Showing papers by "Phillipa Hay published in 2012"

Treatment for severe and enduring anorexia nervosa: A review

Abstract: Objective:Many patients with anorexia nervosa develop an intractable and debilitating illness course Our aims were to (i) conduct a systematic review of randomised controlled trials (RCTs) of trea

Time Trends in Population Prevalence of Eating Disorder Behaviors and Their Relationship to Quality of Life

Abstract: Financial support was provided by James Cook University and University of Western Sydney. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

Clinical psychopharmacology of eating disorders: a research update

Abstract: The paper presents a critical review (with search date 2010) of the major psychotropic medications assessed in eating disorders, namely antipsychotics, antidepressants, mood-stabilizing medications, anxiolytic and other agents. The evidence of efficacy of drug treatments is mostly weak or moderate. In addition, attrition rates are usually higher than for psychotherapies. However, there is support for use of antidepressants, particularly high-dose fluoxetine in bulimia nervosa, and anticonvulsants (topiramate) for binge-eating disorder. Low-dose antipsychotic medication may be clinically useful as adjunct treatment in acute anorexia, particularly where there is high anxiety and obsessive eating-related ruminations and failure to engage, but more trials are needed. Drug therapies such as topiramate and anti-obesity medication may aid weight loss in obese or overweight patients with binge-eating disorder; however, common or potentially serious adverse effects limit their use.

Quality of life impairment in a community sample of women with eating disorders

Abstract: Objective: Studies of quality of life among individuals with eating disorders have relied almost exclusively on clinical samples. We examined impairment in quality of life in a community sample of ...

Community Recognition and Beliefs about Anorexia Nervosa and its Treatment

Abstract: Objective: Mental Health Literacy (MHL), namely recognition, and beliefs about treatment concerning Anorexia Nervosa (AN) were examined in a community sample of male and female (n = 983) aged 15–94 years. Method: A vignette describing a women suffering from the symptoms of AN was presented, followed by a respondent-based structured interview concerning recognition of the problem and treatment beliefs. Results: The majority of participants could identify the problem as that of an eating disorder, although only 16.1% could specifically identify it as AN. Many also believed the problem was primarily one of low self-esteem (32.5%). General practitioners and psychiatrists or psychologists were considered the most helpful treatment providers, while obtaining information about the problem and available services, followed by family therapy, were considered the most helpful treatments. Less than one-third of participants believed complete recovery was possible. Better AN MHL was found in younger, higher educated, and metropolitan domiciled females. Discussion: This study offers encouraging results in regard to AN MHL. In particular, there was moderate regard for the use of mental health specialists in the treatment of the disorder. However, there appears to be a misconception that AN is largely the manifestation of low self-esteem and confusion concerning the distinction between AN and bulimia nervosa. AN MHL was poorer in males and those with higher social and health disadvantage.

Eating disorder features in indigenous Aboriginal and Torres Strait Islander Australian peoples

Abstract: Obesity and related cardiovascular and metabolic conditions are well recognized problems for Australian Aboriginal and Torres Strait Islander peoples. However, there is a dearth of research on relevant eating disorders (EDs) such as binge eating disorder in these groups. Data were obtained from interviews of 3047 (in 2005) and 3034 (in 2008) adults who were participants in a randomly selected South Australian household survey of individuals' age > 15 years. The interviewed comprised a general health survey in which ED questions were embedded. Data were weighted according to national census results and comprised key features of ED symptoms. In 2005 there were 94 (85 weighted) First Australian respondents, and in 2008 65 (70 weighted). Controlling for secular differences, in 2005 rates of objective binge eating and levels of weight and shape influence on self-evaluation were significantly higher in indigenous compared to non-indigenous participants, but no significant differences were found in ED features in 2008. Whilst results on small numbers must be interpreted with caution, the main finding was consistent over the two samples. For First Australians ED symptoms are at least as frequent as for non-indigenous Australians.

A Community-Based Study of Enduring Eating Features in Young Women

Abstract: We conducted a prospective exploration of the temporal course of eating disorder (ED) symptoms in two cohorts of community women. One hundred and twenty-two young women (Cohort 1) identified in a general population based survey with ED symptoms of clinical severity agreed to participate in a 5-year follow-up study. A comparative sample (Cohort 2) of 706 similar aged self-selected college women (221 with disordered eating) was recruited one year later. Both ED groups were given a health literacy package in the first year. ED symptoms, health related quality of life, and psychological distress were assessed annually with the Eating Disorder Examination Questionnaire, the Short Form—12 Health Survey and the Kessler Psychological Distress Scale, respectively. Forty percent (Cohort 1) and 30.3% (Cohort 2) completed questionnaires at each year of follow-up. In both groups, there was early improvement in ED symptoms which plateaued after the first year, and participants retained high EDE-Q scores at 5 years. BMI increased as expected. Mental health related quality of life scores did not change but there were small improvements in psychological distress scores. The findings suggest little likelihood of spontaneous remission of ED problems in community women.

