"I'm truly free from my eating disorder": Emerging adults' experiences of FREED, an early intervention service model and care pathway for eating disorders.

Autor: Potterton R; Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK. rachel.h.potterton@kcl.ac.uk., Austin A; Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK., Flynn M; Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK., Allen K; Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.; South London and Maudsley NHS Foundation Trust, London, UK., Lawrence V; Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK., Mountford V; Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.; South London and Maudsley NHS Foundation Trust, London, UK.; Maudsley Health, Abu Dhabi, UAE., Glennon D; South London and Maudsley NHS Foundation Trust, London, UK., Grant N; South London and Maudsley NHS Foundation Trust, London, UK., Brown A; South London and Maudsley NHS Foundation Trust, London, UK.; Sussex Partnership NHS Foundation Trust, Brighton, UK., Franklin-Smith M; Leeds and York Partnership NHS Trust, Leeds, UK., Schelhase M; Leeds and York Partnership NHS Trust, Leeds, UK., Jones WR; Leeds and York Partnership NHS Trust, Leeds, UK., Brady G; Central and North West London NHS Foundation Trust, London, UK., Nunes N; Central and North West London NHS Foundation Trust, London, UK., Connan F; Central and North West London NHS Foundation Trust, London, UK., Mahony K; North East London NHS Foundation Trust, London, UK., Serpell L; North East London NHS Foundation Trust, London, UK.; Division of Psychology and Language Sciences, University College London, London, UK., Schmidt U; Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.; South London and Maudsley NHS Foundation Trust, London, UK.
Jazyk: angličtina
Zdroj: Journal of eating disorders [J Eat Disord] 2021 Jan 06; Vol. 9 (1), pp. 3. Date of Electronic Publication: 2021 Jan 06.
DOI: 10.1186/s40337-020-00354-9
Abstrakt: 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 care for emerging adults with EDs. FREED is associated with reduced duration of untreated eating disorder and improved clinical outcomes, but patients' experiences of treatment have yet to be assessed.
Objective: This study aimed to assess emerging adults' experiences of receiving treatment through FREED.
Method: This study triangulated qualitative data on participants' experiences of FREED treatment from questionnaires and semi-structured interviews. Participants were 106 emerging adults (aged 16-25; illness duration < 3 yrs) (questionnaire only = 92; interview only = 6; both = 8). Data were analysed thematically.
Results: Most participants reported psychological and behavioural changes over the course of treatment (e.g. reduction in symptoms; increased acceptance and understanding of difficulties). Participants identified five beneficial characteristics of FREED treatment: i) rapid access to treatment; ii) knowledgeable and concerned clinicians; iii) focusing on life beyond the eating disorder; iv) building a support network; v) becoming your own therapist.
Conclusion: This study provides further supports for the implementation of early intervention and developmentally-informed care for EDs. Future service model development should include efforts to increase early help-seeking.
Databáze: MEDLINE
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