behaviours and their etiology, including biological and intergenerational risk, the biological
and neuropsychological basis of ‘at risk’ status, and pregnancy and reproductive outcomes in eating disorders.
Dr Micali’s contributions to the eld of eating disorders have been recognised by several awards, most notably a prestigious fellowship by the Academy of Eating Disorders and her election as 2015 President of the Eating Disorders Research Society. She was also appointed as a special advisor on the UK National Institute of Clinical Excellence Antenatal Mental
Health Guideline Development Group that developed guidelines for the identi cation and treatment of mental health disorders in pregnancy. Dr Micali is also extremely committed to training and education and was co-lead of the UCL Master’s Degree in Eating Disorders and clinical Nutrition.
The Rt Hon ALISTAIR BURT MP > Minister of State for
Community and Social Care, UK
Alistair Burt MP was appointed Minister of State
for Community and Social Care at the Department of Health in
May 2015. He entered Parliament for the rst time in 1983 and was elected Conservative MP
for north east Bedfordshire in 2001.
Alistair was educated at Bury Grammar School, and studied at St John’s College Oxford, where he was President of the University Law Society. During his political career Alistair has been:
■ Member of Parliament for Bury North 1983 to 1997
■ Parliamentary Private Secretary to the Secretary of State for the Environment, for Education and
Science and Chancellor of the Duchy of Lancaster
1985 to 1990
■ Parliamentary Under Secretary of State, then
Minister of State, Department of Social Security 1992
to 1997
■ Member of Parliament for north east Bedfordshire
2001 to present
■ Parliamentary Private Secretary to the Leader of the Opposition 2002 to 2005
■ Shadow Minister for Communities and Local Government 2005 to 2008
■ Opposition Assistant Chief Whip 2008 to 2010
■ Parliamentary Under Secretary of State, Foreign and
Commonwealth Of ce May 2010 to October 2013.
Alistair became a solicitor in 1980 and served on Haringey Council in London from 1982 to 1984. Alistair and his wife Eve have two grown-up children. He is Minister of State for Community and Social Care. His ministerial responsibilities include:
■
■
■
■
■
■
■
■
■
adult social care
autism
integration
local government
mental health
older people
physical and learning disabilities allied health professions
primary care, including dentistry and ophthalmic services:
• GP contract
• out-of-hours care • pharmacy
•
primary care commissioning policy.
STEPHEN WONDERLICH PhD > Associate Chairman,
University of North Dakota, Department of Psychiatry and Behavioral Sciences; Director of Clinical Research, Neuropsychiatric Research
Institute, Chair of Eating Disorders, Sanford Health, USA
Stephen Wonderlich PhD is the Chester Fritz Distinguished Professor and Associate Chairperson in the Department of Psychiatry and Behavioral Science, University of North Dakota School of Medicine and Health Sciences. He is also Chair of Eating Disorders and Co-Director of the Eating Disorder and Weight Management Center at Sanford Health. He serves as Director of Clinical Research for the Neuropsychiatric Research Institute. He has published widely in the literature. He currently sits on the editorial board for several professional journals, is a past President of the Academy for Eating Disorders, and was a member of the Eating Disorder Workgroup for DSM-5.
Dr PAUL ROBINSON MA MD FRCP FRCPsych > Research
Consultant Psychiatrist, St Ann’s Hospital, Barnet, En eld and Haringey Mental Health Trust; Honorary Senior
Lecturer and Senior Tutor, University College London, UK
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Dr Paul Robinson is a Consultant Adult Psychiatrist and has specialised in eating disorders psychiatry for over 25 years, working at the Maudsley, at Johns Hopkins Hospital, Baltimore, the Gordon Hospital, and the Royal Free Hospital. He was Consultant Lead in the Russell Unit at St Ann’s Hospital in North London and is now a researcher there. He is a founder member and former chair of the Eating Disorders Section of the Royal College of Psychiatrists and has been the principle author of two College reports on eating disorder services and a guidance document on the management of anorexia nervosa in general hospital settings (MARSIPAN). He has written a book on the community treatment of eating disorders, one on severe and enduring eating disorders, and has co-edited one on MARSIPAN implementation. He is also an Honorary Senior Lecturer and Senior Tutor at University College London, his former medical school.
LINDA BATES > Beat supporter with lived experience of
SEED-AN, UK
Linda Bates graduated with
her PhD in medieval English from Cambridge in 2011.
To attend her graduation ceremony, she had to obtain section 17 leave from the inpatient
unit in Birmingham where she was receiving treatment for her anorexia. This exempli es a life lived with SEED-AN: the anorexia does not take breaks for work to be done or achievements to be made. Linda’s anorexia began in 1989. In the meantime, she achieved professional quali cations in drama and music, as well as gaining a double rst in English at Cambridge before proceeding to the MPhil and PhD. Currently, she is training as a Makaton regional tutor and runs a signing and singing choir for teenagers and adults with learning disabilities, who perform regularly. Linda contributed to the recent Radio 4 programme on treatment advances for SEEDs: Rethinking Anorexia Nervosa.
Assoc Prof SUSAN BYRNE DPhil PhD MPsych (Clinical)
> Clinical Psychologist and Associate Professor at
the University of Western Australia (UWA); School of
Psychology Senior Research Consultant at the Centre for Clinical Interventions in Perth,
Western Australia
Susan Byrne has a PhD and an MPsych (Clinical) from UWA and a DPhil from the University of Oxford where she spent ve years conducting research and furthering her clinical training with Professor Christopher Fairburn and his team. Since her return to UWA, Sue has continued research and clinical work in the eld of eating and weight disorders. She collaborates with other leading researchers in Australia on a number
of high pro le projects which are aiming to identify causal pathways to the development and persistence
of eating disorders and obesity and to test promising new treatments for these disorders. She is the chief investigator of a recently concluded National Health and Medical Research Council funded multi-centre randomised controlled trial of three psychological treatments for anorexia nervosa in adults (the Strong Without Anorexia Nervosa [SWAN] Study). Sue leads
a team of researchers and students at UWA in providing easily accessible evidence-based psychological treatment for the whole range of eating and weight disorders in children, adolescents and adults. Sue was also instrumental in setting up the rst public eating disorder service for adults in Western Australia, which
is now housed at the Centre for Clinical Interventions in Perth.
Prof ULRIKE SCHMIDT
> Professor of Eating Disorders, Institute of
Psychiatry, Psychology and Neuroscience, King’s College London, UK
Ulrike Schmidt is a Consultant Psychiatrist in the Eating
Disorders Unit at the South London and Maudsley NHS Foundation Trust and Professor
of Eating Disorders and Head of Department of Psychological Medicine at the Institute of Psychiatry, Psychology and Neuroscience, King’s College London. Her research ranges from translational to dissemination research. In particular, it focuses on intervention development, including both talking therapies and brain-directed treatments. She has published some 300 peer-reviewed papers. She is the recipient of a 2005 National Health Service Award for Innovative Service Delivery, the 2009 Academy for Eating Disorders’ Leadership Award for Clinical, Educational and Administrative Service, and the 2014 Hilde Bruch Award for Outstanding Achievements in Eating Disorders Research and Treatment.
Prof Dr Med MARTINA DE ZWAAN MD > Professor and
Head of the Department of Psychosomatic Medicine and Psychotherapy at Hannover Medical School, Germany
Dr de Zwaan went to Medical School in Vienna and completed
her residency in psychiatry at the Department of Psychiatry in Vienna. She is a trained
behavior therapist. She spent 18 months (1990 - 91) at the Eating Disorders Research
of the Department of Psychiatry, University of Minnesota as a postdoctoral fellow, where she started studying binge eating disorder. In 2001, she returned to the US as a visiting scientist at the Neuropsychiatric Research Institute, Fargo, ND for a period of two years to work
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with Dr Mitchell again in the eld of eating disorders and obesity. She is the author of numerous scienti c and clinical papers on the subject of eating disorders, mainly bulimia nervosa, binge eating disorder, and obesity.
