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Diet, Digestion, and the Dietitian: A Survey of Clinicians’ Knowledge, Attitudes and Practices to Advance the Treatment of Gastrointestinal Disturbances in Individuals with Anorexia Nervosa

Despite advances in treatment of anorexia nervosa (AN), current therapeutic approaches do not fully consider gastrointestinal disturbances (GID), often present in AN. Addressing GID, both symptoms and disorders, is likely to improve treatment adherence and outcomes in people with AN. GID are complex...

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Autores principales: West, Madeline L., McMaster, Caitlin, Young, Claire L., Mohebbi, Mohammadreza, Hart, Susan, Staudacher, Heidi M., Loughman, Amy, Ruusunen, Anu, Rocks, Tetyana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9573322/
https://www.ncbi.nlm.nih.gov/pubmed/36233700
http://dx.doi.org/10.3390/jcm11195833
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author West, Madeline L.
McMaster, Caitlin
Young, Claire L.
Mohebbi, Mohammadreza
Hart, Susan
Staudacher, Heidi M.
Loughman, Amy
Ruusunen, Anu
Rocks, Tetyana
author_facet West, Madeline L.
McMaster, Caitlin
Young, Claire L.
Mohebbi, Mohammadreza
Hart, Susan
Staudacher, Heidi M.
Loughman, Amy
Ruusunen, Anu
Rocks, Tetyana
author_sort West, Madeline L.
collection PubMed
description Despite advances in treatment of anorexia nervosa (AN), current therapeutic approaches do not fully consider gastrointestinal disturbances (GID), often present in AN. Addressing GID, both symptoms and disorders, is likely to improve treatment adherence and outcomes in people with AN. GID are complex and are linked to a range of factors related to eating disorder symptomology and can be impacted by nutritional treatment. It is not known which dietetic practices are currently used to address GID in AN. Therefore, this survey aimed to explore the perceived knowledge, attitudes, and practices (KAP) of Australian dietitians treating AN and co-occurring GID. Seventy dietitians participated by completing an online survey. Knowledge scores were calculated based on correct responses to knowledge items (total: 12 points); and two groups were generated: higher knowledge (≥10 points, n = 31) and lower knowledge (≤9 points, n = 39). A greater proportion of dietitians with higher knowledge recognized the role of GID in pathogenesis of AN (p = 0.002) and its impact on quality of life (p = 0.013) and screened for GID (p ≤ 0.001), compared with those with lower knowledge. These results suggest that attitudes and practices toward patients presenting with AN and GID differ depending on level of knowledge. This may have important implications for treatment outcomes for individuals with AN and GID.
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spelling pubmed-95733222022-10-17 Diet, Digestion, and the Dietitian: A Survey of Clinicians’ Knowledge, Attitudes and Practices to Advance the Treatment of Gastrointestinal Disturbances in Individuals with Anorexia Nervosa West, Madeline L. McMaster, Caitlin Young, Claire L. Mohebbi, Mohammadreza Hart, Susan Staudacher, Heidi M. Loughman, Amy Ruusunen, Anu Rocks, Tetyana J Clin Med Article Despite advances in treatment of anorexia nervosa (AN), current therapeutic approaches do not fully consider gastrointestinal disturbances (GID), often present in AN. Addressing GID, both symptoms and disorders, is likely to improve treatment adherence and outcomes in people with AN. GID are complex and are linked to a range of factors related to eating disorder symptomology and can be impacted by nutritional treatment. It is not known which dietetic practices are currently used to address GID in AN. Therefore, this survey aimed to explore the perceived knowledge, attitudes, and practices (KAP) of Australian dietitians treating AN and co-occurring GID. Seventy dietitians participated by completing an online survey. Knowledge scores were calculated based on correct responses to knowledge items (total: 12 points); and two groups were generated: higher knowledge (≥10 points, n = 31) and lower knowledge (≤9 points, n = 39). A greater proportion of dietitians with higher knowledge recognized the role of GID in pathogenesis of AN (p = 0.002) and its impact on quality of life (p = 0.013) and screened for GID (p ≤ 0.001), compared with those with lower knowledge. These results suggest that attitudes and practices toward patients presenting with AN and GID differ depending on level of knowledge. This may have important implications for treatment outcomes for individuals with AN and GID. MDPI 2022-09-30 /pmc/articles/PMC9573322/ /pubmed/36233700 http://dx.doi.org/10.3390/jcm11195833 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
West, Madeline L.
McMaster, Caitlin
Young, Claire L.
Mohebbi, Mohammadreza
Hart, Susan
Staudacher, Heidi M.
Loughman, Amy
Ruusunen, Anu
Rocks, Tetyana
Diet, Digestion, and the Dietitian: A Survey of Clinicians’ Knowledge, Attitudes and Practices to Advance the Treatment of Gastrointestinal Disturbances in Individuals with Anorexia Nervosa
title Diet, Digestion, and the Dietitian: A Survey of Clinicians’ Knowledge, Attitudes and Practices to Advance the Treatment of Gastrointestinal Disturbances in Individuals with Anorexia Nervosa
title_full Diet, Digestion, and the Dietitian: A Survey of Clinicians’ Knowledge, Attitudes and Practices to Advance the Treatment of Gastrointestinal Disturbances in Individuals with Anorexia Nervosa
title_fullStr Diet, Digestion, and the Dietitian: A Survey of Clinicians’ Knowledge, Attitudes and Practices to Advance the Treatment of Gastrointestinal Disturbances in Individuals with Anorexia Nervosa
title_full_unstemmed Diet, Digestion, and the Dietitian: A Survey of Clinicians’ Knowledge, Attitudes and Practices to Advance the Treatment of Gastrointestinal Disturbances in Individuals with Anorexia Nervosa
title_short Diet, Digestion, and the Dietitian: A Survey of Clinicians’ Knowledge, Attitudes and Practices to Advance the Treatment of Gastrointestinal Disturbances in Individuals with Anorexia Nervosa
title_sort diet, digestion, and the dietitian: a survey of clinicians’ knowledge, attitudes and practices to advance the treatment of gastrointestinal disturbances in individuals with anorexia nervosa
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9573322/
https://www.ncbi.nlm.nih.gov/pubmed/36233700
http://dx.doi.org/10.3390/jcm11195833
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