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Evaluating services for patients with chronic anorexia nervosa
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Sullivan, Victoria (2003) Evaluating services for patients with chronic anorexia nervosa. DClinPsych thesis, University of Warwick.
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Official URL: http://webcat.warwick.ac.uk/record=b1667210~S15
Abstract
Around 20% of patients who develop anorexia nervosa will have an illness that
takes a chronic course, and has not resolved after 10 years or more. Treatment
approaches for these individuals tends to be overlooked in the research literature,
which has focused on attempts to identify who is likely to develop chronic anorexia
nervosa, rather than how-to most appropriately work with those who do. This paper
suggests that currently used treatment approaches should be evaluated, and the
results of such evaluations used to guide the design and implementation of new
interventions, tailored to the substantial needs of this patient group. The first study
examined the utility of five hypothesised prognostic factors in differentiating
patients with a mediun and long-term course of anorexia nervosa, and found that
high age of onset, and long duration of illness before treatment appeared to
differentiate the two groups. These factors may facilitate identification of these
patients at initial presentation, such that tailored treatments could be implemented at
this point. In the second study, patients with chronic anorexia nervosa were
interviewed to explore their experiences of helpful and unhelpful treatment, and
their recommendations for treatment. A thematic analysis was conducted on the
transcribed interviews. Identified themes suggested that helpful aspects of treatment
were characterised by collaborative, and normalising approaches, supportive contact
with other patients, and experienced and understanding clinicians. Unhelpful
treatments were characterised by frightening inpatient admissions, abnormal
treatment, competitive contact with other patients, and inexperienced or
disinterested clinicians. The implications of these results for future research and
treatment in this area are discussed.
Item Type: | Thesis (DClinPsych) | ||||
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Subjects: | R Medicine > RC Internal medicine | ||||
Library of Congress Subject Headings (LCSH): | Anorexia nervosa -- Treatment | ||||
Official Date: | May 2003 | ||||
Dates: |
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Institution: | University of Warwick | ||||
Theses Department: | Department of Psychology | ||||
Thesis Type: | DClinPsych | ||||
Publication Status: | Unpublished | ||||
Supervisor(s)/Advisor: | Phillips, W. (Wendy) ; Winston, Tony ; Meyer, Caroline | ||||
Description: | Completed in conjunction with Coventry University. School of Health and Social Sciences |
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Extent: | v, 79 p. | ||||
Language: | eng |
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