Browsing by Author "Ayton, Agnes"
Now showing items 1-17 of 17
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The alarms should no longer be ignored: A Survey of the Demand, Capacity and Provision of Adult Community Eating Disorder Services in England and Scotland before COVID-19
(2022-12)This national survey compared the demand and capacity of adult community eating disorder services (ACEDS) to NHSE Commissioning guidance. Results: Of 21 services approached in England and Scotland 13 responded (10.7 million ... -
Are current guidelines overcautious regarding refeeding of patients with severe anorexia nervosa: a retrospective cohort study
(2020-05)Weight restoration is an integral part of managing anorexia nervosa patients and has been found to be associated with electrolyte and fluid abnormalities gathered under the umbrella term refeeding syndrome, which has led ... -
Does the UK medical education provide doctors with sufficient skills and knowledge to manage patients with eating disorders safely?
(2018-06)Background: Eating disorders affect 1%–4% of the population and they are associated with an increased rate of mortality and multimorbidity. Following the avoidable deaths of three people the parliamentary ombudsman called ... -
EATING DISORDERS: AGE OF ONSET AND ITS ASSOCIATED GENETIC RISK FACTORS
(2022-09)The age at which an eating disorder begins to develop has important implications for the design of services and the targeting of clinical interventions. Eating disorders have a heritability of 16-83% and a median age ... -
Evolutionary biology: an essential basic science for the training of the next generation of psychiatrists
(2019-06)Evolutionary science can serve as the high-level organising principle for understanding psychiatry. Evolutionary concepts generate new models and ideas for future psychiatric study, research, policy and therapy. The authors ... -
Evolutionary Perspectives on Eating Disorders
(2022-09)The focus of this chapter is on evolutionary theories and models of anorexia nervosa (AN), bulimia nervosa (BN) and obesity. Although obesity is not considered a mental health problem, its link with binge eating disorder ... -
From awareness to action: an urgent call to reduce mortality and improve outcomes in eating disorders
(2023-10)High mortality rates and poor outcomes from eating disorders, especially anorexia nervosa, are largely preventable and require urgent action. A national strategy to address this should include prevention; early detection; ... -
Integrated Enhanced Cognitive Behavioural (I-CBTE) therapy significantly improves effectiveness of inpatient treatment of anorexia nervosa in real life settings
(2022-01)Inpatient treatment of anorexia nervosa (AN) often results in poor outcomes. To address this, the Oxford service has adapted the multistep enhanced cognitive behavioural (CBTE) treatment model, first developed in Italy, ... -
Is Bed Rest Helpful as an Intervention in the Management of Severe Anorexia Nervosa in Hospitals?
(2018-08)Background: Bed rest has been part of treatment of severe anorexia nervosa in hospitals both in the UK and internationally. It is commonly used on medical and paediatric wards and both the adult and Junior MARSIPAN [1] ... -
Results and Learning from the Healthy Outcomes for People with Eating Disorders (HOPE) New Care Model (Provider Collaborative) pilot: More investment required to address demand and capacity in adult community and inpatient eating disorder services
(2021-06)This article reports on pilot results and lessons learned from the HOPE New Care Model (Provider Collaborative). Pre-pandemic 12 beds were needed per million population. Demand for beds could be reduced by addressing the ... -
Risk, demand and capacity in adult specialist eating disorder services in the South of England – before and since Covid-19
(2020-12)Aims and Method: This is a longitudinal cohort study describing the demand and capacity for specialist inpatient treatment of patients with severe eating disorders covering a population of 3.5 million. We compared the ... -
Self-harm on a specialist adult eating disorder unit: a retrospective cohort study of patient characteristics and outcomes
(2021-06)Deliberate self-harm (DSH) is common but rarely studied among inpatients with eating disorders. We sought to investigate the frequency of DSH among inpatients in a specialist adult eating disorders unit, and the association ... -
Ultra-processed foods and binge eating: A retrospective observational study
(2021-04)There is increasing evidence of the impact of ultra-processed foods on multiple metabolic and neurobiological pathways, including those involved in eating behaviors, both in animals and in humans. In this study we aimed ... -
Untreatable or unable to treat? Creating more effective and accessible treatment for long-standing and severe eating disorders
(2023-02)The evidence base for the treatment of severe eating disorders is limited. In addition to improving access to early intervention, there is a need to develop more effective treatments for complex presentations of eating ... -
The use of Fox’s glacier mints to treat ibs-type symptoms in patients with anorexia nervosa in an adult specialist eating disorder unit
(2021-03)Background: Patients with Anorexia Nervosa (AN) often experience Irritable Bowel Syndrome (IBS) type symptoms, including bloating, abdominal pain and acid reflux.(1) Pepper mint oil is used to treat IBS symptoms, due to ... -
The Western diet: a blind spot of eating disorder research?—a narrative review and recommendations for treatment and research
(2020-07)Over the last 50 years, in parallel with the obesity epidemic, the prevalence of eating disorders has increased and presentations have changed. In this narrative review, we consider recent research exploring the implications ... -
What is the evidence for using bed rest as part of hospital treatment of severe anorexia nervosa?
(2019-04)Bed rest is commonly used on medical and paediatric wards as part of nursing management of the physically compromised patient with severe anorexia nervosa. The aim of this study was to review the evidence base of bed rest ...
