Addressing unmet needs in adolescent eating disorder treatment with an ongoing remote-access peer support group
DOI:
https://doi.org/10.1921/gpwk.v30i3.2259Keywords:
eating disorder, recovery, online treatment, adolescents, peer support, barriers to service, evidence-based treatmentAbstract
There is a lack of services for individuals recovering from an eating disorder once a person leaves initial treatment, especially among certain populations. Financial limitations, location, insurance requirements, and transportation issues are some of the barriers people face when trying to access services; for teenagers, these barriers can be magnified if there is little to no family support. Recovery can take years, whereas initial intensive treatment programs generally last weeks to months, leaving an unmet need in eating disorder treatment. Peer support programs have been shown to be an effective way for individuals to maintain recovery once they return to their communities. The current article aims to address the need for ongoing treatment of eating disorders for adolescents between the ages of 13 to 19. An internet-based peer support group for adolescents addresses current barriers to treatment since it is accessible from home and requires no budget. Current evidence-based eating disorder treatments and specific issues related to the adolescent population are discussed, along with research on peer support and mentorship. The article offers an outline for the creation of an online peer support group to include group composition, norms, and evaluation, offering universal availabilityeati
References
Beveridge, J., Phillipou, A., Jenkins, Z., Newton, R., Brennan, L., Hanly, F., Castle, D. (2019). Peer mentoring for eating disorders: Results from the evaluation of a pilot program. Journal of Eating Disorders, 7, 1, 13-10. doi:10.1186/s40337-019-0245-3
Davis, L. E., & Attia, E. (2019). Recent advances in therapies for eating disorders. F1000 Research, 8, 1693. doi:10.12688/f1000research.19847.1
Forrest, L. N., Bodell, L. P., Witte, T. K., Goodwin, N., Bartlett, M. L., Siegfried, N., Smith, A. R. (2016). Associations between eating disorder symptoms and suicidal ideation through thwarted belongingness and perceived burdensomeness among eating disorder patients. Journal of Affective Disorders, 195, 127-135. doi:10.1016/j.jad.2016.02.017
Hanly, F., Torrens-Witherow, B., Warren, N., Castle, D., Phillipou, A., Beveridge, J., Brennan, L. (2020). Peer mentoring for individuals with an eating disorder: A qualitative evaluation of a pilot program. Journal of Eating Disorders, 8, 1, 1-13. doi:10.1186/s40337-020-00301-8
Martinussen, M., Friborg, O., Schmierer, P., Kaiser, S., Øvergård, K. T., Neunhoeffer, A., Rosenvinge, J. H. (2016). The comorbidity of personality disorders in eating disorders: A meta-analysis. Eating and Weight Disorders, 22, 2, 201-209. doi:10.1007/s40519-016-0345-x
Mulders-Jones, B., Mitchison, D., Girosi, F., & Hay, P. (2017). Socioeconomic correlates of eating disorder symptoms in an Australian population-based sample. PloS One, 12(1), e0170603. doi:10.1371/journal.pone.0170603
National Eating Disorders Association. (2021). Levels of care. https://www.nationaleatingdisorders.org/treatment/levels-care
Rodgers, R. F., Lombardo, C., Cerolini, S., Franko, D. L., Omori, M., Fuller-Tyszkiewicz, M., Linardon, J., Courtet, P., & Guillaume, S. (2020). The impact of the COVID-19 pandemic on eating disorder risk and symptoms. The International Journal of Eating Disorders, 53, 7, 1166-1170. https://doi.org/10.1002/eat.23318
Vall, E., & Wade, T. D. (2015). Predictors of treatment outcome in individuals with eating disorders: A systematic review and meta-analysis. International Journal of Eating Disorders, 48(7), 946-971. doi:10.1002/eat.22411
Waller, G. (2016). Recent advances in psychological therapies for eating disorders. F1000 Research, 5, 702. doi:10.12688/f1000research.7618.1
Wasil, A., Venturo-Conerly, K., Shingleton, R., & Weisz, J. (2019). The motivating role of recovery self-disclosures from therapists and peers in eating disorder recovery: Perspectives of recovered women. Psychotherapy (Chicago, Ill.), 56, 2, 170-180. doi:10.1037/pst0000214
Weissman, R. S., Bauer, S., & Thomas, J. J. (2020). Access to evidence-based care for eating disorders during the COVID-19 crisis. The International Journal of Eating Disorders, 53, 5, 369-376. https://doi.org/10.1002/eat.23279
Welch, E., Jangmo, A., Thornton, L. M., Norring, C., von Hausswolff-Juhlin, Y., Herman, B. K., Bulik, C. M. (2016). Treatment-seeking patients with binge-eating disorder in the swedish national registers: Clinical course and psychiatric comorbidity. BMC Psychiatry, 16, 1, 163. doi:10.1186/s12888-016-0840-7
Ziobrowski, H. N., Sonneville, K. R., Eddy, K. T., Crosby, R. D., Micali, N., Horton, N. J., & Field, A. E. (2019). Maternal eating disorders and eating disorder treatment among girls in the growing up today study. Journal of Adolescent Health, 65, 4, 469-475. doi:10.1016/j.jadohealth.2019.04.031