Prof ANKE HINNEY
> Department of Child and Adolescent Psychiatry,
Psychotherapy, and Psychosomatics, University
Hospital Essen, University of Duisburg-Essen, Essen,
Germany
Professor Anke Hinney PhD began her professorship in Molecular Genetics of Obesity and
Eating Disorders at the University of Duisburg-Essen in October 2012. Previously, she was Head of the Research Division, ‘Molecular Genetics’, in the Department of Child and Adolescent Psychiatry at the same university. From 1995 - 2004, she was head of the molecular genetic laboratory of a DFG-clinical research group in the Department of Child and Adolescent Psychiatry
at Philipps University of Marburg. She received her PhD from the Institute of Anthropology and Human Genetics at the University of Tübingen and completed her PostDoc at the University of Düsseldorf. She has extensive expertise in the eld of molecular genetic studies in complex disorders with a focus on childhood and adolescence (more than 200 peer-reviewed original articles and reviews; several grants BMBF, NGFN, EU, DFG). She also undertakes supervision of MD and PhD students.
Dr BLAKE WOODSIDE MD FRCPC > Medical Director
Emeritus, Program for Eating Disorders, Toronto General Hospital; Professor, Department of Psychiatry,
University of Toronto, Canada
Dr Woodside’s speciality in psychiatry is the treatment of eating
disorders in adults, and family therapy of adolescent anorexia nervosa. He is Medical Director Emeritus, Program for Eating Disorders at the Toronto General Hospital, Director of the Inpatient Eating Disorders Service, and Professor in the Department of Psychiatry at the University of Toronto. He is a clinical member and approved supervisor for the American Association of Marriage and Family Therapy, and a certi ed therapist and supervisor for the Behavioural Family Therapy Institute.
Dr Woodside has an active academic career with a long history of grant support from many agencies and private foundations. His research activity presently focuses on novel treatments in eating disorders,
including deep brain stimulation, repetitive transcranial magnetic stimulation, and family-based therapy. He has many other research interests including family issues, genetics, treatment outcome, human resource/ economic issues and males with eating disorders.
He has also been recognised locally and by the American Psychiatric Association for his contributions to undergraduate medical education. He has over 160 publications.
Dr Woodside has a long history of involvement in organised medicine, going back to his medical school days in the 1980s. He has served in various capacities for the Ontario Medical Association, the Canadian Medical Association, the Ontario Psychiatric Association and the Canadian Psychiatric Association, for which he served as President in 2002 - 2003, and Chairman of the Board from 2003 - 2009.
Dr Woodside earned his medical degree from Queen’s University in 1982, his psychiatry degree from the University of Western Ontario in 1986, and his Masters of Science in 1990 from the Institute of Medical Science, University of Toronto.
Dr Woodside lives with his wife and three surviving children in Toronto.
Prof GUIDO KW FRANK MD FAED > Associate Professor of Psychiatry and Neuroscience;
Associate Director, Eating Disorder Program; Director, Developmental Brain
Research Program, University of Colorado Anschutz Medical
Campus; Children’s Hospital Colorado, USA
Dr Guido KW Frank is an Associate Professor of Psychiatry and Neuroscience at the University of Colorado Anschutz Medical Campus. He is the Associate Director of the Eating Disorders Program
at Children’s Hospital Colorado, and heads the Developmental Brain Research Program. Dr Frank is Board certi ed in adult as well as child and adolescent psychiatry. He received research training at the Western Psychiatric Institute and Clinic, University of Pittsburgh, and the University of California, San Diego. Dr Frank has received multiple awards, including various resident awards, a NARSAD award as well as a National Institutes of Health Minority Access to Research Career Program (NIMH) Mentor Recognition award. He has been funded through the National Institute of Mental Health for the past seven years with currently two RO1 grant awards that study, in youth and adults, biological domains that may underlie eating disorder behaviour.
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Dr NATHALIE GODART MD PhD > Child and Adolescent
Psychiatrist, Institut Mutualiste Monsouris, Contrat
d’Interface INSERM U1178, Paris, France
Dr Godart is an Adolescent Psychiatrist particularly involved
in carers for adolescents suffering from eating disorders. She works as part-time clinician
and a part-time researcher. She is head of the 30-bed inpatient unit in the Adolescent and Young Adult Psychiatric Department in Institut Mutualiste Montsouris (Pr Corcos), Paris. She also works in the INSERM U
1178 eating disorders research unit (Pr B Falissard). She is involved in research programmes concerning eating disorders focused on depression and anxiety co-morbidities and treatment (family therapy, inpatient treatment). She is Vice-President of the French national and regional network of eating disorders’ carers (AFDAS-TCA and Réseau TCA Francilien).
IVAN EISLER PhD CPsychol FAcSS FAED > Joint Head
Child & Adolescent Eating Disorders Service, South
London & Maudsley NHS
Foundation Trust, UK; Emeritus Professor of Family
Psychology and Family Therapy, Institute of Psychiatry,
Psychology and Neuroscience, King’s College London, UK
Ivan Eisler is Emeritus Professor of Family Psychology and Family Therapy at the Institute of Psychiatry, Psychology and Neuroscience, Kings College, London. He is also the joint Head of the Child and Adolescent Eating Disorders Service at the South London and Maudsley NHS Foundation Trust.
Professor Eisler has for many years been part of a clinical research team developing and evaluating psychotherapies for eating disorders as well as treatments for depression, substance misuse, self- harm and chronic illness. He is best known for the work he and his colleagues at the Maudsley Hospital and King’s College London have done in developing an eating disorders speci c family therapy approach (often referred to as the “Maudsley approach” or “family based treatment for anorexia nervosa”) that is widely accepted as the leading evidence based treatment for adolescent anorexia nervosa. They have also pioneered an innovative intensive multi family therapy version
of this treatment which is being adopted by many specialist services in the UK, USA, Australia, Canada, Norway, Sweden, Denmark, Finland, the Netherlands, France, Cyprus, Czech Republic and elsewhere. They
have recently completed a randomised trial of multi family therapy showing that it further improves the outcomes in comparison with treatments with individual families.
In addition to treatment research in eating disorders his recent research has included a large multi centre study of family therapy for adolescent self-harm, he has collaborated on the UK trial of multi-systemic therapy for adolescents at risk of being removed from home, a study of multi family discussion groups for families with inherited genetic conditions and a British Isles wide study of specialist and non-specialist services for young people with eating disorders.
He is a past chair of the Institute of Family Therapy
in London and past Editor of the Journal of Family Therapy. He has received a number of awards including the Outstanding Research Publication Award by
the American Association for Marriage and Family Therapy (1988), the Positive Practice Award from the National Institute for Mental Health in England (2004), the Outstanding Clinician Award by the Academy for Eating Disorders (2009), the Rosenberry Award for contributions to the elds of Psychology and Behavioral Sciences (2011), Lifetime Achievement Award by
the UK eating disorders charity Beat (2012), Wiley- IJED Outstanding Scienti c Contribution (2012) and American Family Therapy Academy Distinguished Contribution to Family Systems Research (2014).
Prof BEATE HERPERTZ- DAHLMANN MD > Director of the Department for Child
and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Technical
University, Aachen, Germany
Professor Beate Herpertz- Dahlmann is a licensed paediatrician
and licensed child and adolescent psychiatrist and psychotherapist. She is the head of a large university clinic for general child and adolescent psychiatry and has specialised in eating disorders for more than 25 years. She is President of the German Society for
Child and Adolescent Psychiatry and was a member
of the board of the European Society for Child and Adolescent Psychiatry (ESCAP) until summer 2015.
She is also a former chair of the Scienti c Council of “Autism Germany”. She is one of the main authors of the German clinical guidelines for anorexia nervosa. She has inaugurated day patient treatment for childhood and adolescent anorexia nervosa in Germany and was principle investigator of a randomised controlled trial for comparing day patient and inpatient treatment published in the Lancet. She has now started a new project to establish home treatment for anorexia nervosa in the young at several clinical sites in Germany.