Avoid being 'tyrannised' by the evidence: reflections on family-based treatment in adolescent anorexia nervosa.

Abstract: Castle DJ (2012) The truth, and nothing but the truth, about early intervention in psychosis. Australian and New Zealand Journal of Psychiatry 46: 10–13. Fitzgerald PB (2003) Generic services and early psychosis. Australian and New Zealand Journal of Psychiatry 37: 778. Malla A (2011) Early case identification and stability of diagnosis in first episode psychosis. In: 15th World Congress of Psychiatry, Buenos Aires, Argentina, 18–22 September 2011. Geneva, Switzerland: World Psychiatric Association. Norman RM, Manchanda R, Malla AK, et al. (2011) Symptom and functional outcomes for a 5 year early intervention program for psychoses. Schizophrenia Research 129: 111–115. Petrakis M, Hamilton B, Penno S, et al. (2011a) Fidelity to clinical guidelines using a care pathway in the treatment of first episode psychosis. Journal of Evaluation in Clinical Practice 17: 722–728. Petrakis M, Penno S, Oxley J, et al. (2011b) Early psychosis treatment in an integrated model within an adult mental health service. European Psychiatry Epub ahead of print 9 June 2011. Rosen GM and Davison GC (2003) Psychology should list empirically supported principles of change (ESPs) and not credential trademarked therapies or other treatment packages. Behaviour Modification 27: 300–312. Yung AR (2012) Early intervention in psychosis: evidence, evidence gaps, criticism, and confusion. Australian and New Zealand Journal of Psychiatry 46: 7–9. Yung AR, Organ BA and Harris MG (2003) Management of early psychosis in a generic adult mental health service. Australian and New Zealand Journal of Psychiatry 37: 429–436.

A pilot interprofessional module between medical students and human movement studies students based around a 10 week exercise program.

Abstract: submission Oral presentations: Staff and affiliated staff of the School of Medicine are invited to submit an abstract for the conference. The abstract text should be a maximum of 200 words (excluding title, names and affiliations), structured as follows: • Background; • Summary of work; • Summary of results; • Conclusions; • Take-home messages. Oral presentations will be 10 minutes for presentation followed by 5 minutes for questions and discussion. Computer and data projector will be provided. Please select up to two themes for your presentation: Professionalism; quality assurance; curriculum development; learning and teaching; assessment; educational research, interprofessional education. SUBMISSION OF ABSTRACTS BY 1 SEPTEMBER TO: j.thistlethwaite@uq.edu.au Mark email subject as L&T conference abstract submission and attach abstract as word document. It is possible to attend the workshop on Thursday only, the conference on Friday only or both RSVP TO ATTEND THIS FREE CONFERENCE FOR SOM STAFF BY 30 SEPTEMBER TO: events@som.uq.edu.au A pilot interprofessional module between medical students and human movement studies students based around a 10 week exercise program. Craig Engstrom, Jennifer Schafer, Anita Green, Peter Friis, James Fraser, Jill Thistlethwaite and Peter Hay School of Human Movement Studies, The University of Queensland, School of Medicine, The University of Queensland. Introduction: Interprofessional learning (IPL) represents an important area for the clinical preparation of future medical and allied health professionals. Recently we successfully piloted an interprofessional module with Human Movement Studies (HMS) and 30 Medical students working in a practitionerpatient type model within a 10wk exercise program. Rationale: To foster interaction and knowledge exchange between HMS and medical students (as future Accredited Exercise Physiologists and Medical Practitioners, respectively) to optimize patient care given the substantial evidence regarding the clinical importance of physical activity (exercise) for prevention and therapeutic management of chronic diseases including various cancers, cardiovascular diseases, diabetes and “other metabolic syndromes” and health improvement. Methods: A sample of 30 second year medical students participated voluntarily in a 10 week individually tailored exercise program implemented ‘one-on-one’ by a third year exercise physiology student. All sessions took place within the School of Human Movement Studies at The University of Queensland, St Lucia Campus and were supervised by clinical tutors. An experienced Accredited Exercise Physiologist also provided overarching supervision of students and tutors to ensure any special health and musculoskeletal issues were properly assessed, treated and where appropriate referred onto other health professionals. Results & Discussion: There was very strong student support for this recently completed initiative with 96% of medical students indicating strong agreement / agreement for recommending program participation for their fellow medical students (Fig.1) and 89% of HMS students strongly supporting / supporting continuation of this program as an ongoing inter-professional initiative (Fig. 2). Initial analyses of focus group data has also identified increased inter-professional understanding and student identified avenues for module improvements and additions. Figure 1. Medical Student Support Figure 2. HMS Student Support Abstract for the School of Medicine Teaching and Learning Conference, November 5, 2011 for the School of Medicine Teaching and Learning Conference, November 5, 2011