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  • 1
    In: Eating Disorders, Informa UK Limited, Vol. 29, No. 4 ( 2021-07-04), p. 390-407
    Type of Medium: Online Resource
    ISSN: 1064-0266 , 1532-530X
    Language: English
    Publisher: Informa UK Limited
    Publication Date: 2021
    detail.hit.zdb_id: 2021638-5
    SSG: 5,2
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  • 2
    Online Resource
    Online Resource
    Norsk psykologforening ; 2022
    In:  Tidsskrift for Norsk psykologforening Vol. 59, No. 5 ( 2022-5-1)
    In: Tidsskrift for Norsk psykologforening, Norsk psykologforening, Vol. 59, No. 5 ( 2022-5-1)
    Abstract: Few studies include siblings’ experiences with anorexia nervosa (AN). Aims: Describe patients’ and siblings’ retrospective views on how AN influenced their life in the acute phase of illness and at 4.5-years follow-up. Method: 34 former patients and 13 siblings that had participated in family-based inpatient treatment for AN completed questionnaires at follow-up. Results: Patients reported high, and siblings moderate, levels of negative influences of AN, including schoolwork, leisure, worries and conflicts in the family. The majority of siblings had been afraid their ill sibling would not recover, or die, from AN. However, most former patients and siblings replied that the illness also had provided valuable experiences. Recovery from AN at follow-up was associated with lower levels of negative influences on former patients’ and siblings’ lives. Implications: Knowledge on patients’ and siblings’ experiences is important to improve support and help them to cope with the illness and the resulting family distress. Keywords: anorexia nervosa, eating disorders, follow-up, siblings, influence of illness
    Type of Medium: Online Resource
    ISSN: 0332-6470 , 2703-9528
    URL: Issue
    Language: Unknown
    Publisher: Norsk psykologforening
    Publication Date: 2022
    SSG: 5,2
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  • 3
    In: Journal of Eating Disorders, Springer Science and Business Media LLC, Vol. 8, No. 1 ( 2020-12)
    Abstract: Recommended treatment for adolescent anorexia nervosa (AN) is usually family-based and an overarching treatment aim is to empower the parents to manage the difficult meals and aid their child toward recovery. While family-based treatment prioritize collaborating with the parents, understanding the young persons’ views on recovery is also important. Understanding the young person’s views and ideas is relevant as this may facilitate the therapeutic alliance and thus aid the therapeutic process. The purpose of the present study was to investigate the reflections of young persons with a lived experience of anorexia nervosa, and what factors they consider important for the recovery process. All participants had been provided with a family-based inpatient treatment program, a program inspired by the core features of outpatient family-based treatment. Methods Participants ( n  = 37) presented with an extensive treatment history, including outpatient and inpatient treatment for AN. Interview transcripts were analyzed by applying a predominantly inductive thematic approach to generate themes across participants. Results The qualitative analysis generated a thematic structure entailing three levels. The superordinate theme, “Recovery is a long and winding journey: recognizing the need for support and highlighting the need for action”, captured three main themes, “Realizing you have a problem”, “Being involved in important relationships”, and “Giving treatment a real chance”. Conclusions Our results demonstrated that although young persons with a lived experience of anorexia nervosa recognized the importance of support from others, they placed a distinctive emphasis on self-responsibility and determination. We recommend clinicians working within the recommended family-based treatment frameworks be curious about young patient’s subjective perspectives of the recovery process, as connecting with their views can potentially strengthen therapeutic relationships and facilitate change. Plain English summary Recommended treatment for adolescent anorexia nervosa is usually family-based. These recommendations are supported by decades of research. In family-based treatment the overarching aim is to empower the young person’s parents to manage and take charge of the difficult situation caused by the eating disorder. As recommended family-based treatments usually prioritize collaborating with the parents, it is important to be curious on the adolescents own views of what is regarded as important for the recovery process. The present study offers insights into factors considered important to the recovery process by young persons with lived experience of AN. Although voicing the importance of enlisting support from families, friends, and loved ones, the young participants distinctly emphasized their own responsibility, motivation and self-determination as critical factors for recovery. Inspired by our findings, we recommend that clinicians address the young patient’s own preferred ideas for recovery during treatment.