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PLENARY ABSTRACTS
PLENARY ONE: SPECIFIC GROUPS OF PATIENTS
Thursday 17 March 2016 2pm – 3.30pm, Logan Hall
THE ART OF SHARING PERSONAL NARRATIVES: WHAT CAN THREE YOUNG PEOPLE WITH A HISTORY OF EATING DISORDERS TEACH US ABOUT TREATMENT?
> Kerry McLeod, Tilly Symonds and Eliza Moyse, Beat Young Ambassadors, UK
Beat Young Ambassadors are a national network
of inspirational young people aged 14 - 25, with personal experience of eating disorders, who are
now in recovery or fully recovered. In a world lled with con icting economic, educational and family pressures, healthcare professionals might nd it dif cult to tell the difference between ordinary dieting and a more serious problem. This presentation features three Beat Young Ambassadors sharing their honest and eloquent pro-recovery stories of what it
is to be a young person with an eating disorder, the behaviours they exhibited at their worst, and what prevented them and helped them to stay engaged with healthcare services.
PREPUBERTAL ANOREXIA NERVOSA
> Catherine Doyen MD, Head of the Department of Child and Adolescent Psychiatry, Sainte Anne Hospital (Paris), France
Early onset anorexia nervosa is a rare disorder. Its prevalence is estimated around 0.5% and it shares clinical features with adolescent or adult-onset anorexia nervosa. An integrated approach including medical care, nutritional care and psychological care is needed. However the impact of the disorder is potentially severe, as severe as its later-onset form. Growth delay is a speci c medical consequence
of the disorder and family-based therapy is the psychotherapeutic approach which has been validated through randomised controlled studies for this stage of development. For younger patients, outpatient treatment is strongly recommended, but when inpatient treatment is needed, family therapy is the rst psychotherapeutic approach advocated in different forms. Multiple family therapy seems
to provide a hopeful approach in the treatment of younger patients with anorexia nervosa and studies are under way to clarify its modalities and ef cacy. A speci c socio-cognitive style of anorexic people is also highlighted in literature and despite the paucity of
studies in young people, clinically, weakness of mental exibility and excessive attention to details are particularly marked in prepubertal patients.
New therapeutic approaches, based on attention, memory, plani cation and mental exibility tasks
are now required in therapeutic programme for prepubertal anorexia nervosa, sometimes combined with family approaches.
PREGNANCY AND MOTHERHOOD: EFFECTS OF EATING DISORDERS ON MOTHERS AND THEIR CHILDREN
> Dr Nadia Micali MD MRCPsych PhD FAED, Associate Professor of Psychiatry, Department of Psychiatry and Mindich Child Development Institute, Icahn School of Medicine at Mount Sinai, New
York, USA and Senior Lecturer and Honorary Child Psychiatrist at the Institute of Child Health, University College London and Great Ormond Street Hospital, UK
This presentation will focus on our unique research programme focusing on how eating disorders
affect pregnancy, obstetric outcomes and child development. Findings from our population-based and clinical studies will be presented. Our studies
have shown that eating disorders are common in pregnancy. We have also shown that maternal eating disorders affect child development across several domains (feeding, psychopathology). I will present new ndings on how maternal eating disorders affect child behaviour and bonding, and propose a model of risk mechanisms. I will discuss these ndings, their impact and future directions.
POLITICAL SPEAKER
Thursday 17 March 2016 5.30pm – 6.30pm, Logan Hall
EATING DISORDER SERVICES: THEN AND NOW
> The Rt Hon Alistair Burt MP, Minister of State for Community and Social Care, UK
Alistair Burt, Minister of State, discusses the changes and improvements made to how eating disorders
are supported and treated in this country with Jo Thompson, a young person who has previously accessed mental health services. He will be looking at what will be done with the additional investment with a view to delivering more community-based services, reducing waiting times and improving the delivery of evidence-based interventions.
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PLENARY TWO: SEVERE AND COMPLICATED EATING DISORDERS
Friday 18 March 2016
9am – 10.30am, Logan Hall
SEVERE AND ENDURING EATING DISORDERS: CLARIFYING THE CONCEPT AND PURSUING EFFECTIVE TREATMENTS
> Stephen Wonderlich PhD, Associate Chairman, University of North Dakota, Department of Psychiatry and Behavioral Sciences; Director of Clinical Research, Neuropsychiatric Research Institute; Chair of Eating Disorders, Sanford Health, USA
This presentation will address several topics:
1. clari cation of the de nition of severe and enduring
eating disorders,
2. consideration of stage-oriented approaches
to understanding severe and enduring eating
disorders, and
3. development of practical and useful approaches
for the treatment of severe and enduring eating disorder patients and their families.
THE MARSIPAN PROJECT
> Dr Paul Robinson MA MD FRCP FRCPsych, Research Consultant Psychiatrist, St Ann’s Hospital, Barnet, En eld and Haringey Mental Health Trust; Honorary Senior Lecturer and Senior Tutor, University College London, UK
In 2008, a case was presented at a large conference of a young woman who had been admitted to a medical ward with severe anorexia nervosa. In spite of all the efforts of staff, she continued to starve herself on the ward and died. In response, a group of psychiatrists and physicians, together with dietitians, a GP and a carer, consulted and produced, in 2010, MARSIPAN, Management of Really Sick Patients with Anorexia Nervosa. Subsequently a group of professionals produced the Junior MARSIPAN document, addressing the rather different issues affecting the medical management of under 18s.
A second edition of the MARSIPAN guideline was released in 2014 and the task has been to disseminate the advice to all clinicians who might be faced with
a patient with severe anorexia nervosa, particularly in an inpatient medical setting.
In this talk, Dr Robinson will review advances in the management of this group of patients and describe the impact of the project on practice in the UK and beyond.
THE REFUGE OF MY PRISON: LIFE WITH SEED-AN
> Linda Bates, Beat supporter with lived experience of SEED-AN, UK
This paper uses creative writing and personal experience to describe living with severe enduring anorexia nervosa. Using the metaphor of a space
that is at once safety and a prison, it examines the aetiology of the author’s own SEED-AN and tries
to answer the frequently asked questions of why treatment “doesn’t work” or “why haven’t you got better?” by looking at how identity and anorexia become intertwined and at how lack of understanding of the causes of anorexia nervosa can make treatment an odd mish-mash of approaches without a clear evidence base. The paper mentions how current research into DBS and TCMS is providing hope that effective treatment may be available in the future.
PLENARY THREE: TALKING THERAPIES FOR ADULTS ACROSS THE WEIGHT RANGE Friday 18 March 2016
2.30pm – 4pm, Logan Hall
DIFFERENT INDIVIDUAL THERAPIES FOR EATING DISORDERS IN ADULTS: THE EVIDENCE FOR ENHANCED COGNITIVE BEHAVIOURAL THERAPY > Assoc Prof Susan Byrne DPhil PhD MPsych (Clinical), University of Western Australia, School of Psychology, Centre for Clinical Interventions, Perth, Western Australia
Psychological treatments for adults with bulimia nervosa (BN) and binge eating disorder (BED) have been considered to be relatively successful for the
last 10 - 15 years, with standard cognitive behaviour therapy for BN (CBT-BN) being recognised as a
Grade A evidence-based treatment in the National Institute of Clinical Excellence guidelines. Alternative psychotherapies, such as interpersonal psychotherapy, have also garnered support for their value in treating these eating disorders. With regard to anorexia nervosa (AN), however, while good progress has
been made in treating younger patients using family- based approaches, there is no convincing evidence to suggest that outcomes for adults have improved even up until the early years of this century, and there is a lack of evidence pointing to the ef cacy of any speci c psychotherapy for adults with AN. In the
last 5 - 6 years, however, several robust clinical trials (RCTs) of treatments for eating disorders in adults have emerged, including RCTs speci c to AN. The thrust of these trials has been to narrow the focus of investigation to concentrate on a small number of candidate treatments. One of these is enhanced cognitive behavioural therapy (CBT-E). CBT-E is
a revised version of the original CBT-BN and is intended to be applied to all eating disorders. It was developed by Christopher Fairburn and colleagues at Oxford University. CBT-E has been investigated as a
MARSIPAN
www.rcpsych.ac.uk/usefulresources/publications/ collegereports/cr/cr189.aspx
Junior MARSIPAN
www.rcpsych.ac.uk/usefulresources/publications/ collegereports/cr/cr168.aspx
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treatment for AN, BN and BED, as well as in a number of transdiagnostic RCTs, clinical trials and case-series where the sample has included the full range of eating disorders. This presentation will explore the value
of CBT-E as a rst-line outpatient intervention for all eating disorders in adults, drawing on the ndings from randomised controlled trials and other clinical trials that have been focused on this, and other promising treatments, in the last decade.
