Publications by authors named "Treasure J"
Background: Research suggests that those caring for a loved one with an eating disorder in the UK report unmet needs and highlight areas for improvement. More research is needed to understand these experiences on a wider, national scale.
Aims: To disseminate a national survey for adults who had experience caring for a loved one with an eating disorder in the UK, informed by the findings of a smaller scale, qualitative study with parents, siblings and partners in the UK.
Studies suggest that there is a relationship between inflammatory diseases, inflammatory markers such as C-reactive protein (CRP) and psychiatric disorders. In eating disorders, cross-sectional studies have recently examined peripheral CRP levels in blood serum and plasma, which allow a comprehensive meta-analysis. This systematic review and meta-analysis examined studies from three databases, measuring CRP levels in people with eating disorders, following the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines.
View Article and Find Full Text PDFBackground/objectives: Like in the general population, the prevalences of eating- and weight-related health issues in the armed forces are increasing. Relevant medical conditions include the eating disorders (EDs) anorexia nervosa, bulimia nervosa, binge eating disorder, and avoidant restrictive food intake disorder (ARFID), as well as body dysmorphic disorder, muscle dysmorphia, and the relative energy deficiency in sport (RED-S) syndrome.
Methods: We performed a narrative literature review on eating- and weight-related disorders in the armed forces.
Article Synopsis
- Radiologic imaging is often used in children's hospitals to assist with diagnoses, but variations in how it's performed can lead to unnecessary costs and risks.
- A study analyzed inpatient pediatric conditions across 50 hospitals from 2017 to 2019, focusing on those with high imaging prevalence and costs, and found that conditions like pectus excavatum and scoliosis had the highest imaging rates.
- The findings indicated significant variations in imaging-related costs among hospitals, highlighting the need for improved guidelines to reduce overuse and improve care in pediatric imaging.
Article Synopsis
- Bulimia nervosa (BN) is a common psychiatric disorder that negatively impacts both the physical and mental health of those affected, with the role of fathers in this context being underexplored.* ! -
- A systematic review evaluated 2421 studies, narrowing them down to 29, to examine the psychosocial aspects of fathers of individuals with BN and their link to the children's outcomes.* ! -
- While no notable differences were identified in most psychological traits between fathers of BN sufferers and those in comparison groups, some father-specific factors were linked to increased risks of BN symptoms and poor treatment outcomes in their children, indicating the need for further research.* !
Background: Despite the availability of evidence-based treatments for anorexia nervosa (AN), remission rates are moderate, and mortality is high. Olanzapine is used as adjunct therapy for AN in case of insufficient response to first-line treatments, even though the evidence is limited. Its effect on eating disorder (ED) psychopathology, its efficacy and tolerability, and its acceptability and adherence rate are unclear.
View Article and Find Full Text PDFSeverity levels of anorexia nervosa and atypical anorexia nervosa in a Korean cohort.
Eur Eat Disord Rev
October 2024
Objective: Despite its potential for informing tailored treatments, the severity of eating disorders (EDs) lacks clear conceptualisation. The present retrospective cohort study examined the clinical validity and utility of severity specifiers for anorexia nervosa (AN) and atypical AN in a Korean population.
Method: Data from 696 Korean outpatients with AN or atypical AN were analysed.
Objective: We developed ECHOMANTRA, a digital guided intervention for patients with anorexia nervosa and their carers to provide support during transition from inpatient care to community settings. This study reports on participants' engagement with, and feedback of, ECHOMANTRA.
Method: Patients and carers (N = 184 dyads) were given access to ECHOMANTRA for 12 months.
Background: The OPEN feasibility trial testing olanzapine in anorexia nervosa (AN) in young people (YP) was not successful due to poor recruitment. This study aims to understand clinicians' views and experiences of using olanzapine in AN and the challenges in implementing the trial in National Health Service (NHS) clinical settings.
Methods: We conducted qualitative interviews with eating disorders (ED) clinicians involved with the study (n = 11).
Background: The accommodation of eating disorder (ED) behaviours by carers is one of the maintaining processes described in the cognitive interpersonal model of anorexia nervosa. This systematic scoping review aimed to explore studies examining accommodating and enabling behaviour, including how it impacts upon the carer's own mental health and the outcome of illness in their loved ones.
Methods And Results: In this systematic scoping review, five databases (PubMed, Web of Science, MEDLINE, PsycInfo, CINAHL) were searched for studies measuring accommodating and enabling behaviour in carers of people with EDs.
Purpose Of Review: Adult patients with severe anorexia nervosa often receive the same unsuccessful treatment without changes regarding the setting, the therapies, or nutritional interventions.
Recent Findings: Settings where people with anorexia nervosa are treated include their general practitioner, an independent psychiatric practice, a community mental health team (CMHT), a specialized eating disorder outpatient service, eating disorder early intervention services, a highly intensive eating disorder outpatient or home treatment programme, eating disorder daycare, an inpatient eating disorder service, a general hospital or a general psychiatric hospital, or residential treatment. At a specialized eating disorder service, patients should be offered evidence-based psychotherapy for anorexia nervosa, dietary advice and physical health monitoring as a first step.
