A5058000615- Eating Disorders and Behaviors
- Obsessive-Compulsive Spectrum Disorders
- Child Nutrition and Feeding Issues
- Transcranial Magnetic Stimulation Studies
- Obesity, Physical Activity, Diet
- Impact of Technology on Adolescents
- Mental Health and Psychiatry
- Tattoo and Body Piercing Complications
- Health Literacy and Information Accessibility
- Mobile Health and mHealth Applications
- Text Readability and Simplification
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Empathy and Medical Education
- Adolescent and Pediatric Healthcare
- Body Image and Dysmorphia Studies
- Dental Education, Practice, Research
- Schizophrenia research and treatment
- Personality Traits and Psychology
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Psychosomatic Disorders and Their Treatments
- Fluoride Effects and Removal
- Behavioral Health and Interventions
- Workaholism, burnout, and well-being
- Heart Rate Variability and Autonomic Control
- Traumatic Brain Injury and Neurovascular Disturbances
King's College London
2018-2024
South London and Maudsley NHS Foundation Trust
2023
ARC Centre of Excellence in Cognition and its Disorders
2017
Macquarie University
2017
The University of Sydney
1963-2015
Abstract Background Duration of untreated eating disorder (DUED), that is, the time between illness onset and start first evidence‐based treatment, is a key outcome for early intervention. Internationally, reported DUED ranges from 2.5 to 6 years different disorders (EDs). To shorten DUED, we developed FREED (First Episode Rapid Early Intervention EDs), service model care pathway emerging adults with EDs. Here, assess impact on in multi‐centre study using quasi‐experimental design. Methods...
First Episode Rapid Early Intervention for Eating Disorders (FREED) is a service model and care pathway emerging adults aged 16 to 25-years with recent onset eating disorder (ED) of <3 years. A previous single-site study suggests that FREED significantly improves clinical outcomes compared treatment-as-usual (TAU). The present (FREED-Up) assessed the scalability FREED. multi-centre quasi-experimental pre-post design was used, comparing patient before after implementation in participating services.
Abstract This pilot study assesses the impact of FREED (First Episode Rapid Early Intervention for Eating Disorders [ED]), a novel transdiagnostic service emerging adults with recent ED onset, on clinical outcomes. Data were collected from 56 patients and 19 carers 12 months following enrolment. showed significant improvements in other symptoms across time. Carers also psychological improvements. For anorexia nervosa (AN) patients, body mass index (BMI) at initial assessment was similar to...
Abstract Background: Timely intervention is beneficial to the effectiveness of eating disorder (ED) treatment, but limited capacity within ED services means that these disorders are often not treated with sufficient speed. This service evaluation extends previous research into guided self-help (GSH) for adults bulimic spectrum EDs by assessing feasibility, acceptability, and preliminary virtually delivered GSH using videoconferencing. Method: Patients bulimia nervosa (BN), binge (BED) other...
Background Binge eating disorder (BED) is a common and disabling condition, typically presenting with multiple psychiatric obesity-related comorbidities. Evidence-based treatments are either resource-intensive (psychotherapies) or have side-effects (medications): these achieve remission in around 50% of cases. Novel needed. Aims This randomised sham-controlled trial aimed to assess feasibility, acceptability preliminary efficacy at-home, self-administered transcranial direct current...
Abstract 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 adults with EDs. associated reduced duration untreated eating disorder improved clinical outcomes, but patients’ experiences treatment have yet be assessed. Objective This study aimed assess adults’...
Evidence of impairment in explicit mentalizing people with schizophrenia has inspired interventions to improve awareness others' mental states these individuals. Less is known implicit schizophrenia, current findings mixed. We sought resolve previous inconsistencies using Heider & Simmel's (H&S) classic animation elicit spontaneous and examined relations between deliberative mentalizing.Forty-five outpatients 27 general-community controls completed two theory-of-mind (TOM) tasks then...
Abstract Rationale Psychotherapies for eating disorders (EDs) are routinely assessed using standardised patient‐reported outcome measures (PROMs). PROMs have been criticised their lack of patient centeredness and clinical utility. The Psychological Outcome Profiles (PSYCHLOPS) is an individualised PROM that allows patients to specify own outcomes. Aims (1) To validate the use PSYCHLOPS in ED treatment, (2) identify concerns beyond those measured by common PROMs. Methods Two hundred...
Early response to treatment has been shown be a predictor of later clinical outcomes in eating disorders (EDs). Specifically, early weight gain trajectories anorexia nervosa (AN) have predict higher rates remission inpatient treatment. However, no study has, as yet, examined this phenomenon within outpatient first episode cases AN or emerging adults.One hundred seven patients with AN, all between the ages 16 and 25 an illness duration < 3 years, received via rapid intervention (FREED)...
Background The First Episode Rapid Early Intervention for Eating Disorders (FREED) service model is associated with significant reductions in wait times and improved clinical outcomes emerging adults recent-onset eating disorders. An understanding of how FREED implemented a necessary precondition to enable an attribution these findings key components the model, namely wait-time targets care package. Aims This study evaluated fidelity during multicentre FREED-Up study. Method Participants...
Background: Binge eating disorder (BED) is a common and disabling condition, typically presenting with multiple psychiatric obesity-related comorbidities. Evidence-based treatments are either resource-intensive (psychotherapies) or have side-effects (medications): these achieve remission in ~50% of cases. Novel needed. We conducted randomised sham-controlled trial an at-home self-administered intervention involving the combined delivery transcranial direct current stimulation (tDCS)...
Background Binge eating disorder (BED) is a common and disabling problem associated with impaired cognitive control. Preliminary studies show that brain-directed treatments, including transcranial direct current stimulation (tDCS) attention bias modification training (ABMT), improve control alleviate symptoms of BED. When combined, tDCS may enhance the effects ABMT, vice versa, thereby improving treatment outcomes. Methods This protocol describes feasibility single-blind randomized...
Background: Timely intervention is beneficial to the effectiveness of eating disorder (ED) treatment, but limited capacity within ED services means that these disorders are often not treated with sufficient speed. This service evaluation extends previous research into guided self-help (GSH) for adults bulimic spectrum EDs by assessing uptake, completion, and clinical outcomes when using an innovative delivery method, i.e., videoconferencing.Methods: Patients bulimia nervosa (BN), binge (BED)...