THE MAUDSLEY MODEL OF ANOREXIA NERVOSA TREATMENT FOR ADULTS (MANTRA): TREATMENT MECHANISMS, PROCESS AND OUTCOME
> Prof Ulrike Schmidt, Professor of Eating Disorders, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, UK
In this talk, Ulrike will describe some recent research on the development and evaluation of MANTRA, a novel out patient therapy for adults with anorexia nervosa. Using data from two randomised controlled trials, she will present long-term treatment outcomes, patients’ and therapists’ views on this treatment, and mediators (how does this treatment work?) and moderators (who does it work for?) of outcome.
TREATMENT OF BINGE EATING DISORDER
> Martina de Zwaan1, Brunna Tuschen-Caf er2, Stephan Herpertz3, Hans-Christoph. Friederich4, Stephan Zipfel5 and Anja Hilbert6, 1Department
of Psychosomatic Medicine and Psychotherapy at Hannover Medical School, Germany, 2Department of Clinical Psychology and Psychotherapy, University of Freiburg, Germany, 3Department of Psychosomatic Medicine and Psychotherapy, LWL-University, Ruhr-University Bochum, Germany, 4Department
of General Internal Medicine and Psychosomatics, Medical University Hospital Heidelberg, Germany, 5Psychosomatic Medicine and Psychotherapy, Medical University Hospital Tübingen, Germany, 6Department of Medical Psychology and Medical Sociology, Integrated Research and Treatment Center Adiposity Diseases, University of Leipzig Medical Center, Germany
Meta-analytical reviews and treatment guidelines identi ed cognitive behavioural therapy (CBT) as being the most ef cacious treatment for binge eating disorder (BED). Some evidence suggests that also internet-based guided self-help (GSH-I) may be ef cacious in the treatment of BED, but the ef cacy in comparison to standard face-to-face cognitive behavioural therapy (CBT) await clari cation. In a multi-centre randomised non-inferiority trial GSH-I was compared with individual CBT. N=178 individuals with full or subsyndromal BED and a body mass index (BMI) between 27 and 40 kg/m2 were randomised to four-month treatment with GSH-I or CBT (n=89 each) in seven eating disorder treatment centres. Primary outcome was the number of objective binge eating episodes over the previous 28 days assessed with the
EDE-interview. Follow-up assessments were conducted six and 18 months after treatment completion.
Patients were mostly female (89.4%), aged 43.4±12.2 years, were mostly obese class I or II (BMI=33.9±3.9 kg/m2); 46.6% had less than 12 years of school education. The majority of patients suffered from full-syndrome BED (88.8%) of long duration (8.6±10.9 years). Treatment completion was high with only
14.7% in the GSH-I group and 5.6% in the CBT group terminating treatment prematurely. In both treatment arms a signi cant reduction of objective binge eating episodes was observed, however, the study clearly failed to show non-inferiority of GSH-I. The effect estimates indicate a slight superiority of CBT. At the end of treatment, four-week remission rates were 61% in the CBT group and 35% in the GSH-I group. No weight change was found in both groups.
PLENARY FOUR: BIOLOGICAL FACTORS
Saturday 19 March 2016 9am – 10.30am, Logan Hall
GENETICS OF EATING DISORDERS WITH SPECIAL REGARD TO ANOREXIA NERVOSA
> Prof Anke Hinney, Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Hospital Essen, University of Duisburg-Essen, Essen, Germany
For both eating disorders and body weight regulation genetic mechanisms are relevant. Genome wide association studies for both have been published. Cross-trait analyses might help to unravel underlying shared biological mechanisms. This presentation will review the current state of genetic studies in eating disorders with an emphasis on anorexia nervosa. Initial results on epigenetic data will also be shown. Hypothesis pertaining to implications of the genetic analyses for predisposition, prognosis and therapy of eating disorders will be summarised.
NEUROMODULATION IN EATING DISORDERS: A NEW WAY OF UNDERSTANDING AND TREATING ANOREXIA NERVOSA AND BULIMIA NERVOSA > Dr Blake Woodside MD FRCPC, Medical Director Emeritus, Program for Eating Disorders, Toronto General Hospital; Professor, Department of Psychiatry, University of Toronto, Canada
Anorexia nervosa and bulimia nervosa are serious medical conditions with signi cant mortality, chronicity, and attendant suffering on the part of those suffering and their families and carers. Decades of effort have produced few advances in the treatment of anorexia nervosa and while there has been some progress in the development of treatments for bulimia nervosa, there remains a substantial portion of those affected who do not respond to traditional treatments.
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Recent developments in brain imaging have allowed us to assess brain function at rest, during speci c tasks, and before and after various types
of treatments. These advances have more recently been accompanied by some novel neruomodulatory treatments, the effect of which can be assessed by these new imaging techniques.
This presentation will review advances in this eld.
A gentle review of relevant neuroanatomy and brain circuitry will be followed by the presentation of some data regarding the use of transcranial magnetic stimulation (TMS) and deep brain stimulation (DBS) in anorexia nervosa and bulimia nervosa.
FROM REGIONS TO CIRCUITS: HOW BRAIN IMAGING HAS HELPED US UNDERSTAND EATING DISORDERS
> Prof Guido KW Frank MD FAED, Associate Professor of Psychiatry and Neuroscience; Associate Director, Eating Disorder Program; Director, Developmental Brain Research Program, University of Colorado Anschutz Medical Campus; Children’s Hospital Colorado, USA
The eating disorders anorexia nervosa and bulimia nervosa, as well as binge eating disorder, are severe psychiatric disorders with complex aetiology. A variety of brain imaging methods are available to better understand the neurobiology of eating disorders. This presentation will review the current status of brain imaging in eating disorders and the knowledge we have gained from it. Further, a neurobiological model will describe how complex bio-psycho-social factors may predispose to, precipitate and perpetuate eating disorder behaviour.
PLENARY FIVE: FAMILY AND COMMUNITY
Saturday 19 2016
2.30pm – 4pm, Logan Hall
FAMILY THERAPY FOR ADOLESCENTS WITH ANOREXIA NERVOSA: HOW A RANDOMISED CONTROLLED TRIAL MODIFIED OUR USUAL TREATMENT PROGRAM, A STORY LASTING 20 YEARS
> Dr Nathalie Godart MD PhD, Child and Adolescent Psychiatrist, Institut Mutualiste Monsouris, Contrat d’Interface INSERM U1178, Paris, France
The Adolescent Psychiatry Department of the Institut Mutualiste Montsouris is a French care unit which has specialised in the treatment of eating disorders (ED) since 1970. Until 1996, the multidimensional treatment programme implemented for anorexia nervosa included parent counselling, without involving the whole family in this process. This plenary will describe how a research programme was developed 20 years ago to evaluate whether family therapy should be
added to the existing care programme, and how it substantially modi ed the unit’s practice.
