Cargando…

A new treatment for eating disorders combining physical exercise and dietary therapy (the PED-t): experiences from patients who dropped out

Purpose: Eating disorders (ED) are complex and severe illnesses where evidence-based treatment is needed to recover. However, about half of the patients with ED do not respond to treatments currently available, which call for efforts to expand the portfolio of treatments. The aim of this study was t...

Descripción completa

Detalles Bibliográficos
Autores principales: Bakland, Maria, Rosenvinge, Jan H., Wynn, Rolf, Sørlie, Venke, Sundgot-Borgen, Jorunn, Fostervold Mathisen, Therese, Hanssen, Tove Aminda, Jensen, Franziska, Innjord, Kjersti, Pettersen, Gunn
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7048200/
https://www.ncbi.nlm.nih.gov/pubmed/32081086
http://dx.doi.org/10.1080/17482631.2020.1731994
_version_ 1783502259968016384
author Bakland, Maria
Rosenvinge, Jan H.
Wynn, Rolf
Sørlie, Venke
Sundgot-Borgen, Jorunn
Fostervold Mathisen, Therese
Hanssen, Tove Aminda
Jensen, Franziska
Innjord, Kjersti
Pettersen, Gunn
author_facet Bakland, Maria
Rosenvinge, Jan H.
Wynn, Rolf
Sørlie, Venke
Sundgot-Borgen, Jorunn
Fostervold Mathisen, Therese
Hanssen, Tove Aminda
Jensen, Franziska
Innjord, Kjersti
Pettersen, Gunn
author_sort Bakland, Maria
collection PubMed
description Purpose: Eating disorders (ED) are complex and severe illnesses where evidence-based treatment is needed to recover. However, about half of the patients with ED do not respond to treatments currently available, which call for efforts to expand the portfolio of treatments. The aim of this study was to explore experiences from patients who dropped out of a new treatment for bulimia nervosa and binge ED, combining physical exercise and dietary therapy (PED-t). Methods: We conducted open-ended face-to-face interviews. The interviews were transcribed verbatim and the data were analysed with a phenomenological hermeneutical approach. Results: Three themes emerged: “standing on the outside”, “unmet expectations” and “participation not a waste of time”. Feelings of standing on the outside were elicited by being different from other group members and having challenges with sharing thoughts. Unmet expectations were related to treatment content and intensity, as well as the development of unhealthy thoughts and behaviours. Finally, some positive experiences were voiced. Conclusion: A need to clarify pre-treatment expectations and refining criteria for treatment suitability is indicated. The findings have contributed to the chain of clinical evidence regarding the PED-t and may lead to treatment modifications improving the treatment and thereby reducing drop out.
format Online
Article
Text
id pubmed-7048200
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Taylor & Francis
record_format MEDLINE/PubMed
spelling pubmed-70482002020-03-10 A new treatment for eating disorders combining physical exercise and dietary therapy (the PED-t): experiences from patients who dropped out Bakland, Maria Rosenvinge, Jan H. Wynn, Rolf Sørlie, Venke Sundgot-Borgen, Jorunn Fostervold Mathisen, Therese Hanssen, Tove Aminda Jensen, Franziska Innjord, Kjersti Pettersen, Gunn Int J Qual Stud Health Well-being Empirical Studies Purpose: Eating disorders (ED) are complex and severe illnesses where evidence-based treatment is needed to recover. However, about half of the patients with ED do not respond to treatments currently available, which call for efforts to expand the portfolio of treatments. The aim of this study was to explore experiences from patients who dropped out of a new treatment for bulimia nervosa and binge ED, combining physical exercise and dietary therapy (PED-t). Methods: We conducted open-ended face-to-face interviews. The interviews were transcribed verbatim and the data were analysed with a phenomenological hermeneutical approach. Results: Three themes emerged: “standing on the outside”, “unmet expectations” and “participation not a waste of time”. Feelings of standing on the outside were elicited by being different from other group members and having challenges with sharing thoughts. Unmet expectations were related to treatment content and intensity, as well as the development of unhealthy thoughts and behaviours. Finally, some positive experiences were voiced. Conclusion: A need to clarify pre-treatment expectations and refining criteria for treatment suitability is indicated. The findings have contributed to the chain of clinical evidence regarding the PED-t and may lead to treatment modifications improving the treatment and thereby reducing drop out. Taylor & Francis 2020-02-21 /pmc/articles/PMC7048200/ /pubmed/32081086 http://dx.doi.org/10.1080/17482631.2020.1731994 Text en © 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Empirical Studies
