The perceived knowledge, skill and clinical practice of psychologists, naturopaths and fitness instructors when working with eating disorders.
About this resource
AIMS: When it comes to working with eating disorders (EDs), few studies have explored: the clinical practice; service provision barriers; and self-perceptions of knowledge/skill and the ability to detect EDs in practice against measured ability to do so, of common health providers including psychologists, naturopaths and fitness instructors. METHODS: Of the 115 participants, 90.4% were female with a mean age of 40.77 years (SD = 10.80 years) and comprised: 35 psychologists, 50 naturopathic and 30 fitness practitioners. Participants completed a 23-item survey measuring clinical practice behaviours including assessment and early intervention services, practitioner service barriers, perceived ED knowledge and skill. RESULTS: Only 1 in 20 indicated using standardized surveys to screen for EDs, with 72% indicating reluctance to universally screen clients, with a key barrier being that ED symptoms were typically not the presenting issue. For practitioners who missed detecting EDs in practice, 53.6% indicated this was because weight fell within the normal range or because the client did not present with an ED so they did not think to screen for one (39.29%). In terms of interventions, most (79%) were providing services to clients with EDs, with over one-third providing weight-loss advice, potentially contributing to a harmful weight-centric/dieting treatment approach. Despite most practitioners delivering services, 85.7% felt unable to treat some clients appropriately, primarily due to a lack of skill (52.6%). CONCLUSIONS: Further training is imperative to improve universal screening and evidence-based early intervention practices, which may be particularly helpful for naturopaths and fitness instructors who more commonly perceived their knowledge to be low.
Issue 42 | Psychiatric and Medical Comorbidities
Welcome to the forty-second edition of the NEDC e-Bulletin.Read more
A study to assess the therapeutic response of iron and zinc in children with PICA
Pica is defined as habitual ingestion of nonfood substances like earth, clay, sand, paints chips, chalk, hair etc., beyond the normal stage and occasional indiscriminate and experimental mouthing and swallowing.Read more
Differential Neural Correlates of Set-Shifting in the Bingeing-Purging and Restrictive Subtypes of Anorexia Nervosa: An fMRI Study
In this study, possible differences in the neural correlates of set-shifting abilities between the restrictive (AN-R) and bingeing/purging (AN-BP) subtypes of anorexia nervosa have been explored.Read more
Attitudes toward orthorexia nervosa relative to DSM-5 eating disorders
Objective: A pattern of disordered eating involving a pathological fixation with healthy food consumption, labeled orthorexia nervosa (ON), has recently generated attention; however, research has not yet investigated perceptions of ON-related behaviors.Read more