EMPIRICAL AND CONCEPTUAL DEVELOPMENTS IN FAMILY TREATMENTS FOR ADOLESCENT ANOREXIA NERVOSA: HOW DOES DEVELOPING CLINICAL THEORY FIT EVIDENCE-BASED PRACTICE
> Ivan Eisler PhD CPsychol FAcSS FAED, Joint Head Child and Adolescent Eating Disorders Service, South London and Maudsley NHS Foundation Trust, UK; Emeritus Professor of Family Psychology and Family Therapy, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, UK
Clinicians are often criticised for ignoring research evidence either because of ignorance, through selective reading of the research literature or using evidence-based treatments in ways that that are widely divergent from the manualised treatment evaluated through research. While such criticisms
are to some extent justi ed, they tend to be made from an overly narrow perspective of what constitutes evidence-based practice, assumptions about the impact of treatment model adherence on outcomes that are not supported by empirical evidence and a lack of acknowledgement of broader research e.g. therapeutic alliance or service context. At the same time the evolution of clinical practice is in uenced by conceptual and theoretical developments that may have a different time frame than the accumulation of empirical data. This presentation will focus on the way in which family therapy and multifamily therapy for adolescent anorexia nervosa has evolved in clinical practice, the role that research has played in these developments and the need for a more nuanced and more measured approach to research evidence.
DAY PATIENT AND HOME TREATMENT FOR ADOLESCENTS WITH ANOREXIA NERVOSA
> Prof Beate Herpertz-Dahlmann MD, Director of the Department for Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Technical University, Aachen, Germany
Anorexia nervosa (AN) is one of the most common chronic illnesses in adolescence with high relapse
and readmission rates. On the basis of a randomised controlled trial comparing inpatient and stepped- care day patient treatment, the advantages of day patient treatment will be outlined. New skills coping with the eating disorder might be better transferred home, and there could be a better resumption of one´s own responsibility. After a follow-up of 2.5 years, patients treated in day patient care had a higher
body weight and less readmissions in comparison to inpatient treatment. As patients still nd the transfer from hospital to home rather dif cult, the next step would be the evaluation of “home treatment”. Patients and their families are visited by a mobile team that is experienced in the treatment of anorexia nervosa. Our rst experiences will be reported.
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WORKSHOP ABSTRACTS
4PM – 5.30PM > THURSDAY 17 MARCH 2016
WORKSHOP 1.1
Logan Hall
EXAMINING HOW THE NEW MAUDSLEY APPROACH CAN HELP FAMILIES TO OVERCOME MANY OF THE DIFFICULTIES OF LOOKING AFTER A YOUNG ADULT WITH AN EATING DISORDER, TO OVERCOME SOME OF THE ISSUES WHEN CARING FROM A DISTANCE, AND TO BE MORE POSITIVE IN THEIR OUTLOOK
> Prof Janet Treasure1,2, Jenny Langley1,2, 1King’s College London, UK, 2South London and Maudsley NHS Foundation Trust, UK
Background
Janet Treasure and her team at the Maudsley have decades of experience of working with families in a collaborative way to produce better outcomes for patients. Jenny Langley is one of Janet’s experienced carer coaches.
Methods
Janet and her team have coached hundreds of carers with very positive results, both from the research programmes and through qualitative feedback from carers in the community. Content is from ‘Skills-based Learning for Caring for a Loved One with an Eating Disorder’ by Treasure, Smith and Crane.
Results
Collaborative care can be achieved in many ways, but requires participants to work in harmony, without judgement or criticism. Three key bene ts of the collaborative team approach are:
1. families are more able to work together as a cohesive team to support their loved one to move towards recovery,
2. carers are able to re ect on their accommodating behaviours and moderate them,
3. carers are able to communicate much more effectively with their loved one’s care team.
Summary
This workshop shows how this collaborative approach works, regardless of age of sufferer and duration of the illness. The session will be interactive and provide several case studies, with carers who have directly bene tted giving input.
WORKSHOP 1.2
Elvin Hall
AN INTRODUCTION TO INTEGRATIVE COGNITIVE AFFECTIVE THERAPY FOR BULIMIA NERVOSA
> Stephen Wonderlich PhD, University of North Dakota School of Medicine and Health Sciences, Fargo,
North Dakota, USA
The workshop will focus on integrative cognitive affective therapy (ICAT), a new emotion-focused treatment for bulimia nervosa. ICAT is a treatment that focuses on modifying sources of, and responses to, emotional distress. Participants in the workshop will be exposed to the theory and scienti c studies underlying the development of ICAT. They will also be exposed to the fundamental structure
of ICAT as well as the clinical targets and strategies for modifying bulimic behaviour. Additionally, participants will be exposed to recent scienti c evidence regarding the ef cacy of ICAT in a randomised controlled trial.
WORKSHOP 1.3
Drama Studio
EATING OUT OF YOUR HANDS: AN INTERACTIVE WORKSHOP FOR PROFESSIONALS AND
CARERS IN SUPPORTING ANOREXIA NERVOSA SUFFERERS TO EAT
> Lorraine Ricks, Dawn Saunders, Christine Vize and Julia Rossiter, Cotswold House, Marlborough, UK
How can carers and professionals motivate the anorexia nervosa sufferer to eat? They may feel helpless to effect change, unwittingly collude with the rules the sufferer has made, or resort to behaviours perceived as nagging or bullying. Getting the balance right is dif cult. The facilitators of this workshop have 15 years’ experience between them of working with day and inpatients with severe anorexia nervosa. They have supported hundreds of patients to complete meals and snacks at the table and cope with
the feelings that arise. They have provided this workshop
to staff and carers. Interactive throughout, it starts with a presentation (30 min) discussing the approach to supported eating, the importance of consistency and compassion, problems that may arise and how to manage them. Role play is followed by discussion (20 min), and discussion of case vignettes in small groups with feedback to the wider group (20 min). Vignettes will illustrate the challenges of avoiding collusion with the eating disorder whilst remaining supportive and positive. The nal 20 mins will collate learning points for carers and professionals, to enhance con dence and competence in supporting their patients and loved ones.
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WORKSHOP 1.4
Nunn Hall
HOW SHARED LEARNING FROM FAMILIES’ EXPERIENCE OF A LOVED ONE’S EATING DISORDER CAN IMPROVE CLINICAL PRACTICE AND OUTCOME
> Susan Ringwood and Erica Husain, FEAST, UK
Background
Eating disorders affect the whole family when
one person in that family develops the condition. Treatment can be lengthy, and outcomes poor – particularly if early intervention or engagement has not taken place. Eating disorders can thrive on any division or con ict within families, within clinical teams, and between families and clinical teams. Presenting a consistent, con dent and united force has proven ef cacy.
Method/Results
The workshop will share qualitative, structured feedback from clinicians in Australia, UK and USA showing how having a fuller understanding of the families’ experience of caring for a loved one with an eating disorder has improved their clinical practice and led to improved treatment outcomes.
Discussion/Conclusion
Workshop participants will discuss in small groups how they could, or share how they already do, incorporate families’ experience to improve their clinical practice. The workshop facilitator will encourage examples, ideas and professional development suggestions to be shared. The workshop will conclude by drawing out common themes and basic principles of how learning from families can make clinicians more con dent, and treatment more effective.
WORKSHOP 1.5
Clarke Hall
EXPERIENTIAL INTERVENTIONS FOR ENHANCING MOTIVATION IN THE EATING DISORDERS
> Dr Matthew Pugh1 and Dr Jane Evans2
1Vincent Square Eating Disorders Service, London, UK, 2The Eating Disorders Service, South London and the Maudsley, London, UK
Background
Eating disorders are characterised by high levels of ambivalence. Unfortunately, limited evidence exists for the effectiveness of traditional motivational techniques (Waller, 2012). Experiential interventions such as chairwork have a long legacy in eating disorders (Hornyak & Baker, 1989) and have produced promising results (Dolhanty & Greenberg, 2009). Accordingly, they may be a useful tool for enhancing motivation in this client group.