Background: There is uncertainty regarding how best to support patients with anorexia nervosa following inpatient or day care treatment. This study evaluated the impact of augmenting intensive treatment with a digital, guided, self-management intervention (ECHOMANTRA) for patients with anorexia nervosa and their carers.
Methods: In this pragmatic multicentre randomised controlled trial and economic evaluation, patients with a diagnosis of anorexia nervosa or atypical anorexia nervosa, aged 16+ and attending one of the 31 inpatient or day-patient services in the UK were randomised with one of their carers to receive ECHOMANTRA plus treatment as usual (TAU), or TAU alone.
Objectives: The current study aimed to investigate the impact of oxytocin on emotion recognition, trust, body image, affect, and anxiety and whether eating disorder (ED) symptoms moderated any of these relationships.
Method: Participants (n = 149) were female university students, who were randomly allocated to receive in a double-blind nature, a single dose of oxytocin intranasal spray (n = 76) or a placebo (saline) intranasal spray (n = 73). Participants were asked to complete an experimental measure of emotion recognition and an investor task aimed to assess trust.
Article Synopsis
- Anorexia nervosa (AN) is a serious eating disorder that can make life really difficult for those who have it and can be expensive for healthcare systems.
- A study looked at different ways to improve care for adults who are newly diagnosed with AN in countries like England, Germany, and Spain.
- The study found that faster and better treatment options helped patients a lot and could save healthcare costs by more than 50%.
Background: Adults with anorexia nervosa experience high levels of relapse following in-patient treatment. ECHOMANTRA is a novel online aftercare intervention for patients and carers, which provides psychoeducation and support to augment usual care.
Aims: To explore patient and carer experiences of receiving the ECHOMANTRA intervention.
Aims And Method: In response to recommendations for improving the quality and coordination of care delivered by eating disorder services, a whole-team training programme was commissioned by Health Education England in 2020. This paper describes the development and evaluation of the Eating Disorder Services for Adults (EDSA) whole-team training course, delivered to National Health Service adult eating disorder community teams in England. Course participants ( = 561) in the first two EDSA training cohorts (2021 and 2022) were asked to complete questionnaires at intake and after each session, asking about their views on the training.
View Article and Find Full Text PDFImportance: Most children's hospitals have adopted weight-based high-flow nasal cannula (HFNC) bronchiolitis protocols for use outside of the intensive care unit (ICU) setting. Whether these protocols are achieving their goal of reducing bronchiolitis-related ICU admissions remains unknown.
Objective: To measure the association between hospital transition to weight-based non-ICU HFNC use and subsequent ICU admission.
While individuals with Bulimia Nervosa (BN) and Binge Eating Disorder (BED) often present with a higher rate of Alcohol Use Disorder (AUD) than the general population, it is unclear whether this extends to AN. This cross-sectional study examined differences in alcohol-related behaviours, measured using the Alcohol Use Identification Test (AUDIT), between AN participants ( = 58), recovered AN (rec-AN) participants ( = 25), and healthy controls ( = 57). Statistical models controlled for age and ethnicity.
View Article and Find Full Text PDFArticle Synopsis
- The study assessed the impact of cognitive bias modification for interpretation (CBM-I) training on 63 Korean women with eating disorders, comparing an intervention group to a control group.
- Results showed that the intervention group had significant reductions in negative interpretation bias and emotion dysregulation, and these improvements were sustained during follow-up assessments.
- The findings indicate that CBM-I could be a beneficial additional treatment for women with bulimia nervosa and anorexia nervosa, helping to manage their negative perceptions in social situations.
Background: Physical sequelae of anorexia nervosa (AN) include a marked reduction in whole brain volume and subcortical structures such as the hippocampus. Previous research has indicated aberrant levels of inflammatory markers and growth factors in AN, which in other populations have been shown to influence hippocampal integrity.
Methods: Here we investigated the influence of concentrations of two pro-inflammatory cytokines (tumor necrosis factor-alpha [TNF-] and interleukin-6 [IL-6]) and brain-derived neurotrophic factor (BDNF) on the whole hippocampal volume, as well as the volumes of three regions (the hippocampal body, head, and tail) and 18 subfields bilaterally.
Background: The ability to recognize one's own emotions is associated with one's ability to recognize others' emotions. Beyond the domain of emotion, however, the relationship between recognition of one's own internal states (interoception) and others' interoceptive states has not been investigated, either in the typical population or clinical groups with interoceptive difficulties (e.g.
View Article and Find Full Text PDFObjective: "Supporting Carers of Children and Adolescents with Eating Disorders in Austria" (SUCCEAT), a skills training for parents, delivered via workshops (WS) or online modules (ONL), has been proven to be effective in terms of parental distress, caregiver skills, and adolescents' outcome. This study examined the adherence to and the acceptability and feasibility of SUCCEAT.
Method: One-hundred parents (86% mothers) of adolescents with anorexia nervosa participated in the 8-week training.