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Are eating disorder patients in secure hospitals getting a fair deal? A survey of the prevalence and nature of the problem

Published online by Cambridge University Press:  16 May 2012

Clive G. Long ,
Arleen Rowell ,
Caroline Rose  and
Olga Dolley
Clive G. Long*
Affiliation:
Associate Director of Psychology & Psychological Therapies, St Andrew's Academic Centre, Kings College London Institute of Psychiatry, Northampton, UK
Arleen Rowell
Affiliation:
Head of Nutrition & Dietetics, St Andrew's Healthcare, Northampton, UK
Caroline Rose
Affiliation:
Director of Nursing, St Andrew's Healthcare, Northampton, UK
Olga Dolley
Affiliation:
Assistant Psychologist, St Andrew's Healthcare, Northampton, UK
*
Correspondence to: Dr Clive G. Long, St Andrew's Healthcare, Billing Road, Northampton, NN1 5DG. E-mail: clong@standrew.co.uk
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Abstract

While eating disorder symptomatology may be part of a broader picture of challenging behaviour for women admitted to secure care, little is known of the nature and incidence of such conditions. A survey of 131 women admitted to a secure psychiatric facility found 25 to have a recognized eating disorder, most with a diagnosis of eating disorders not otherwise specified (EDNOS) or binge eating disorder. However, few staff had experience of working with such patients and most expressed a need for training and support with such cases. The clinical and training implications of these findings are discussed.

Keywords

Eating disorderswomensecure psychiatric care
Type
Review Article
Information
Journal of Psychiatric Intensive Care , Volume 9 , Issue 1 , April 2013 , pp. 40 - 48
Copyright
Copyright © NAPICU 2012