Aims/Method
This workshop will outline the use of three core experiential techniques (chairwork, creative writing and imagery) to enhance motivation to recover in eating disorders. The workshop will also discuss the relative strengths and weaknesses of experiential interventions and utilise contemporary cognitive theory to examine how they achieve their effects.
Content
The workshop will begin by providing an overview
of common motivational exercises utilised in eating disorders and their evidence base. The focus of
the workshop will be on how, and why, experiential techniques (chairwork, imagery and creative writing) can be effectively used to enhance motivation. Role- plays by the facilitators and audio extracts taken from real-world therapy sessions will be used to demonstrate how these techniques can be applied. Attendees will have the opportunity to practice these techniques during the workshop.
WORKSHOP 1.6
Room 728
THE RECOVERY APPROACH IN ACTION: A ‘SHARED’ EXPERIENCE
> Valentina Cardi1, Dr Sumani Ambwani2, Gill Todd1, Anne Cooke1, Rosemary Marston1 and Prof Janet Treasure1, 1King’s College, London, UK, 2Dickinson College, Carlisle, PA, USA
Background
An empirically supported method to enhance access and availability of psychological interventions involves training non-specialist individuals to deliver the interventions under expert guidance. Our research group is implementing this approach in the treatment of anorexia nervosa by involving ex-service users in the development and delivery of a novel, technology- enhanced guided self-help intervention. The aims
of this workshop are: 1. to discuss the use of guided self-help in anorexia nervosa, 2. to re ect on the involvement of ex-service users in the care of currently ill patients, 3. to critically evaluate the potential and challenges of the proposed approach.
Methods
The rst part of the workshop (20 min) will describe the development of the “SHARED” intervention. The second part (70 min) will focus on: 1. presenting and practising the use of the self-help materials and study website, 2. discussing the use of these materials and of the guidance provided by the ex-service users.
Results/Conclusions
It is expected that participants will be able to critically re ect on the involvement of ex-service users in the care of patients and on the challenges and potential of using guided self-help in anorexia nervosa.
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WORKSHOP ABSTRACTS
11AM – 12.30PM > FRIDAY 18 MARCH 2016
WORKSHOP 2.1
Logan Hall
FAMILY INTERVENTION À LA FRANÇAISE
> Dr Nathalie Godart1, Dr Benjamin Carrot1, Zorica Jeremic2, Irène Kaganski2, Jeanne Duclos3 and Leslie Radon2, 1Institut Mutualiste Montsouris, Inserm U1178, Paris, France, 2Institut Mutualiste Montsouris, Paris, France, 3Institut Mutualiste Montsouris, Inserm U1178, URCA, France
Background
The Adolescent and Young Adults Psychiatric Department of the Institut Mutualiste Montsouris is
a French care service specialising in the treatment of eating disorders (ED) since 1970. The multidimensional treatment programme implemented for anorexia nervosa (AN) involves either parents, as individuals, couples or carers or the whole family. This involvement takes place at all stages of the treatment programme (outpatient treatment, day hospital, inpatient treatment) with different types of interventions.
Workshop Structure
Part 1: (45 minutes) – During the workshop, we
will rst summarise the various components of the treatment plan for adolescents suffering from AN in our team. We will give an overview of all types of family interventions developed, and how they are tailored for each patient (10 minutes NG). Then we will describe the different types of family interventions developed (15 min BC). Then we will focus on the place of systemic family therapy in our programme. We will
talk about both clinical and theoretical foundations
of systemic family therapy proposed and its speci c implementation and delivery in our department
(20 min IK,ZG).
Part 2: (45 minutes) – Participants will then be asked to work in groups in order to tailor family interventions according to this program at two different stages
of the AN treatment programme (20 min). Finally participants will give their feedback and discuss their proposition with the French team (25 min).
WORKSHOP 2.2
Elvin Hall
ADDRESSING ATTACHMENT ISSUES IN FAMILY THERAPY FOR YOUNG PEOPLE WITH ANOREXIA. HOW CAN WE USE A RELATIONAL RE-FRAME IN ENGAGING THE FAMILY?
> Greg Dring, Independent practice, UK
Background
Some current models, such as Maudsley Model Family Therapy, Dare and Eisler (1997) and Family-Based Treatment, Lock et al (2001), Lock and Le Grange (2011), discourage early therapeutic engagement
with relationship issues. However, recent thinking indicates that strengthening the attachment relationship should be a goal of treatment. How may we modify the engagement phase of therapy to take account of this goal?
Method
Participants will undertake three group exercises. These will address three questions:
1. in our initial engagement with the family how might
we frame the problem of anorexia nervosa?
2. how would we present the therapeutic task?
3. how might we address the vulnerability and distress
felt by family members about the anorexia and about the therapy situation itself?
Results
After each exercise there will be whole group discussion in the light of family therapy in general, and attachment-based family therapy in particular. This
will draw on material by Dallos (2006) ‘Attachment- Narrative Therapy’ and Dring (2015) ‘Finding a Voice’.
Discussion
Finally, participants will discuss their own views
and whether they are likely to draw on the themes discussed in the workshop in their work with families and colleagues.
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WORKSHOP 2.3
Drama Studio
OPTIMISM ABOUT TREATING SEVERE AND ENDURING ANOREXIA NERVOSA (SE-AN)? A CLINICAL REVIEW AND A PRACTICAL EVIDENCE- BASED TREATMENT
> Prof Hubert Lacey1, Stephen Touyz2, Daniel Le Grange3 and Phillipa Hay4,1Newbridge House, Birmingham, UK, 2School of Psychology, Sydney Medical School, University of Sydney, 3Dept of Psychiatry, University of California, San Francisco, 4School of Medicine, University of Western Sydney, Australia
Background
Many anorexic patients still progress to a severe and enduring form of the illness (SE-AN). Therapeutic nihilism is common. Clinical literature attests to the dif culties engaging, retaining and adequately t reating these individuals. St George’s, Sydney and Chicago are the rst centres to have adapted existing treatment for SE-AN and researched the ef cacy of these interventions in an international randomised control trial.
Aims
This workshop will aim to: 1. discuss the dif culties and barriers faced by clinicians with this client group, 2. describe ways in which SSCM was adapted for SE-AN, 3. give practical details of its application.
Content, contributions and timing
1. Overview: current evidence base for SE-AN will be discussed. This will include the clinical and social features of SE-AN and prognosis. Current treatment, its availability and absence. Staff and funders’ prejudices (25 mins). 2. specialist supportive clinical management (SSCM), its modi cations for SE-AN. Practical details and how the patient is engaged, motivated and retained in treatment (25 mins).
3. interactive discussion suitable for those clinicians interested in developing services
for SE-AN (45 mins).
WORKSHOP 2.4
Nunn Hall
EATING DISORDERS IN PREGNANCY: THE POTENTIAL FOR ADVERSE OUTCOMES FOR MOTHER AND INFANT, AND THE BARRIERS TO IDENTIFYING IN ANTENATAL CARE
> Amanda Bye, Manuela Barona and Dr Nadia Micali, University College London Institute of Child Health, London, UK
This is an interactive session with discussions and group work, considering the clinical implications of the ndings and your clinical experience. We will be reviewing the ndings on the potential implications of eating disorders for both mother and infant. We will
then be discussing the relevance in antenatal care, with a speci c focus on the identi cation and management of women with eating disorders, considering the involvement of midwives who typically have the most frequent contact with women during this period. As part of this we will be discussing qualitative ndings on the barriers to identifying eating disorders in antenatal care as perceived by midwives and women.
