0000000000044966

AUTHOR

Pamela Macdonald

showing 9 related works from this author

The Objective and Subjective Caregiving Burden and Caregiving Behaviours of Parents of Adolescents with Anorexia Nervosa

2016

Objective The study aimed to examine caregiving burden and levels of distress, accommodating behaviours, expressed emotion (EE) and carers' skills, in parents of adolescents with anorexia nervosa. Method A semi-structured interview assessed the objective burden (time spent across caregiving tasks) in parents (n = 196) of adolescents (n = 144) receiving outpatient treatment for anorexia nervosa. Subjective burden (carers' distress), accommodating behaviours, EE and carers' skills were measured by self-report. Results Mothers, on average, spent 2.5 h/day of care, mainly providing food and emotional support, compared with 1 h/day by fathers. The level of distress and accommodating behaviour wa…

050103 clinical psychologymedicine.medical_specialtyeducation.field_of_studyBulimia nervosa05 social sciencesPopulationmedicine.disease030227 psychiatry03 medical and health sciencesPsychiatry and Mental healthClinical PsychologyDistressEating disorders0302 clinical medicineAmbulatory careAnorexia nervosa (differential diagnoses)medicineExpressed emotion0501 psychology and cognitive sciencesPsychiatryPsychologyeducationPsychopathologyClinical psychologyEuropean Eating Disorders Review
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A longitudinal examination of dyadic distress patterns following a skills intervention for carers of adolescents with anorexia nervosa

2016

Family interventions in anorexia nervosa (AN) have been developed to ameliorate maladaptive patterns of patient-carer interaction that can play a role in illness maintenance. The primary aim of this study is to examine the inter-relationship between baseline and post-treatment distress in dyads of carers and patients with AN to examine the interdependence between carers and patients. The secondary aim is to examine whether a carer skills intervention [Experienced Carer Helping Others (ECHO)] impacts on this inter-relationship. Dyads consisting of treatment-seeking adolescents with AN and their primary carer (n = 149; mostly mothers) were randomised to receive a carer skills intervention (EC…

MalePartner effects050103 clinical psychologyLongitudinal studyAnorexia Nervosa/psychology/therapyAnorexia Nervosahealth care facilities manpower and servicesPrimary carerAnxietylaw.invention0302 clinical medicineRandomized controlled triallawSurveys and QuestionnairesDevelopmental and Educational PsychologyLongitudinal StudiesChildhealth care economics and organizationsDepression05 social sciencesGeneral MedicineClinical trialPsychiatry and Mental healthDistressEating disordersCaregiversAnxiety/psychology/therapyAnorexia nervosa (differential diagnoses)Caregivingbehavior and behavior mechanismsAnxietyFemaleLongitudinal studymedicine.symptomPsychologyClinical psychologymedicine.medical_specialtyActor–Partner Interdependence Model (APIM)AdolescentStressYoung Adult03 medical and health sciencesmedicineHumans0501 psychology and cognitive sciencesDistrePsychiatryPsychological/psychology/therapysocial sciencesCaregivermedicine.diseaseCaregivers/psychology/trends030227 psychiatryPediatrics Perinatology and Child HealthDepression/psychology/therapyhuman activitiesStress PsychologicalFollow-Up Studies
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A randomised clinical trial to evaluate the acceptability and efficacy of an early phase, online, guided augmentation of outpatient care for adults w…

2019

AbstractBackgroundOutpatient interventions for adult anorexia nervosa typically have a modest impact on weight and eating disorder symptomatology. This study examined whether adding a brief online intervention focused on enhancing motivation to change and the development of a recovery identity (RecoveryMANTRA) would improve outcomes in adults with anorexia nervosa.MethodsParticipants with anorexia nervosa (n= 187) were recruited from 22 eating disorder outpatient services throughout the UK. They were randomised to receiving RecoveryMANTRA in addition to treatment as usual (TAU) (n= 99; experimental group) or TAU only (n= 88; control group). Outcomes were measured at end-of-intervention (6 w…