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References

American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders, 4th ed. Washington, DC: American Psychiatric Association.Google Scholar
Bauer, S., Richard, M., Kordy, H. and COST Action B6 (2005) Patterns of change in eating disorders: a process view on eating disorders symptomatology. In: C. Norring, B. Palmer (eds). EDNOS Eating Disorders Not Otherwise Specified. London: Routledge. pp. 114–130.Google Scholar
Coid, J., Kahtan, N., Gault, S.Jarman, B. (2000) Women admitted to secure forensic psychiatry service II: comparison of women and men. Journal of Forensic Psychiatry. 11: 296–315.CrossRefGoogle Scholar
Cormac, I., Martin, D.Ferriter, M. (2004) Improving the physical health of long stay psychiatric inpatients. Advances in Psychiatric Treatment. 10: 107–115.CrossRefGoogle Scholar
de Zwann, M. (2005) Binge eating, EDNOS and obesity. In: C. Norring, B. Palmer (eds). EDNOS Eating Disorders Not Otherwise Specified. London: Routledge. pp. 83–113.Google Scholar
Fairburn, C.G. (2008) Eating disorders: the transdiagnostic view and the cognitive behavioural theory. In: C.G. Fairburn (ed.). Cognitive Behaviour Therapy and Eating Disorders. New York: Guilford Press. pp. 2–22.Google ScholarPubMed
Fairburn, C.G.Cooper, Z. (1993) The Eating Disorder Examination. (12th Edition ). In: C.G. Fairburn, G.T. Wilson (eds). Binge Eating: Nature, assessment and treatment. New York: Guilford Press. pp. 317–360.Google Scholar
Fairburn, C.G., Cooper, Z.Waller, D. (2008) Enhanced cognitive behaviour therapy for eating disorders (“CBT-E”): an overview. In: C.G. Fairburn (ed.). Cognitive Behaviour Therapy and Eating Disorders. New York: Guilford Press. pp. 23–34.Google Scholar
Favano, A., Ferrara, S.Santonastaso, P. (2007) Self injurious behaviour in a community sample of young women: relationship with childhood abuse and other types of self damaging behaviours. Journal of Clinical Psychiatry. 68: 122–131.Google Scholar
Garner, D.M. (2004) Eating Disorder Inventory – 3. Los Angeles: Western Psychological Services.Google Scholar
Kutlesic, V., Williamson, D.A., Gleaves, D.M., Barbin, J.M.Murphy-Ebernenz, K.P. (1998) The interview for the diagnosis of eating disorders – IV: Application to DSM-IV diagnostic criteria. Psychological Assesment. 10: 41–48.Google Scholar
Lacey, J.M.Evans, C. (1986) The impulsivist: a multi-impulsive personality disorder. British Journal of Addiction. 81: 641–649.Google Scholar
Lacey, J.H.Read, T. (1993) Multi-impulsive bulimia: description of inpatient eclectic treatment programme and a pilot follow up study of its efficacy. Eating Disorders Review. 1: 22–31.CrossRefGoogle Scholar
Laessle, R.G., Kith, M.M., Fitxher, M.M., Wittchen, H.U.Pirke, K.M. (1987) Major affective disorder in anorexia nervosa and bulimia: a descriptive diagnostic study. The British Journal of Psychiatry. 151: 785–789.Google Scholar
Linehan, M. (1993) The Cognitive Behavioural Treatment of Borderline Personality Disorder. New York: Guilford Press.Google Scholar
Long, C.G., Brillon, A.M., Schell, D.Webster, P. (2009) The nutrition and eating habits of women in secure psychiatric conditions: a survey with implications for practice and action. The British Journal of Forensic Practice. 11: 28–35.Google Scholar
Long, C.G., Fitzgerald, K.Hollin, C.R. (2012) Treatment of chronic anorexia nervosa: a 4-year follow-up of adult patients treated in an acute inpatient setting. Clinical Psychology and Psychopathology. 19(1): 1–13.Google Scholar
Long, C.G., Fulton, B.Hollin, C.R. (2008) The development of a ‘best practice’ service for women in a medium-secure psychiatric setting: treatment components and evaluation. Clinical Psychology and Psychotherapy. 15(5): 304–319.Google Scholar
Long, C.G.Ritchie, L. (2007) Body image and self care therapy in forensic psychiatry. Mental Health Practice. 10: 27–29.Google Scholar
National Institute for Clinical Excellence (2004). Eating Disorders: Core interventions in the treatment and management of anorexia nervosa, bulimia nervosa and related eating disorders. Clinical Guideline 9. London: NICE. Accessed online March 24, 2009 from http://www.nice.org.uk/guidance/CG9.Google Scholar
National Institute for Clinical Excellence (2006) Nutritional Support in Adults: Oral nutrition support, enteral tube feeding and parenteral nutrition. London: NICE.Google Scholar
Peterson, C.B. (2005) Conducting the diagnostic interview. In: J.E. Mitchell, C.B. Peterson (eds). Assessment of Eating Disorders. New York: Guilford Press. pp. 32–58.Google Scholar
Robinson, P. (2009) Severe and Enduring Eating Disorders (SEED) Management of Complex Presentations of Anorexia and Bulimia Nervosa. Chichester: Wiley-Blackwell.Google Scholar
Rowell, A., Long, C.G., Chance, L.Dolley, O. (2012) Identification of nutritional risk by nursing staff in secure psychiatric settings: reliability and validity of St Andrew's Nutrition Screening Instrument. Journal of Psychiatric and Mental Health Nursing. Published online 10 January 2012. doi: 10.1111/j.1365-2850.2011.01848.x.Google Scholar
Royal College of Psychiatrists and Royal College of Physicians (2010) MARSIPAN: Management of Really Sick Patients with Anorexia Nervosa. CR162. London: Royal College of Psychiatrists and Royal College of Physicians. 57 pp.Google Scholar
Strober, M. (2004) Managing the chronic treatment resistant patient with anorexia nervosa. International Journal of Eating Disorders. 36: 245–255.Google Scholar
Svirko, E.Hawton, K. (2007) Self-injurious behavior and eating disorders: the extent and nature of the association. Suicide and Life-Threatening Behavior. 37(4): 409–421.Google Scholar
Viesselman, J.O.Roig, M. (1985) Depression and suicidality in eating disorders. Journal of Clinical Psychiatry. 46: 118–124.Google Scholar
Westen, D.Harnden-Fischer, J. (2001) Personality profiles in eating disorders: re-thinking the distinction between Axis I and Axis II. The American Journal of Psychiatry. 158: 547–562.Google Scholar
Williamson, D.A. (1990) Assessment of Eating Disorders: Obesity, anorexia and bulimia nervosa. Elmsford, NY: Pergamon.Google Scholar
Wilson, G.T., Grilo, C.M.Vikousek, K.M. (2007) Psychological treatment of eating disorders. American Psychologist. 62: 199–216.Google Scholar
Wonderlich, S.A.Mitchell, J.E. (1997) Eating disorders and co-morbidity: empirical, conceptual and clinical implications. Psychopharmocological Bulletin. 33: 381–390.Google ScholarPubMed
Yanovski, S.Z.Sebring, N.G. (1994) Recorded food intake of obese women with binge eating disorders before and after weight loss. International Journal of Eating Disorders. 15(2): 135–150.Google Scholar