WORKSHOP 2.5
Clarke Hall
‘RE-JOINING THE TRIBE’: TEACHING ANOREXIC PATIENTS SOCIAL SIGNALLING SKILLS BASED UPON A NEW NEUROREGULATORY MODEL OF SOCIO-EMOTIONAL FUNCTIONING
> Chandanee Kotecha, Marian Titley and Hayley Smith, Devon Partnership Trust, Exeter, UK
RO-DBT, a transdiagnostic treatment approach developed by Lynch (2013), views anorexia nervosa as a disorder of over-control. RO-DBT links current brain-behavioural science and the communicative functions of emotional expression to the formation of close social bonds essential for well-being and uses this to develop social signalling skills designed for exible responding and social connectedness. Anorexic patients set high personal standards, yet they often feel uncertain about how to form intimate relationships.
RO-DBT is informed by Porges’ (1995) polyvagal theory plus research showing how the parasympathetic ventral vagal complex (VVC) is involved in switching
on the body’s Social Safety System (SSS). When a person evaluates internal and external cues as safe, the individual’s SSS is switched on, and the VVC is activated in response – eliciting within the person
an emotional sense of becoming more relaxed and affable. The associated urge is a desire to socialise.
Workshop presenters will invite participants to take part in role-plays, skills practices and discuss metaphor stories that our clinicians teach to over-controlled anorexic patients in order to increase open expression, build trust and enhance social connectedness.
WORKSHOP 2.6
Room 728
WHAT ARE THE ‘ACTIVE INGREDIENTS’ OF A DIETETIC-LED PSYCHO-EDUCATION GROUP?: DEVELOPMENT AND PRELIMINARY EVALUATION OF ‘FOOD CHOICES’
> Marilyn Conroy, Karen Jeffereys, Rubina Khatun and Ian Frampton, Cornwall Partnership NHS Foundation Trust, UK
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Background
Restoring healthy attitudes towards food choice and diet are at the core of successful treatment for eating disorders, but little is known about what constitutes effective nutrition psycho-education. This workshop/ short paper shares our experience in Cornwall of
the development and evaluation of Food Choices, a programme of three sessions covering:
1. regular balanced eating,
2. basal metabolic rate, and
3. body composition.
Methods
36 service users completed questionnaires before and after the group, Food Choices Quiz, Personal Feedback Scale and Hopes and Worries Worksheet.
Results
Participation in the group was associated with signi cant increases in change scores. Core themes were identi ed re ecting factors about the group itself: food and eating, health, control and capacity (to believe in self, trust in others, learn and change).
Conclusions
Preliminary evaluation suggests that Food Choices could be an effective intervention to enhance service user understanding and positive attitudes towards healthy food choices. The workshop will include interactive participation in elements of the group, information about its evaluation and the subsequent development of the Food Choices guided self-help education pack.
WORKSHOP ABSTRACTS
4.30PM – 6PM > FRIDAY 18 MARCH 2016
WORKSHOP 3.1
Logan Hall
CHANGING EATING IN ANOREXIA NERVOSA WITH EXPOSURE AND NOVEL BEHAVIOURAL TECHNIQUES
> Dr Joanna Steinglass1, Valentina Cardi2 and Stephen Wonderlich PhD3, 1Center for Eating Disorders at NYSPI/CUMC, USA, 2University of North Dakota School of Medicine and Health Sciences, Fargo, North Dakota, USA, 3King’s College, London, UK
Background
Anorexia nervosa (AN) is notoriously challenging to treat. Eating behaviour disturbances contribute to the persistence of illness, and therefore morbidity. Many salient behavioural disturbances involve eating related fear and avoidance. Others seem to persist like habits. New treatment approaches emphasising changing eating behaviour have been developed. This workshop will present exposure and response prevention interventions, the integration of emotion regulation, and new approaches that aim to target habits.
Methods
Presenters will describe guided exposure to food stimuli, the relationship between emotion and behaviour – including habits and techniques for addressing habitual behaviour.
Results
Participants will be able to critically appraise the use of speci c behavioural interventions including exposure and response prevention as well as habit reversal in the treatment of AN.
Conclusions
Changing eating behaviour in AN is critical to improving outcomes. We can use speci c techniques that target aspects of maladaptive behaviour to engage patients in taking this challenging step toward health.
WORKSHOP 3.2
Elvin Hall
AN INTRODUCTION TO FAMILY BASED THERAPY: RATIONALE AND OVERVIEW
> Dr Blake Woodside MD FRCPC, Toronto General Hospital; University of Toronto, Canada
This workshop will review the basis on which
family based treatment has been developed for
the treatment of adolescent anorexia nervosa, the evidence supporting its use, and then describe the three phases of treatment. Opportunities to participate in role playing may be available
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WORKSHOP 3.3
Drama Studio
SUPPORTING CARERS OF YOUNG SUFFERERS USING THE NEW MAUDSLEY APPROACH WITH WORKSHOPS DELIVERED BY EXPERIENCED CARERS IN THE COMMUNITY
> Jenny Langley1, Gillian Todd2 and Jane Maltby3, 1Tonbridge Carers Group, Kent, UK, 2South London and Maudsley, London, UK, 3Kent Carers, Kent, UK
Background
In 2010 Beat collaborated with the Maudsley
NHSFT on a project called ‘Empowering Families’
to establish a skills training programme for carers. Existing experienced Beat volunteers including Jenny Langley were trained by Gill Todd RMN MSc. The programme is for carers caring for all ages, genders and at all stages.
Method
Jenny delivers regular workshops in Kent. Each set comprises of ve three-hour sessions. Content is from ‘Skills Based Learning for Caring for a Loved One with an Eating Disorder’ by Treasure, Smith and Crane.
Results
Carers are:
■ communicating better as a family,
■ understanding how to navigate the care system,
■ working more proactively and collaboratively with
their loved one’s care team,
■ coaching their loved ones to sustain their own
recovery post-discharge, and
■ looking after their own well-being.
Summary
Demand for the workshops is increasing. Jenny now gets referrals from schools, GPs, local counsellors, NHS and private specialist clinics, as well as from her own and the Beat website. The workshops are cost- effective and bene cial in the community for families. This workshop shows how the model works for carers of young sufferers and will provide several case studies for discussion.
WORKSHOP 3.4
Nunn Hall
A BRIEF DIALECTICAL BEHAVIOUR THERAPY SKILLS GROUP FOR BULIMIA NERVOSA: A FEASIBILITY STUDY
> Dr Anna Hall, Dr Lucy Serpell and Dr Janet Feigenbaum, University College London, London, UK
Background
Dialectical behaviour therapy (DBT) has an emerging evidence base for the treatment of bulimia nervosa (BN). This study tested the feasibility of a short-term DBT skills group for BN.
Method
Women meeting diagnostic criteria for BN were recruited from the NHS and a University. Participants attended a 12-week DBT skills group adapted for
BN. Retention, appropriateness of measures, and the acceptability of the intervention were recorded to assess feasibility. BN symptoms, PD symptoms, and functional impairment were measured throughout the intervention and at a one-month follow-up to assess clinical effectiveness.
Results
29 participants started the intervention and seven did not complete. At the end of the intervention there were signi cant reductions in weekly binge-purge frequency. There were also signi cant improvements in general eating disorder symptoms, emotional eating, and functional impairment, and these differences were maintained at follow-up. Participants reported that the intervention was acceptable and effective.
Conclusions
A brief DBT skills group is a promising intervention for BN that requires further study.
Ethical approval was granted by the National Research Ethics Service.
WORKSHOP 3.5
Clarke Hall
CALMING THE STORM, DOES MINDFULNESS HAVE A ROLE? A TOOLBOX FOR PARENTS AND CARERS
> Ana Ribeiro, The Child and Family Practice, London, UK
Aims
To enable participants to experience some of the practices described as helpful by parents of young people with eating disorders. To share users’ accounts. To provide participants with an underpinning of what mindfulness is about, its empirical evidence and bene ts. To highlight its relevance to parenting and more speci cally to anyone supporting people with an eating disorder. To promote a forum for discussion and potential inter-service learning for this intervention, but also to brainstorm and collaborate past, present and future direction, possibilities and considerations.
Content, contributions and timing
Part 1 – Introduction (10 min).
