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An off-line pilot evaluation of a web-based systemic cognitive-behavioral intervention for carers of people with anorexia nervosa§

Authors

  • Miriam Grover BSc (Hons), PG Dip, MSc,

    1. South London and Maudsley NHS Foundation Trust, Eating Disorders Unit, London, UK
    2. King's College London, Institute of Psychiatry, Section of Eating Disorder, London, UK
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  • Chris Williams MD, FRCPsych,

    1. Psychological Medicine, Division of Community Based Sciences, University of Glasgow, Glasgow, UK
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  • Ivan Eisler PhD,

    1. South London and Maudsley NHS Foundation Trust, Eating Disorders Unit, London, UK
    2. King's College London, Institute of Psychiatry, Section of Family Therapy, London, UK
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  • Pennie Fairbairn BEd (Hons), PG Dip, MSc,

    1. South London and Maudsley NHS Foundation Trust, Eating Disorders Unit, London, UK
    2. King's College London, Institute of Psychiatry, Section of Family Therapy, London, UK
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  • Catherine McCloskey MA,

    1. St Anne's Hospital, Eating Disorders Service, Phoenix Wing, London, UK
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  • Grainne Smith Dip Ed,

    1. NEEDS Scotland, Royal Cornhill Hospital, Aberdeen, UK
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  • Janet Treasure MD, PhD, FRCP, FRCPsych,

    1. Academic Psychiatry, Guys Campus; Eating Disorders Unit PO59, IOP, Guys, King's and St Thomas Medical School, London,UK
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  • Ulrike Schmidt MD, PhD, FRCPsych

    Corresponding author
    1. South London and Maudsley NHS Foundation Trust, Eating Disorders Unit, London, UK
    2. King's College London, Institute of Psychiatry, Section of Eating Disorder, London, UK
    • Section of Eating Disorders, Division of Psychological Medicine and Psychiatry, King's College London, Institute of Psychiatry, De Crespigny Park, London, SE5 8AF, UK
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  • Part of this work has been presented at the International Conference for Eating Disorders of the Academy for Eating Disorders, in May 2008 in Seattle, USA.

  • Supported from the NIHR Biomedical Research Centre for Mental Health, South London; Maudsley NHS Foundation Trust and Institute of Psychiatry, King's College, London; Applied Research into Anorexia Nervosa and Not Otherwise Specified Eating Disorders (ARIADNE program). Supported by RP-PG-0606-1043 from Department of Health NIHR Programme Grant for Applied Research (to U.S., J.T., K.T., H.S., S.R., S.L., M.G., I.E., I.C., J.B., M.A., G.W.

  • §

    The views expressed herein are not necessarily those of DH/NIHR.

  • C.W., I.E., P.F., C.M., G.S., J.T., and U.S. are authors of the Overcoming Anorexia: Effective Caring workbook package and Overcoming Anorexia Online.

Abstract

Objective:

To evaluate the feasibility and acceptability of a novel systemic cognitive behavior therapy-based intervention for carers of people with anorexia nervosa (AN). The intervention provides information and promotes skills development in managing the illness. Carers were also offered professional support.

Method:

Twenty-seven carers were recruited. Outcomes measuring carer distress, experience of care-giving, level of expressed emotion and problem solving were measured pre- and post-intervention and at follow-up. Carers also gave feedback.

Results:

There was a significant reduction in carers' anxiety and depression, negative experiences of caregiving and expressed emotion and a significant increase in positive experiences in caregiving after the intervention. Most improvements were maintained at follow-up. The intervention was well received.

Discussion:

The results of this pilot study indicate that the intervention is acceptable to carers and may have a positive impact on carers' mental health and experience of care-giving. Further investigation of the intervention is warranted. © 2010 by Wiley Periodicals, Inc. (Int J Eat Disord 2010)

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