Embracing a different outlook: Strengths and goals of individuals currently in treatment for anorexia nervosa.
Anorexia nervosa
Eating disorders
Goals
Personal recovery
Positive psychology
Recovery
Strengths
Journal
Eating and weight disorders : EWD
ISSN: 1590-1262
Titre abrégé: Eat Weight Disord
Pays: Germany
ID NLM: 9707113
Informations de publication
Date de publication:
02 Oct 2024
02 Oct 2024
Historique:
received:
22
04
2024
accepted:
30
08
2024
medline:
3
10
2024
pubmed:
3
10
2024
entrez:
2
10
2024
Statut:
epublish
Résumé
Developing personal goals beyond weight and shape, and promoting the agency to pursue those goals, could aid in treatment and recovery from anorexia nervosa (AN). This research explores the strengths, interests and goals of individuals currently receiving treatment for AN and evaluates how treatment services are supporting them to work towards personal goals across all areas of everyday life. A total of 58 community-dwelling adults currently receiving treatment for anorexia nervosa at any stage of recovery completed the Client Assessment of Strengths, Interests and Goals Self-Report (CASIG-SR). Participants reported their goals for accommodation, work and study, interpersonal relationships, recreational activities, spirituality, religion or life purpose, physical health and mental health, and the personal strengths and supports needed to achieve those goals. Concordance scores were calculated between importance of personal goals and level of support from current services regarding these goals. Themes identified across goals, strengths and supports were Connection, Independence & Confidence, Meaning & Self: The Real Me, and Stability & Balance. Work and study goals and strengths were identified strongly. The key support needed was stability from the current treatment team to provide a stable base for change. Concordance scores indicate support provided for personal goals was less than the importance of the goal to the individual. Results suggest goals for everyday living are critical to recovery in anorexia nervosa. Specific clinical considerations to increase motivation and hope are increased access to peer support, a focus on increasing positive affect, supporting safe exercise and promoting outdoor experiences and connection with nature. Evidence obtained from well-designed cohort or case-control analytic studies.
Identifiants
pubmed: 39358628
doi: 10.1007/s40519-024-01689-x
pii: 10.1007/s40519-024-01689-x
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
63Informations de copyright
© 2024. The Author(s).
Références
Cass K, McGuire C, Bjork I, Sobotka N, Walsh K, Mehler PS (2020) Medical complications of anorexia nervosa. Psychosomatics 61(6):625–631
pubmed: 32778424
doi: 10.1016/j.psym.2020.06.020
Kan C, Hawkings Y-R, Cribben H, Treasure J (2021) Length of stay for anorexia nervosa: systematic review and meta-analysis. Eur Eat Disord Rev 29(3):371–392
pubmed: 33548148
doi: 10.1002/erv.2820
Hay PJ, Touyz S, Sud R (2012) Treatment for severe and enduring anorexia nervosa: a review. Aust N Z J Psychiatry 46(12):1136–1144
pubmed: 22696548
doi: 10.1177/0004867412450469
Tchanturia K, Hambrook D, Curtis H, Jones T, Lounes N, Fenn K et al (2013) Work and social adjustment in patients with anorexia nervosa. Compr Psychiatry 54(1):41–45
pubmed: 22534033
doi: 10.1016/j.comppsych.2012.03.014
Hay PJ, Cho K (2013) A qualitative exploration of influences on the process of recovery from personal written accounts of people with anorexia nervosa. Women Health 53(7):730–740
pubmed: 24093452
doi: 10.1080/03630242.2013.821694
Irving LM, Cannon R (2000) Chapter 14 - Starving for Hope: Goals, Agency, and Pathways in the Development and Treatment of Eating Disorders. In: Snyder CR (ed) Handbook of Hope. Academic Press, San Diego, pp 261–283