    Type of Medium: Online Resource
    ISSN: 2050-2974
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2020
    detail.hit.zdb_id: 2699357-0
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  • 4
    Online Resource
    Online Resource
    Springer Science and Business Media LLC ; 2021
    In:  Journal of Eating Disorders Vol. 9, No. 1 ( 2021-12)
    In: Journal of Eating Disorders, Springer Science and Business Media LLC, Vol. 9, No. 1 ( 2021-12)
    Abstract: Family-based outpatient treatment is usually recommended as the treatment of choice when a child develops anorexia nervosa. However, some young persons will inevitably require higher levels of care. Qualitative research on family perspectives may help inform strategies to adapt family-based practices into intensified treatment settings. Our overarching aim was to investigate family members’ perspectives following a family-based inpatient treatment program for adolescent anorexia nervosa and to discuss clinical implications for treatment providers. Methods A subsample of eight families taking part in a naturalistic outcome study at a specialized eating disorder unit participated in the study (8 patients, 14 parents, and 10 siblings). The thematic analyses were inductive, predominantly descriptive, and guided by a multi-perspective framework. Results Five main themes were identified: 1: Expectations and evaluation of needs. Entering treatment from different vantage points , 2: Interactions with peers during the admission as highly beneficial or problematic , 3: Perspectives on staff expertise and the eating disorder unit’s structure , 4: Influencing within family relationships in different ways , and 5: Being admitted is at best only half the job: reflections on leaving the eating disorder unit . Conclusions Our study offers insight into how former inpatients and their family members experienced an inpatient treatment program designed to align treatment with the central elements of an outpatient family-based treatment approach for adolescent anorexia nervosa. Overall, the findings support emerging research underlining the necessity of strengthening the family-based treatment approach within intensified treatment settings. Moreover, the results emphasized the need for more knowledge on how to optimize inpatient treatment as well as the importance of providing smooth transitions between care settings.
    Type of Medium: Online Resource
    ISSN: 2050-2974
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2021
    detail.hit.zdb_id: 2699357-0
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  • 5
    In: Journal of Eating Disorders, Springer Science and Business Media LLC, Vol. 11, No. 1 ( 2023-03-20)
    Abstract: The overall aim of the current study was to qualitatively explore the feasibility of eating disorder prevention groups for people with type 1 diabetes (T1D). Method A generic qualitative focus group design was applied. 17 participants accepted the invitation to attend focus group interviews after completing the intervention. Five focus groups were conducted in total. Results The qualitative analysis generated one overarching theme, named the benefit of meeting peers with a lived experience of T1D and body image concerns, and four themes: the need for an integrated focus on diabetes, personal relevance, providing sufficient balance between structure and flexibility and enabling a different perspective. Conclusion Results show overall positive feedback regarding the content and structure of the intervention, and underline the importance of targeting preventive efforts to specific risk groups.
    Type of Medium: Online Resource
    ISSN: 2050-2974
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 2699357-0
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  • 6
    In: BMC Psychology, Springer Science and Business Media LLC, Vol. 7, No. 1 ( 2019-12)
    Abstract: For some young persons diagnosed with anorexia nervosa, treatment will inevitably involve phases where hospitalization is required. Inspired by the encouraging evidence-base for outpatient family-based treatment for adolescent anorexia nervosa, clinicians and program developers have started to incorporate outpatient family-based treatment principles into higher levels of care. During family-based inpatient treatment, collaborative efforts are largely directed toward the parents of the adolescent. Consequently, the therapeutic focus on the young person is more of an indirect one. With this study we aimed to understand how young persons with lived experience from a family-based inpatient treatment setting, where the adolescents were admitted together with their parents, viewed therapeutic aspects related to staff-patient collaboration and staff-related behaviors. Methods Thirty-seven semi-structured interviews of former adolescent inpatients were conducted. Participants’ post-treatment reflections were inductively analyzed by applying a thematic analytic framework. Results Based upon user perspectives from a treatment setting highly influenced by a family therapeutic approach, findings revealed that former inpatients prefer tailored treatment and a collaborative approach. Eight subthemes constituting two main themes emerged: 1) There are no ready-made solutions. Staff should facilitate collaboration by tailoring treatment toward the young person’s perspectives, and 2) Emphasizing skills that matter. Staff should display a non-judgmental stance, educate patients, stimulate motivation, enable activities and prevent iatrogenic effects during the stay. Conclusions This study adds valuable user perspectives to the ongoing work with adapting family-based frameworks into higher levels of care. Clinicians could benefit from viewing their practice from the standpoint of the young person’s post-treatment reflections. From their unique perspectives as having lived experience and hence, “insider knowledge” with a specific treatment situation, clinicians are reminded of the importance of being mindful on the young persons’ views.
