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Peer mentoring for eating disorders: results from the evaluation of a pilot program

机译:对饮食疾病的同行指导:试点计划评估结果

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Eating disorders (EDs) are serious psychiatric illnesses that have high rates of morbidity and mortality, and low long-term recovery rates. Peer mentor programs (PMPs) have been associated with reduced psychiatric hospitalisation and shorter lengths of stay for those with other severe mental illnesses. The present study evaluated the feasibility and preliminary efficacy of a PMP for individuals with EDs in improving symptomatology and quality of life. Thirty mentees and seventeen mentors were recruited. The PMP involved thirteen sessions over 6 months. Participants completed measures assessing ED symptomatology, quality of life (QoL), mood and perceived disability. Changes in symptomatology before and after the PMP were tested by Wilcoxon signed rank tests. Semi-structured interviews were conducted for qualitative evaluation of the PMP. The program was deemed to have moderate feasibility with eight of 30 mentees, and two of 17 mentors withdrawing. Completion rates ranged from 2 to 16 sessions, and between 3 and 45?weeks. Mentees demonstrated improvements in body mass index, QoL, ED symptomatology, mood (depression, anxiety and tension/stress) and perceived disability from pre- to post-program. Mentors demonstrated significant increases in ED symptomatology, but no worsening of QoL, mood or perceived disability. Qualitative findings from both mentees and mentors were positive: emergent themes included hope for recovery, a sense of agency and inspiration gained from interaction with someone with lived experience of an ED. This pilot study suggests feasibility of the PMP for individuals with EDs. Mentees demonstrated improvements in ED symptomatology, QoL, mood and perceived disability. However, the increase in ED symptomatology reported by the mentors over the PMP highlights potential risks and the need for thorough monitoring while preliminary evaluation is undertaken. The mentoring relationship was a positive experience for both mentees and mentors, instilling an increased hope for recovery in mentees and an opportunity for mentors to reflect on their own recovery with increased confidence. The novel relationship formed throughout mentorship highlights a potential gap in current clinical support services, which warrants further exploration within a controlled trial. Australian and New Zealand Clinical Trials Registration Number: ACTRN12617001412325. Retrospectively registered: 05/10/2017. Date of first enrolment: 20/01/2017. https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=373741&isReview=true.
机译:饮食障碍(EDS)是严重的心理疾病,具有高发病率和死亡率,以及低的长期回收率。对等导师计划(PMP)与其他严重精神疾病的精神病院住院和较短的逗留程度有关。本研究评估了PMP在提高症状和生活质量方面对患有EDS的个体的可行性和初步疗效。招募了三十个借方和十七名导师。 PMP涉及超过6个月的十三个会话。参与者完成措施评估ED症状,生活质量(QOL),情绪和感知残疾。 PMP之前和之后的症状变化由Wilcoxon签名等级测试测试。对PMP进行定性评估进行了半结构化访谈。该计划被认为具有中等的可行性,其中八个助长的八个,17名导师撤回。完成率从2到16个课程范围,3到45次,周数。 Mentees展示了体重指数,QOL,ED症状,情绪(抑郁,焦虑和紧张/应力)的改善,并从预先划分后感知残疾。导师表现出ED症状的显着增加,但没有恶化QoL,情绪或感知残疾。来自介导和导师的定性发现是积极的:紧急主题包括恢复希望,从与艾德的生活经验的互动中获得的代理和灵感。该试点研究表明PMP为具有EDS的个人的可行性。 Mentees展示了ED症状学,QOL,情绪和感知残疾的改善。然而,导师在PMP上报告的ED症状症状增加突出了潜在的风险和对初步评估进行彻底监测的需求。辅导关系是对辅导和导师的积极体验,灌输了晋级恢复的增加希望,并有机会以提高信心增加自己的复苏。在整个辅导中形成的新型关系突出了当前临床支持服务中的潜在差距,这是在受控试验中进行进一步探索。澳大利亚和新西兰临床试验登记号码:ACTRN12617001412325。回顾性注册:05/10/2017。首次入学日期:2017年第20/01/01/2017。 https://www.anzctr.org.au/trier/registration/trialreview.aspx?id=373741&ISREView=true。

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