doi: 10.1016/B978-012654050-5/50016-6
Mitchison D, Dawson L, Hand L, Mond J, Hay P (2016) Quality of life as a vulnerability and recovery factor in eating disorders: a community-based study. BMC Psychiatry. 16:328
pubmed: 27724943
pmcid: 5057465
doi: 10.1186/s12888-016-1033-0
Dawson L, Rhodes P, Touyz S (2015) Defining recovery from anorexia nervosa: a Delphi study to determine expert practitioners’ views. Adv Eating Disorders 3(2):165–176
doi: 10.1080/21662630.2015.1009145
Couturier J, Lock J (2006) What is recovery in adolescent anorexia nervosa? Int J Eat Disord 39(7):550–555
pubmed: 16791851
doi: 10.1002/eat.20309
Bardone-Cone AM, Hunt RA, Watson HJ (2018) An overview of conceptualizations of eating disorder recovery, recent findings, and future directions. Curr Psychiatry Rep 20(9):79
pubmed: 30094740
doi: 10.1007/s11920-018-0932-9
Hay P, Chinn D, Forbes D, Madden S, Newton R, Sugenor L et al (2014) Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for the treatment of eating disorders. Aust N Z J Psychiatry 48(11):977–1008
pubmed: 25351912
doi: 10.1177/0004867414555814
Anthony WA (1993) Recovery from mental illness: the guiding vision of the mental health service system in the 1990s. Psychosoc Rehab J 16(4):11
Tchanturia K, Doris E, Mountford V, Fleming C (2015) Cognitive Remediation and Emotion Skills Training (CREST) for anorexia nervosa in individual format: Self-reported outcomes. BMC Psychiatry 15:53
pubmed: 25884480
pmcid: 4377046
doi: 10.1186/s12888-015-0434-9
Tchanturia K, Baillie C (2015) Recovery/discovery oriented group. Routledge, Brief Group Psychotherapy for Eating Disorders, pp 184–217
Enrique A, Bretón-López J, Molinari G, Llorca G, Botella C (2021) Implementation of a positive psychology group program in an inpatient eating disorders service: a pilot study. Eat Weight Disorders 26(2):679–688
doi: 10.1007/s40519-020-00908-5
Harrison A, Al-Khairulla H, Kikoler M (2016) The feasibility, acceptability and possible benefit of a positive psychology intervention group in an adolescent inpatient eating disorder service. J Pos Psychol. 11(5):449–459
doi: 10.1080/17439760.2015.1117125
Dann KM, Hay P, Touyz S (2022) Everyday flexibility and functional milestones in anorexia nervosa: survey results from a mixed community sample. Eat Weight Disorders 27(5):1641–1650
doi: 10.1007/s40519-021-01300-7
Duckworth AL, Steen TA, Seligman MEP (2005) Positive psychology in clinical practice. Annu Rev Clin Psychol 1(1):629–651
pubmed: 17716102
doi: 10.1146/annurev.clinpsy.1.102803.144154
Bird VJ, Le Boutillier C, Leamy M, Larsen J, Oades LG, Williams J et al (2012) Assessing the strengths of mental health consumers: a systematic review. Psychol Assess 24(4):1024
pubmed: 22708573
doi: 10.1037/a0028983
Wallace CJ, Lecomte T, Wilde J, Liberman RP (2001) CASIG: A consumer-centered assessment for planning individualized treatment and evaluating program outcomes. Schizophr Res 50(1–2):105–119
pubmed: 11378319
doi: 10.1016/S0920-9964(00)00068-2
Comtois G, Morin C, Lesage A, Lalonde P et al (1998) Patients versus rehabilitation practitioners: a comparison of assessments of needs for care. Can J Psychiatry. 43(2):159–65
pubmed: 9533969
doi: 10.1177/070674379804300205
Lecomte T, Wallace CJ, Caron J, Perreault M, Lecomte J (2004) Further validation of the Client Assessment of Strengths Interests and Goals. Schizophr Res 66(1):59–70
pubmed: 14693353
doi: 10.1016/S0920-9964(02)00496-6
Drisko JW, Maschi T (2015) Basic content analysis. Content Analys 2015:21–56
doi: 10.1093/acprof:oso/9780190215491.003.0002
IBM SPSS Statistics for Windows (Version 28.0) [Computer software]. IBM Corp. 2020.