Bakland, Maria
Rosenvinge, Jan H.
Wynn, Rolf
Sørlie, Venke
Sundgot-Borgen, Jorunn
Fostervold Mathisen, Therese
Hanssen, Tove Aminda
Jensen, Franziska
Innjord, Kjersti
Pettersen, Gunn
A new treatment for eating disorders combining physical exercise and dietary therapy (the PED-t): experiences from patients who dropped out
title A new treatment for eating disorders combining physical exercise and dietary therapy (the PED-t): experiences from patients who dropped out
title_full A new treatment for eating disorders combining physical exercise and dietary therapy (the PED-t): experiences from patients who dropped out
title_fullStr A new treatment for eating disorders combining physical exercise and dietary therapy (the PED-t): experiences from patients who dropped out
title_full_unstemmed A new treatment for eating disorders combining physical exercise and dietary therapy (the PED-t): experiences from patients who dropped out
title_short A new treatment for eating disorders combining physical exercise and dietary therapy (the PED-t): experiences from patients who dropped out
title_sort new treatment for eating disorders combining physical exercise and dietary therapy (the ped-t): experiences from patients who dropped out
topic Empirical Studies
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7048200/
https://www.ncbi.nlm.nih.gov/pubmed/32081086
http://dx.doi.org/10.1080/17482631.2020.1731994
work_keys_str_mv AT baklandmaria anewtreatmentforeatingdisorderscombiningphysicalexerciseanddietarytherapythepedtexperiencesfrompatientswhodroppedout
AT rosenvingejanh anewtreatmentforeatingdisorderscombiningphysicalexerciseanddietarytherapythepedtexperiencesfrompatientswhodroppedout
AT wynnrolf anewtreatmentforeatingdisorderscombiningphysicalexerciseanddietarytherapythepedtexperiencesfrompatientswhodroppedout
AT sørlievenke anewtreatmentforeatingdisorderscombiningphysicalexerciseanddietarytherapythepedtexperiencesfrompatientswhodroppedout
AT sundgotborgenjorunn anewtreatmentforeatingdisorderscombiningphysicalexerciseanddietarytherapythepedtexperiencesfrompatientswhodroppedout
AT fostervoldmathisentherese anewtreatmentforeatingdisorderscombiningphysicalexerciseanddietarytherapythepedtexperiencesfrompatientswhodroppedout
AT hanssentoveaminda anewtreatmentforeatingdisorderscombiningphysicalexerciseanddietarytherapythepedtexperiencesfrompatientswhodroppedout
AT jensenfranziska anewtreatmentforeatingdisorderscombiningphysicalexerciseanddietarytherapythepedtexperiencesfrompatientswhodroppedout
AT innjordkjersti anewtreatmentforeatingdisorderscombiningphysicalexerciseanddietarytherapythepedtexperiencesfrompatientswhodroppedout
AT pettersengunn anewtreatmentforeatingdisorderscombiningphysicalexerciseanddietarytherapythepedtexperiencesfrompatientswhodroppedout
AT baklandmaria newtreatmentforeatingdisorderscombiningphysicalexerciseanddietarytherapythepedtexperiencesfrompatientswhodroppedout
AT rosenvingejanh newtreatmentforeatingdisorderscombiningphysicalexerciseanddietarytherapythepedtexperiencesfrompatientswhodroppedout
AT wynnrolf newtreatmentforeatingdisorderscombiningphysicalexerciseanddietarytherapythepedtexperiencesfrompatientswhodroppedout
AT sørlievenke newtreatmentforeatingdisorderscombiningphysicalexerciseanddietarytherapythepedtexperiencesfrompatientswhodroppedout
AT sundgotborgenjorunn newtreatmentforeatingdisorderscombiningphysicalexerciseanddietarytherapythepedtexperiencesfrompatientswhodroppedout
AT fostervoldmathisentherese newtreatmentforeatingdisorderscombiningphysicalexerciseanddietarytherapythepedtexperiencesfrompatientswhodroppedout
AT hanssentoveaminda newtreatmentforeatingdisorderscombiningphysicalexerciseanddietarytherapythepedtexperiencesfrompatientswhodroppedout
AT jensenfranziska newtreatmentforeatingdisorderscombiningphysicalexerciseanddietarytherapythepedtexperiencesfrompatientswhodroppedout
AT innjordkjersti newtreatmentforeatingdisorderscombiningphysicalexerciseanddietarytherapythepedtexperiencesfrompatientswhodroppedout
AT pettersengunn newtreatmentforeatingdisorderscombiningphysicalexerciseanddietarytherapythepedtexperiencesfrompatientswhodroppedout