AdultMalemedicine.medical_specialtySocial adjustmentAdolescentPsychological interventionAnorexia nervosa; augmentation; early symptom change; feasibility; guidance; motivation; online; recovery; self-help; trialAnxietyBody Mass IndexYoung AdultrecoveryAmbulatory caremotivationSettore M-PSI/08 - Psicologia ClinicaaugmentationmedicineHumansAnorexia nervosa augmentation early symptom change feasibility guidance motivation online recovery self-help trialearly symptom changeself-helpApplied PsychologyonlineInternetbusiness.industryAnorexia nervosatrialClinical trialSelf CarePsychiatry and Mental healthAnorexia nervosa (differential diagnoses)Physical therapyAnxietyFemalemedicine.symptomEarly phasebusinessBody mass indexguidancefeasibility
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Development and validation of a scale to measure caregiver skills in eating disorders

2014

Objective:- The aim of this study was to develop and validate a new questionnaire designed to measure caregiver skills that, in line with the interpersonal component of the cognitive interpersonal maintenance model (Schmidt and Treasure, J Br J Clin Psychol, 45, 343–366, 2006), may be helpful in the support of people with anorexia nervosa (AN). A further aim is to assess whether this scale is sensitive to change following skills-based caregiver interventions. Method:- The Caregiver Skills (CASK) scale was developed by a group of clinicians and caregivers. Preliminary versions of the scale devised for both caregivers and parents were given at baseline and at follow-up after two studies of ca…

Emotional intelligenceeducationPsychological interventionCognitionInterpersonal communicationmedicine.diseaseExploratory factor analysisDevelopmental psychologyPsychiatry and Mental healthEating disordersCronbach's alphamedicineExpressed emotionPsychologyClinical psychologyInternational Journal of Eating Disorders
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The Feasibility of Using Guided Self-Help in Anorexia Nervosa: An Analysis of Drop-Out From the Study Protocol and Intervention Adherence

2020

The implementation of online technologies to promote wellbeing is increasingly becoming a worldwide priority. This study includes secondary analyses of data and examined drop-out rates in an online guided self-help intervention for patients with anorexia nervosa. Specifically, rates of drop-out at end of treatment (i.e., 6 weeks assessment), as well as intervention adherence (minimum of four of six online guided sessions) and differences between completers and drop-outs were examined. Motivation to change and associated patient variables were assessed as predictors of drop-out using structural equation modeling. Ninety-nine patients were randomized to the intervention arm of the trial. Data…

medicine.medical_specialtylcsh:BF1-990050105 experimental psychologyStructural equation modelinganorexia nervosaSelf-help03 medical and health sciences0302 clinical medicinemotivationIntervention (counseling)Drop outmedicinePsychology0501 psychology and cognitive sciencesGeneral PsychologyinterventiononlineOriginal ResearchProtocol (science)05 social sciencestrialdrop-outClinical trialTreatment centerlcsh:Psychologyanorexia nervosa; drop-out; intervention; motivation; online; trialAnorexia nervosa (differential diagnoses)Physical therapyPsychology030217 neurology & neurosurgery
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An examination of the impact of care giving styles (accommodation and skilful communication and support) on the one year outcome of adolescent anorex…

2016

Abstract Background The cognitive interpersonal model predicts that parental caregiving style will impact on the rate of improvement of anorexia nervosa symptoms. The study aims to examine whether the absolute levels and the relative congruence between mothers' and fathers' care giving styles influenced the rate of change of their children's symptoms of anorexia nervosa over 12 months. Methods Triads ( n =54) consisting of patients with anorexia nervosa and both of their parents were included in the study. Caregivers completed the Caregiver Skills scale and the Accommodation and Enabling Scale at intake. Patients completed the Short Evaluation of Eating Disorders at intake and at monthly in…

ParentsMale050103 clinical psychologyAnorexia NervosaPsychological intervention0302 clinical medicineParent-Child RelationsMaternal Behavioreducation.field_of_studyParenting05 social sciencesMultilevel modelCognitionMiddle AgedAnorexiaCare giver skillPsychiatry and Mental healthClinical PsychologyEating disordersCaregiversFemalemedicine.symptomCaregivers' congruenceSymptom changePsychologyAccommodationClinical psychologyParents/psychologyAdultParenting/psychologyAdolescentAnorexia Nervosa/psychologyPopulationAnorexiaInterpersonal communicationbehavioral disciplines and activities03 medical and health sciencesCaregivers/psychologySettore M-PSI/08 - Psicologia Clinicamental disordersmedicineHumans0501 psychology and cognitive scienceseducationPaternal Behaviorbusiness.industryAccommodatingModels Theoreticalmedicine.diseaseEnabling behaviour030227 psychiatrybusiness
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A multicenter audit of outpatient care for adult anorexia nervosa: Symptom trajectory, service use, and evidence in support of “early stage” versus “…