Markus H, Nurius P (1986) Possible selves. Am Psychol 41(9):954
doi: 10.1037/0003-066X.41.9.954
Tan EJ, Cistullo L, Castle DJ, Rossell SL, Jenkins ZM, Phillipou A (2022) Depression, perceived disability and unemployment are associated with reduced life satisfaction in anorexia nervosa. Eat Disord 30(3):323–330
pubmed: 33135579
doi: 10.1080/10640266.2020.1836890
Barakat S, McLean SA, Bryant E, Le A, Marks P, Aouad P et al (2023) Risk factors for eating disorders: findings from a rapid review. J Eat Disord 11(1):8
pubmed: 36650572
pmcid: 9847054
doi: 10.1186/s40337-022-00717-4
Hower H, Reilly EE, Wierenga CE, Kaye WH (2021) Last word: a call to view temperamental traits as dual vulnerabilities and strengths in anorexia nervosa. Eat Disord 29(2):151–160
doi: 10.1080/10640266.2021.1883882
Siegel JA, Sawyer KB (2018) Eating disorders in the workplace: a qualitative investigation of women’s experiences. Psychol Women Q 43(1):37–58
doi: 10.1177/0361684318812475
Conti JE, Joyce C, Hay P, Meade T (2020) “Finding my own identity”: a qualitative metasynthesis of adult anorexia nervosa treatment experiences. BMC Psychol 8(1):110
pubmed: 33092638
pmcid: 7583290
doi: 10.1186/s40359-020-00476-4
Downs J, Ayton A, Collins L, Baker S, Missen H, Ibrahim A (2023) Untreatable or unable to treat? Creating more effective and accessible treatment for long-standing and severe eating disorders. Lancet Psychiatry 10(2):146–154
pubmed: 36697122
doi: 10.1016/S2215-0366(22)00400-X
Touyz S, Bryant E, Dann KM, Polivy J, Le Grange D, Hay P et al (2023) What kind of illness is anorexia nervosa? Revisited: some preliminary thoughts to finding a cure. J Eat Disord 11(1):221
pubmed: 38082362
pmcid: 10714619
doi: 10.1186/s40337-023-00944-3
Leamy M, Bird V, Boutillier CL, Williams J, Slade M (2011) Conceptual framework for personal recovery in mental health: systematic review and narrative synthesis. Br J Psychiatry 199(6):445–452
pubmed: 22130746
doi: 10.1192/bjp.bp.110.083733
Wetzler S, Hackmann C, Peryer G, Clayman K, Friedman D, Saffran K et al (2020) A framework to conceptualize personal recovery from eating disorders: a systematic review and qualitative meta-synthesis of perspectives from individuals with lived experience. Int J Eat Disord 53(8):1188–1203
pubmed: 32181532
doi: 10.1002/eat.23260
van Rensburg MGJ (2021) Transformative eating disorder research: qualitative research considerations. J Eat Disord 9(1):1–2
Bryant E, Touyz S, Maguire S (2023) Public perceptions of people with eating disorders: commentary on results from the 2022 Australian national survey of mental health-related stigma and discrimination. J Eat Disord 11(1):62
pubmed: 37062849
pmcid: 10108519
doi: 10.1186/s40337-023-00786-z
Geller J, Fernandes A, Srikameswaran S, Pullmer R, Marshall S (2021) The power of feeling seen: perspectives of individuals with eating disorders on receiving validation. J Eat Disord 9(1):149
pubmed: 34749802
pmcid: 8576949
doi: 10.1186/s40337-021-00500-x
Rankin R, Conti J, Touyz S, Arcelus J, Meyer C, Hay P (2023) Dancing with change: a qualitative exploration of in-session motivation to change in the treatment of anorexia nervosa. Aust Psychol 58(2):119–130