Part 2 – Practice: guided mindfulness exercises, feedback and questions (25min).
Part 3– Background, rationale, empirical evidence, case study and users’ feedback: presentation containing: “Mindfulness: Nuts & Bolts”, “What led me to use mindfulness with parents of eating disorder
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sufferers?” followed by “Case study and users’ accounts” (25 min).
Part 4 – Open Plenary: questions, discussion, brainstorm and future (30 min).
WORKSHOP 3.6
Room 728
A RECOVERY-ORIENTATED APPROACH TO THE TREATMENT OF ANOREXIA NERVOSA
> Charles Baily, Lucy Johnson and Jon Wilson, Newmarket House, Norwich, UK
Background
The goal of this workshop is to discuss the application of a recovery-orientated approach to the treatment
of anorexia nervosa (AN). The “recovery” model is becoming increasingly in uential in mental health treatment and policy, presenting an alternative to primarily symptom-focused interventions. However, application of recovery principles to AN treatment remains limited.
Method
This workshop is divided into four sections:
principles of a recovery-orientated approach; generating a recovery culture in an eating disorders service; interventions to promote recovery goals,
and assessment of recovery outcomes. After each section, 10 - 15 minutes will be allocated to interactive activities, Q & A, and discussion.
Results
Participants will be introduced to multiple facets of the recovery-orientated approach at Newmarket House,
a residential eating disorders service. Interventions targeting the recovery processes of nding hope, developing identity, assuming responsibility, and building a meaningful life will be discussed in detail.
Discussion
The following ideas will be explored: synthesising biomedical and recovery-orientated treatment approaches, instituting a recovery-orientated approach programmatically, and expanding outcome assessment to include recovery dimensions.
WORKSHOP ABSTRACTS
11AM – 12.30PM > SATURDAY 19 MARCH 2016
WORKSHOP 4.1
Logan Hall
THE FREED (FIRST EPISODE AND RAPID EARLY INTERVENTION FOR EATING DISORDERS) PROJECT: A NOVEL EARLY INTERVENTION SERVICE FOR YOUNG ADULTS
> Prof Ulrike Schmidt1,2, Dr Amy Brown1,2, Danielle Glennon1,2 and Dr Vicky Mountford1,2, 1South London and Maudsley NHS Foundation Trust, UK and 2King’s College London, UK
Eating disorders (ED) predominantly affect adolescents and young adults. Untreated symptoms have lasting effects on brain, body and behaviour. Evidence supports the need for effective intervention in early- stage illness. However, service-related barriers often prevent the early detection and treatment of ED. The aim of this interactive workshop is to describe our experience with setting up and running FREED (First Episode Rapid Early Intervention for ED), a novel service for young people (aged 18-25) with recent eating disorder onset (< 3 years), embedded in a specialist adult National Health Service (NHS) ED service. We will describe the rationale, the service
model and practicalities of setting up and running this service. We will also present data on the feasibility, acceptability and clinical outcomes of FREED and
its impact on duration of untreated eating disorder (DUED) and on wait-times for assessment and treatment. We will discuss with participants how this model might apply to different services and settings.
WORKSHOP 4.2
Elvin Hall
FOOD FOR THOUGHT: COGNITIVE BEHAVIOURAL THERAPY FOR THE EATING DISORDERS
> Prof Glenn Waller, Department of Psychology, University of Shef eld, Shef eld, UK
This session will brie y review the evidence that cognitive behavioural therapy (CBT) should be the rst choice of treatment for adults with eating disorders (and a viable alternate choice for some younger cases). It will contrast that evidence with the fact that few clinicians use CBT for eating disorders, and that many who do use it do not use all the necessary elements, and will consider why that is so.
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Thereafter, the session will outline three key elements that are necessary to make evidence-based CBT work in routine clinical practice - therapeutic stance, the principles of CBT, and the necessary techniques. It will stress the need to centre what we do on recovery goals, and to address the central ‘broken cognition’ in eating disorders.
The session will end with a Q&A session, where attendees’ questions will be addressed.
WORKSHOP 4.3
Drama studio
PRACTICAL MEALTIME SKILLS AND EMOTIONAL TOOLS FOR PARENTS OF CHILDREN AND ADOLESCENTS
> Eva Musby, Parent, author of a parents’ book, Scotland, UK; www.evamusby.co.uk
Principles and some practice (not compulsory!)
to vastly increase your resilience and compassion, communicate mindfully and tune up your skills in supporting your child through meals and other challenges. This session will also be helpful to clinicians. I am a parent, I write for parents, and I use principles inspired from mindfulness, non-violent communication, and family-based treatment.
WORKSHOP 4.4
Nunn Hall
DIALECTICAL BEHAVIOR THERAPY FOR BORDERLINE PATIENTS SUFFERING FROM ANOREXIA NERVOSA BINGE/PURGE SUBTYPE
> Dr Fragiskos Gonidakis, Dafni Karapavlou, Efstathia Liakopoulou and Aimilia Tsertou, Eating Disorders Unit, 1st Department of Psychiatry, Athens University, Medical School, Athens, Greece
Dialectical behaviour therapy (DBT) is a treatment speci cally designed to treat patients suffering from borderline personality disorder (BPD). Considering eating disorders (ED), DBT has been found to be effective for patients suffering from bulimia nervosa and binge eating disorder. According to DBT, ED symptomatology such as bingeing and purging is treated as a pathological way to achieve emotional regulation. There is also evidence that an adaptation of DBT for anorexia nervosa (AN) based on the skill
of “radical openness” can be effective especially for the restrictive type of the disorder where excessive control of the emotion is one of the main pathological mechanisms. There is still no speci c DBT model for BPD patients suffering from AN binge/purge subtype.
An intervention model for BPD patients suffering from AN binge/purge type is presented. The model
consists of standard DBT therapy for BPD, behavioural interventions for weight and nutritional restoration and intensi ed mindfulness techniques for eating without bingeing. The model has been used clinically for the last three years and its ef cacy is currently under study.
WORKSHOP 4.5
Clarke Hall
OXYMORON: DYNAMIC PSYCHOTHERAPY IN COMPULSORY TREATMENT: WORKING ALLIANCE AND THERAPY
> Inbar Sharav-Ifergan and Prof Eytan Bachar,
The Hebrew University Hadassah Medical Center, Jerusalem, Israel
Forming alliance with adult anorexia nervosa
patients who refuse psychotherapy in compulsory hospitalisation is an oxymoron. Psychodynamic treatment requires trust relationships. In compulsory treatment the patient is supposed to trust the very therapist who locks her up in the hospital. We suggest that this oxymoron may be resolved by using an “experience-near” therapeutic stance, as put forward by self-psychology. Respecting the personal signi cance of symptoms, and the legitimacy of the emotional resistance to coercion, will help separate the therapy from the feeling of coercion.
When life is threatened, there is an ethical dilemma between the right to autonomy and the obligation to save life. Coercion might save the body, but can we compel the soul to receive treatment? Psychodynamic understanding of the processes at treatment during an involuntary hospitalisation will be proposed,
and demonstrated, with some clinical vignettes. Empirical data will demonstrate the evidence basis for psychodynamic treatment of anorexia. We will suggest conceptualising the process of coercion as “holding” the body and the soul, using Winnicott’s terminology. Or as an act of “reclaiming” the withdrawn, lost patient back to life, using Alvarez’s.
WORKSHOP 4.6
Room 728
WRITTEN CASE FORMULATIONS IN THE TREATMENT OF ANOREXIA NERVOSA: EVIDENCE FOR THERAPEUTIC BENEFITS
> Dr Karina Allen1, Dr Claire Baillie1, Caitlin B O’Hara2, Tracey Wade3 and Prof Ulrike Schmidt2
1Eating Disorders Service, South London and Maudsley NHS Foundation Trust, London, UK, 2Section of
Eating Disorders, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, UK, 3School of Psychology, Flinders University, Adelaide, Australia
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