2020

Background: We explored the utility of “staging” anorexia nervosa (AN) by duration of illness and psychological wellbeing. We also investigated 12-month symptom trajectories and service usage in a large cohort of patients with AN assessed for outpatient treatment. Method: We conducted secondary analyses on data from a multisite clinical trial of adults with AN (n = 187) recruited from 22 NHS England specialist eating disorder (ED) services into a digital treatment augmentation study. Clinical outcomes and service use were measured at postintervention (six weeks), 6 and 12 months. We grouped patients into two categories: “early stage” (illness duration <3 years; n = 60) and “severe and en…

AdultMale050103 clinical psychologymedicine.medical_specialtyanorexia nervosa classification illness duration outpatient care social adjustment staging treatment outcomessocial adjustmentillness durationtreatment outcomesanorexia nervosa03 medical and health sciences0302 clinical medicineAmbulatory careSettore M-PSI/08 - Psicologia ClinicaAmbulatory CaremedicineHumans0501 psychology and cognitive sciencesoutpatient careDASSbusiness.industry05 social sciencesstaging030227 psychiatryClinical trialPsychiatry and Mental healthDistressMoodclassificationAnorexia nervosa (differential diagnoses)anorexia nervosa; classification; illness duration; outpatient care; social adjustment; staging; treatment outcomesPhysical therapyAnxietyFemalemedicine.symptombusinessBody mass index
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Development and Validation of a Scale to Measure Caregiver Skills in Eating Disorders

2015

Objective: The aim of this study was to develop and validate a new ques- tionnaire designed to measure caregiver skills that, in line with the interperso- nal component of the cognitive inter- personal maintenance model (Schmidt and Treasure, J Br J Clin Psychol, 45, 343–366, 2006), may be helpful in the support of people with anorexia nerv- osa (AN). A further aim is to assess whether this scale is sensitive to change following skills-based caregiver interventions. Method: The Caregiver Skills (CASK) scale was developed by a group of clinicians and caregivers. Preliminary versions of the scale devised for both caregivers and parents were given at baseline and at follow-up after two studies…

MaleParentsSurveys and Questionnaires/standardsAnorexia NervosaHome NursingFeeding and Eating Disorders/therapyeducationHealth BehaviorSelf Care/standardsAnorexia Nervosa/therapycaregiver eating disorder exploratory factor analysis anorexia nervosaMiddle AgedClinical Competence/standardsFeeding and Eating DisordersSelf Careddc:616.89CaregiversHome Nursing/standardsSettore M-PSI/08 - Psicologia ClinicaSurveys and QuestionnairesH1Caregivers/education/standardsHumansFemaleClinical Competence
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The Objective and Subjective Caregiving Burden and Caregiving Behaviours of Parents of Adolescents with Anorexia Nervosa

2015

Objective: The study aimed to examine caregiving burden and levels of distress, accommodating behaviours, expressed emotion (EE) and carers' skills, in parents of adolescents with anorexia nervosa. Method: A semi-structured interview assessed the objective burden (time spent across caregiving tasks) in parents (n = 196) of adolescents (n = 144) receiving outpatient treatment for anorexia nervosa. Subjective burden (carers' distress), accommodating behaviours, EE and carers' skills were measured by self-report. Results: Mothers, on average, spent 2.5 h/day of care, mainly providing food and emotional support, compared with 1 h/day by fathers. The level of distress and accommodating behaviour…

AdultMaleParentsParenting/psychologyAdolescentAnorexia Nervosa/psychologycaregiving burdenMothersStressbehavioral disciplines and activitiesanorexia nervosaPsychological/psychologyCaregivers/psychologySurveys and Questionnairesmental disordersAmbulatory CareHumansParent-Child RelationsMaternal BehaviorPaternal Behavioraccommodating and enabling behaviourParentingDepressionMiddle AgedExpressed EmotionClinical PsychologyCaregiversPsychiatry and Mental Healthexpressed emotionFemalecarer skillDepression/psychologyStress PsychologicalParents/psychology
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