"I'm truly free from my eating disorder": Emerging adults' experiences of FREED, an early intervention service model and care pathway for eating disorders.
Anorexia nervosa
Binge eating disorder
Bulimia nervosa
Early intervention
Eating disorders
Journal
Journal of eating disorders
ISSN: 2050-2974
Titre abrégé: J Eat Disord
Pays: England
ID NLM: 101610672
Informations de publication
Date de publication:
06 Jan 2021
06 Jan 2021
Historique:
received:
13
10
2020
accepted:
29
11
2020
entrez:
7
1
2021
pubmed:
8
1
2021
medline:
8
1
2021
Statut:
epublish
Résumé
Eating disorders (EDs) typically start during adolescence or emerging adulthood, periods of intense biopsychosocial development. FREED (First Episode Rapid Early Intervention for EDs) is a service model and care pathway providing rapid access to developmentally-informed care for emerging adults with EDs. FREED is associated with reduced duration of untreated eating disorder and improved clinical outcomes, but patients' experiences of treatment have yet to be assessed. This study aimed to assess emerging adults' experiences of receiving treatment through FREED. This study triangulated qualitative data on participants' experiences of FREED treatment from questionnaires and semi-structured interviews. Participants were 106 emerging adults (aged 16-25; illness duration < 3 yrs) (questionnaire only = 92; interview only = 6; both = 8). Data were analysed thematically. Most participants reported psychological and behavioural changes over the course of treatment (e.g. reduction in symptoms; increased acceptance and understanding of difficulties). Participants identified five beneficial characteristics of FREED treatment: i) rapid access to treatment; ii) knowledgeable and concerned clinicians; iii) focusing on life beyond the eating disorder; iv) building a support network; v) becoming your own therapist. This study provides further supports for the implementation of early intervention and developmentally-informed care for EDs. Future service model development should include efforts to increase early help-seeking.
Sections du résumé
BACKGROUND
BACKGROUND
Eating disorders (EDs) typically start during adolescence or emerging adulthood, periods of intense biopsychosocial development. FREED (First Episode Rapid Early Intervention for EDs) is a service model and care pathway providing rapid access to developmentally-informed care for emerging adults with EDs. FREED is associated with reduced duration of untreated eating disorder and improved clinical outcomes, but patients' experiences of treatment have yet to be assessed.
OBJECTIVE
OBJECTIVE
This study aimed to assess emerging adults' experiences of receiving treatment through FREED.
METHOD
METHODS
This study triangulated qualitative data on participants' experiences of FREED treatment from questionnaires and semi-structured interviews. Participants were 106 emerging adults (aged 16-25; illness duration < 3 yrs) (questionnaire only = 92; interview only = 6; both = 8). Data were analysed thematically.
RESULTS
RESULTS
Most participants reported psychological and behavioural changes over the course of treatment (e.g. reduction in symptoms; increased acceptance and understanding of difficulties). Participants identified five beneficial characteristics of FREED treatment: i) rapid access to treatment; ii) knowledgeable and concerned clinicians; iii) focusing on life beyond the eating disorder; iv) building a support network; v) becoming your own therapist.
CONCLUSION
CONCLUSIONS
This study provides further supports for the implementation of early intervention and developmentally-informed care for EDs. Future service model development should include efforts to increase early help-seeking.
Identifiants
pubmed: 33407906
doi: 10.1186/s40337-020-00354-9
pii: 10.1186/s40337-020-00354-9
pmc: PMC7789709
doi:
Types de publication
Journal Article
Langues
eng
Pagination
3Références
Am Psychol. 2000 May;55(5):469-80
pubmed: 10842426
Eur Eat Disord Rev. 2012 Mar;20(2):89-93
pubmed: 21913286
Health Serv Res. 1999 Dec;34(5 Pt 2):1189-208
pubmed: 10591279
Lancet Psychiatry. 2014 Dec;1(7):559-68
pubmed: 26361315
Early Interv Psychiatry. 2018 Apr;12(2):250-257
pubmed: 27619198
Am J Clin Nutr. 2019 May 1;109(5):1402-1413
pubmed: 31051507
J Am Coll Health. 2011;59(8):700-7
pubmed: 21950250
Eur Eat Disord Rev. 2020 Oct 28;:
pubmed: 33112472
J Can Acad Child Adolesc Psychiatry. 2018 Jan;27(1):50-61
pubmed: 29375633
Eur Eat Disord Rev. 2018 Mar;26(2):129-140
pubmed: 29460477
Eur Eat Disord Rev. 2008 Jan;16(1):30-6
pubmed: 17910032
J Adolesc Health. 2019 Feb;64(2):165-171
pubmed: 30509766
Int J Eat Disord. 2019 Jul;52(7):795-800
pubmed: 30874327
Psychol Med. 2011 Feb;41(2):407-17
pubmed: 20406523
Front Psychol. 2020 Jan 31;10:3062
pubmed: 32082210
Eat Disord. 2015;23(2):99-114
pubmed: 25330409
Early Interv Psychiatry. 2020 Feb;14(1):137-141
pubmed: 31617325
Front Psychol. 2018 Jun 04;9:816
pubmed: 29915548
BMJ. 2015 Mar 19;350:h1258
pubmed: 25791983
Int J Eat Disord. 2017 Apr;50(4):323-340
pubmed: 28152196
Int J Eat Disord. 2015 Nov;48(7):946-71
pubmed: 26171853
BJPsych Open. 2020 Apr 06;6(3):e37
pubmed: 32248870
J Eat Disord. 2020 Sep 3;8:46
pubmed: 32905371
Int J Eat Disord. 2016 Apr;49(4):374-7
pubmed: 27084796
Biol Psychiatry. 2013 May 1;73(9):904-14
pubmed: 23290497
Issues Ment Health Nurs. 2015 Mar;36(3):182-9
pubmed: 25897969
Early Interv Psychiatry. 2020 Oct;14(5):625-630
pubmed: 32064736
Qual Health Res. 2018 Jan;28(2):259-272
pubmed: 29039239
Br J Psychiatry. 2005 Nov;187:398-400
pubmed: 16260812
Int J Eat Disord. 2015 Nov;48(7):845-50
pubmed: 25809026
BJPsych Open. 2019 Jan;5(1):e6
pubmed: 30762506
BMJ Open. 2013 May 28;3(5):
pubmed: 23793681
Child Adolesc Psychiatry Ment Health. 2018 Aug 7;12:41
pubmed: 30093915
Eat Disord. 2013;21(1):1-15
pubmed: 23241086
Biol Psychiatry. 2007 Feb 1;61(3):348-58
pubmed: 16815322
Eur Eat Disord Rev. 2020 Jun 23;:
pubmed: 32578311