doi: 10.1080/00050067.2022.2151338
Hallett E, Simeon E, Amba V, Howington D, McConnell J, Zhu JM (2023) Factors influencing turnover and attrition in the public behavioral health system workforce: qualitative study. Psychiatr Serv. 75(1):55–63
pubmed: 37386878
pmcid: 10756926
doi: 10.1176/appi.ps.20220516
Graybeal C (2001) Strengths-based social work assessment: transforming the dominant paradigm. Fam Soc 82(3):233–242
doi: 10.1606/1044-3894.236
Dawson L, Rhodes P, Touyz S (2014) The recovery model and anorexia nervosa. Aust N Z J Psychiatry 48(11):1009–1016
pubmed: 24927735
doi: 10.1177/0004867414539398
Babb C, Jones CRG, Fox JRE (2022) Investigating service users’ perspectives of eating disorder services: A meta-synthesis. Clin Psychol Psychother 29(4):1276–1296
pubmed: 35141970
pmcid: 9546143
doi: 10.1002/cpp.2723
Ramjan LM, Fogarty S, Nicholls D, Hay P (2018) Instilling hope for a brighter future: a mixed-method mentoring support programme for individuals with and recovered from anorexia nervosa. J Clin Nurs 27(5–6):e845–e857
pubmed: 29193481
Toutain M, Gauthier A, Leconte P (2022) Exercise therapy in the treatment of anorexia nervosa: Its effects depending on the type of physical exercise—a systematic review. Frontiers in Psychiatry. 13:1
doi: 10.3389/fpsyt.2022.939856
Mathisen TF, Hay P, Bratland-Sanda S (2023) How to address physical activity and exercise during treatment from eating disorders: a scoping review. Curr Opin Psychiatry 36(6):427–437
pubmed: 37435847
pmcid: 10552818
doi: 10.1097/YCO.0000000000000892
Cook BJ, Wonderlich SA, Mitchell JE, Thompson R, Sherman R, McCallum K (2016) Exercise in eating disorders treatment: systematic review and proposal of guidelines. Med Sci Sports Exerc 48(7):1408–1414
pubmed: 26909533
pmcid: 4911228
doi: 10.1249/MSS.0000000000000912
Trangsrud LKJ, Borg M, Bratland-Sanda S, Klevan T (2022) Shifting the eating disorder into the background—Friluftsliv as facilitating supportive strategies in everyday life recovery. J Adv Educ Outdoor Learn 22(2):165–179
doi: 10.1080/14729679.2021.1894954
Vazquez C. What does positivity add to psychopathology? An Introduction to the Special Issue on ‘Positive Emotions and Cognitions in Clinical Psychology’. Cogn Ther Res. 2017;41(3):325–34.
Santos BM, Haynos AF (2023) Difficulties with positive emotion regulation in anorexia nervosa. Eur Eat Disord Rev 31(4):520–528
pubmed: 36854860
pmcid: 10239315
doi: 10.1002/erv.2973
Potterton R, Richards K, Allen K, Schmidt U (2020) Eating disorders during emerging adulthood: a systematic scoping review. Front Psychol 10:1
doi: 10.3389/fpsyg.2019.03062
Treasure J, Stein D, Maguire S (2015) Has the time come for a staging model to map the course of eating disorders from high risk to severe enduring illness? An examination of the evidence. Early Interv Psychiatry 9(3):173–184
pubmed: 25263388
doi: 10.1111/eip.12170
Tchanturia K, Dapelo MAM, Harrison A, Hambrook D (2014) Why study positive emotions in the context of eating disorders? Curr Psychiatry Rep 17(1):537
doi: 10.1007/s11920-014-0537-x