Journal of Eating Disorders | |
Clinicians’ perspectives on supporting individuals with severe anorexia nervosa in specialist eating disorder intensive treatment settings during the COVID-19 pandemic | |
Catherine McCombie1  Vanessa Lawrence1  Paul Robinson2  Jon Arcelus3  A. Louise Johnston4  Bethan Dalton5  Madeleine Irish5  Hannah Webb5  Daniela Mercado5  Janet Treasure6  Hubertus Himmerich6  Ulrike Schmidt6  Gemma Peachey7  Katie Au7  Stanimira Lazarova8  Tayeem Pathan9  | |
[1] Department of Health Services and Population Research, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, UK;Division of Medicine, University College London, 5 University Street, WC1E 6JF, London, UK;Institute of Mental Health, University of Nottingham, Jubilee Campus, Triumph Road, NG7 2TU, Nottingham, UK;NHS Grampian, Aberdeen, UK;PO59 Section of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, SE5 8AF, London, UK;PO59 Section of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, SE5 8AF, London, UK;South London and Maudsley NHS Foundation Trust, Maudsley Hospital, Denmark Hill, SE5 8AZ, London, UK;South London and Maudsley NHS Foundation Trust, Maudsley Hospital, Denmark Hill, SE5 8AZ, London, UK;South West London and St George’s Mental Health NHS Trust, London, UK;Surrey and Boarder Partnership, NHS Foundation Trust, Surrey, UK; | |
关键词: Anorexia nervosa; Clinicians; COVID-19; Eating disorders; Intensive treatment; Qualitative research; Telemedicine; Day patient; Inpatient; | |
DOI : 10.1186/s40337-022-00555-4 | |
来源: Springer | |
【 摘 要 】
BackgroundThe 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 in these services is largely unknown. We therefore explored the perspectives of those supporting individuals with severe anorexia nervosa (AN) in intensive treatment settings during the pandemic.MethodsBetween May 2020 and June 2021, we interviewed clinicians (n = 21) who delivered IP and/or DP treatment to patients with severe AN in four specialist eating disorder services in the United Kingdom. Data relating to experiences during COVID-19 were analysed using reflexive thematic analysis.ResultsWe identified six themes: Disruptions to Routine Treatment; Introduction of Virtual Treatment; Separation from Treatment, Others and the World; Impact on Recovery; Impact on Staff; and Pressure on Referral Pathways. COVID-19 posed significant challenges to IP and DP services: forcing closures, operating with restrictions and virtual treatment, and impacting delivery of essential treatment components, referral pathways, clinician wellbeing, risk management, and patient isolation and recovery trajectories. Opportunities arose, in particular in DP services offering virtual support.ConclusionsCOVID-19 challenged the continuation of multidisciplinary treatment. The findings underline the necessity for medical, psychological, practical, and nutritional support, as well as carer involvement and fostering social connections to remain at the forefront of intensive treatment for severe AN. They also emphasise the uncertainty surrounding which intensive treatment may be best suited to which patient when, particularly within the context of virtual DP support.
【 授权许可】
CC BY
【 预 览 】
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RO202202186092251ZK.pdf | 952KB | download |