Daniela Mercado

ORCID: 0000-0003-1319-8362
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About
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Research Areas
  • Eating Disorders and Behaviors
  • Mindfulness and Compassion Interventions
  • Impact of Technology on Adolescents
  • Body Image and Dysmorphia Studies
  • Obsessive-Compulsive Spectrum Disorders
  • Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Behavioral Health and Interventions
  • Cardiac Health and Mental Health
  • Obesity, Physical Activity, Diet
  • Sleep and related disorders
  • Mental Health and Patient Involvement
  • Mind wandering and attention
  • COVID-19 and Mental Health
  • Mobile Health and mHealth Applications
  • Health Policy Implementation Science
  • Health and Medical Studies
  • Child Nutrition and Feeding Issues
  • Diet and metabolism studies
  • Digital Mental Health Interventions

King's College London
2019-2025

University of Freiburg
2019

Treatment outcomes in anorexia nervosa (AN) remain suboptimal, evidencing the need for better and more targeted treatments. Whilst aetiology of AN is complex, cognitive processes such as attention bias (AB) have been proposed to contribute maintaining food restriction behaviour. Attention modification raining (ABMT) has investigated other eating disorders (EDs) binge disorder (BED) a means modifying AB changing Promising findings reported, but mechanisms underlying ABMT are poorly...

10.1186/s40337-019-0276-9 article EN cc-by Journal of Eating Disorders 2020-01-06

Abstract Objective Attention processing for food may be biased in people with Anorexia Nervosa (AN). However, previous studies have had inconsistent results. This is likely to due indirect assessment of attention, which does not inform on the underlying attention processes, and/or heterogeneity participants across studies, testing either adults or adolescents AN, that is, at very different developmental and illness stages. Method Eye‐tracking was employed as a direct during visual probe task...

10.1002/eat.23064 article EN International Journal of Eating Disorders 2019-03-26

Background A substantial proportion of anorexia nervosa patients require intensive treatments, commonly inpatient or day-patient treatment. The relative merits these treatments for adults with are unknown. Therefore, a trial investigating the clinical effectiveness and cost-effectiveness treatment-as-usual versus stepped-care approach in (DAISIES) was commissioned. This terminated prematurely due to poor recruitment, mainly resulting from COVID-19’s impact on service provision. Objective We...

10.3310/ftjp6744 article EN publisher-specific-oa Health Technology Assessment 2025-02-01

Abstract Background Admissions to intensive treatment (i.e., inpatient [IP] and/or day patient [DP]) for individuals with severe anorexia nervosa (AN) are common. Growing literature indicates potential risks and benefits of each approach; however, existing research has focused on carer perspectives these treatments. Also, there is scant empirical evidence available guiding the parameters treatments AN. We therefore explored clinicians’ experience supporting adults AN in settings. Methods...

10.1186/s40337-021-00528-z article EN cc-by Journal of Eating Disorders 2022-01-06

Abstract Background In a feasibility randomised controlled trial in people with overweight/obesity and without binge eating disorder (BED) symptoms, we assessed eight weekly sessions of attention bias modification training (ABMT) mindfulness (MT) versus waiting list (WL) explored potential mechanisms. Methods 45 participants were randomly allocated to one three arms. Primary outcomes recruitment, retention treatment adherence rates. Secondary included measures behaviour, mood, acceptability....

10.1186/s40337-023-00780-5 article EN cc-by Journal of Eating Disorders 2023-04-12

Abstract Objective The DAISIES trial, comparing inpatient and stepped‐care day patient treatment for adults with severe anorexia nervosa was prematurely terminated in March 2022 due to poor recruitment. This qualitative study seeks understand the difficulties faced during trial by investigating stakeholders' views on experiences of its implementation. Method Semi‐structured interview focus group transcripts, management oversight meeting minutes from May 2020‐June were analysed using thematic...

10.1002/erv.2975 article EN cc-by European Eating Disorders Review 2023-03-23

Abstract Background The COVID-19 pandemic has significantly affected intensive treatment settings (i.e., inpatient [IP] and day patient [DP]) in specialist eating disorder services. However, the impact on clinicians working these services is largely unknown. We therefore explored perspectives of those supporting individuals with severe anorexia nervosa (AN) during pandemic. Methods Between May 2020 June 2021, we interviewed ( n = 21) who delivered IP and/or DP to patients AN four United...

10.1186/s40337-022-00555-4 article EN cc-by Journal of Eating Disorders 2022-02-24

Abstract Objective The relative merits of inpatient or day‐treatment for adults with anorexia nervosa (AN) are unknown. DAISIES trial aimed to establish the non‐inferiority a stepped‐care day patient treatment (DPT) approach versus as usual (IP‐TAU) improving body mass index (BMI) at 12 months in AN. was terminated due poor recruitment. This paper presents outcomes and investigates reasons behind trial's failure. Method Fifteen patients AN (of 53 approached) participated were followed‐up 6...

10.1002/erv.3058 article EN cc-by European Eating Disorders Review 2023-12-18

Abstract Background Obesity is a highly prevalent condition with multiple adverse health consequences. Widely available first-line treatments for obesity, such as dietary and other lifestyle interventions, typically have only short-term effects. Thus, new treatment approaches are needed. Novel interventions Attention Bias Modification Training (ABMT) mindfulness-based focus on modifying different maladaptive cognitive patterns present in people obesity (e.g. attention bias to food cues);...

10.1186/s13063-019-3932-0 article EN cc-by Trials 2020-01-10

Abstract Background: Obesity is a highly prevalent condition with multiple adverse health consequences. Widely available first-line treatments for obesity, such as dietary and other lifestyle interventions, typically have only short-term effects. Thus, new treatment approaches are needed. Novel interventions Attention Bias Modification Training (ABMT) Mindfulness Based Interventions focus on modifying different maladaptive cognitive patterns present in people obesity (e.g. attention bias to...

10.21203/rs.2.12512/v2 preprint EN cc-by Research Square (Research Square) 2019-11-15

Abstract Background Obesity is a highly prevalent condition with multiple adverse health consequences. Widely available first-line treatments for obesity such as dietary and other lifestyle changes typically achieve only short-term effects. Thus, new treatment approaches are needed. Novel interventions Attention Bias Modification Training (ABMT) Mindfulness Based Interventions focus on modifying different maladaptive cognitive patterns present in people (e.g. attention bias to food cues),...

10.21203/rs.2.12512/v1 preprint EN cc-by Research Square (Research Square) 2019-08-08

Abstract Background: Obesity is a highly prevalent condition with multiple adverse health consequences. Widely available first-line treatments for obesity, such as dietary and other lifestyle interventions, typically have only short-term effects. Thus, new treatment approaches are needed. Novel interventions Attention Bias Modification Training (ABMT) Mindfulness Based Interventions focus on modifying different maladaptive cognitive patterns present in people obesity (e.g. attention bias to...

10.21203/rs.2.12512/v3 preprint EN cc-by Research Square (Research Square) 2019-11-26

Abstract Background: In a feasibility randomised controlled trial (RCT) in people with overweight/obesity and without binge eating disorder (BED) symptoms, we assessed eight weekly sessions of attention bias modification training (ABMT) mindfulness (MT) versus waiting list (WL) explored potential mechanisms. Methods: 45 participants were randomly allocated to one three arms. Primary outcomes recruitment, retention treatment adherence rates. Secondary included measures behaviour, mood,...

10.21203/rs.3.rs-1899186/v1 preprint EN cc-by Research Square (Research Square) 2022-08-01
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