    Type of Medium: Online Resource
    ISSN: 2050-7283
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2019
    detail.hit.zdb_id: 2705921-2
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  • 7
    Online Resource
    Online Resource
    Wiley ; 2018
    In:  European Eating Disorders Review Vol. 26, No. 2 ( 2018-03), p. 141-145
    In: European Eating Disorders Review, Wiley, Vol. 26, No. 2 ( 2018-03), p. 141-145
    Abstract: Outpatient family‐based treatment (FBT) is the best‐documented treatment for adolescent anorexia nervosa (AN), but research is scarce on FBT adapted to inpatient settings. Aim The naturalistic outcome of inpatient FBT for adolescent AN was investigated. Methods Thirty‐seven (65%) of 57 patients who received inpatient FBT at a tertiary adolescent eating disorders (ED) unit participated in a follow‐up interview (mean 4.5 ± 1.8, range 1–7 years) that assessed ED symptoms and general psychological functioning. Results A majority (65%) had achieved a normal body weight (body mass index ≥18.5). Thirty‐six per cent ( n  = 12) were classified as fully recovered, as defined by body mass index ≥18.5, ED Examination Questionnaire global ≤2.5, and no binge eating/purging over past 3 months. Sixteen (43%) participants met criteria for one or more additional comorbid disorders. Conclusion Inpatient family‐based therapy for AN may be a promising therapeutic approach for adolescents that fail to respond to outpatient treatment and should be investigated further. Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association.
    Type of Medium: Online Resource
    ISSN: 1072-4133 , 1099-0968
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2018
    detail.hit.zdb_id: 2135416-9
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  • 8
    In: Journal of Eating Disorders, Springer Science and Business Media LLC, Vol. 11, No. 1 ( 2023-06-07)
    Abstract: This study aimed to evaluate multifamily therapy (MFT) for adolescents with eating disorders (EDs) in a clinical setting, by presenting the outcome of families participating in this treatment at a specialist ED service. MFT was an adjunct to treatment at local mental health services. In particular, the study aimed to present the change in eating disorder symptoms and psychological distress from before to after treatment and at a 6 months follow-up. Methods Participants were 207 adolescents receiving outpatient MFT (10 or 5 months) at Oslo University Hospital in Norway between 2009 and 2022. Adolescents had heterogeneous ED presentations, with a preponderance of anorexia nervosa (AN) and atypical AN. All participants completed pre- and post-treatment questionnaires [The eating disorder examination questionnaire (EDE-Q) and the strengths and difficulties questionnaire (SDQ)]. 142 adolescents additionally completed the same questionnaires at 6 months follow-up. Weight and height were measured at all time points. Results Linear mixed model analyses showed that from start of treatment to follow-up, there was a significant increase in BMI percentile ( p   〈  0.001) and a significant decrease in EDE-Q global score ( p   〈  0.001) and SDQ total score ( p   〈  0.001). Conclusions The study shows that adolescents with an eating disorder who received adjunct outpatient MFT in a real world clinical setting, experienced reductions in ED symptoms comparable to that found in a randomized controlled trial. Trial registration : The data used in this study was collected as part of routine clinical procedures for quality assurance and trial registration is therefore not required.
    Type of Medium: Online Resource
    ISSN: 2050-2974
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 2699357-0
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  • 9
    In: Heart, BMJ, Vol. 106, No. 14 ( 2020-07), p. 1073-1079
    Abstract: Oxidised cholesterol metabolites are linked to increased production of the active vitamin A (Vit-A) form and monocyte/macrophage activation, which may be reflected by neopterin, a marker of both interferon-γ–mediated immune activation and coronary artery disease risk. We examined the influence of serum lipid parameters and Vit-A on the risk association between neopterin and incident acute myocardial infarction (AMI). Methods We included 4130 patients with suspected stable angina pectoris (SAP), of whom 80% received lipid-lowering treatment with statins. Risk associations between plasma neopterin and AMI are given as HRs per SD increase in log-transformed neopterin. Results During a median follow-up of 7.5 years, 530 (12.8%) patients experienced an AMI. In age-adjusted and sex-adjusted analysis, plasma neopterin was positively associated with incident AMI (HR (95% CI) per SD: 1.26 (1.17 to 1.35)). However, the estimates were most pronounced in patients with serum low-density lipoprotein cholesterol (LDL-C) or apolipoprotein (apo) B100 below-median (HR (95% CI) per SD: 1.35 (1.24 to 1.48) and 1.42 (1.27 to 1.58), respectively; both p interaction ≤0.03). We also observed a particularly strong risk association in those with above-median Vit-A (HR (95% CI) per SD: 1.32 (1.21 to 1.44); p interaction =0.03). The estimates were slightly modified after multivariable adjustment. Conclusions In patients with suspected SAP, the majority of whom receiving statin therapy, high plasma neopterin was associated with increased risk of AMI particularly among those with low LDL-C and apoB100 or high Vit-A levels. The particularly strong relationship of plasma neopterin with residual cardiovascular risk in patients with low lipid levels should be further investigated.
    Type of Medium: Online Resource
    ISSN: 1355-6037 , 1468-201X
    Language: English
    Publisher: BMJ
    Publication Date: 2020
    detail.hit.zdb_id: 2378689-9
    detail.hit.zdb_id: 1475501-4
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