Management of eating disorders for people with higher weight: clinical practice guideline

Plain English summary The objective of this project was to develop recommendations and clinical considerations to guide clinicians in the management of people experiencing eating disorders who also have higher weight. A Guideline Development Group was formed containing members with academic and/or c...

Full description

Bibliographic Details
Main Authors: Angelique F. Ralph, Leah Brennan, Sue Byrne, Belinda Caldwell, Jo Farmer, Laura M. Hart, Gabriella A. Heruc, Sarah Maguire, Milan K. Piya, Julia Quin, Sarah K. Trobe, Andrew Wallis, AJ Williams-Tchen, Phillipa Hay
Format: Article
Language:English
Published: BMC 2022-08-01
Series:Journal of Eating Disorders
Subjects:
Online Access:https://doi.org/10.1186/s40337-022-00622-w
_version_ 1797761408742457344
author Angelique F. Ralph
Leah Brennan
Sue Byrne
Belinda Caldwell
Jo Farmer
Laura M. Hart
Gabriella A. Heruc
Sarah Maguire
Milan K. Piya
Julia Quin
Sarah K. Trobe
Andrew Wallis
AJ Williams-Tchen
Phillipa Hay
author_facet Angelique F. Ralph
Leah Brennan
Sue Byrne
Belinda Caldwell
Jo Farmer
Laura M. Hart
Gabriella A. Heruc
Sarah Maguire
Milan K. Piya
Julia Quin
Sarah K. Trobe
Andrew Wallis
AJ Williams-Tchen
Phillipa Hay
author_sort Angelique F. Ralph
collection DOAJ
description Plain English summary The objective of this project was to develop recommendations and clinical considerations to guide clinicians in the management of people experiencing eating disorders who also have higher weight. A Guideline Development Group was formed containing members with academic and/or clinical expertise and people with a lived experience of eating disorder. The guideline was not only informed by reviews of the scientific literature but also clinical expertise and lived expertise. This guideline has undergone extensive review and consultation over an 18-month period involving reviews by key stakeholders, including experts and organisations with clinical, academic and/or lived expertise. The guideline outlines a set of recommendations for clinical practice including the strong recommendation for psychological treatment to be offered as the first treatment for an eating disorder in people who are of higher weight. Considerations in clinical practice including weight stigma, care by professionals from disparate disciplines, and cultural considerations are also discussed. The Guideline Development Group acknowledges a lack of available research evidence specific to people experiencing an eating disorder who are also of higher weight and consequently some recommendations relied on consensus of group members taking into account the expert reviews. The Group also identified areas where additional research is necessary such as research evaluating weigh-neutral and other more recent approached in the field.
first_indexed 2024-03-12T19:12:35Z
format Article
id doaj.art-e618ce4450374e8885eab72de88490bc
institution Directory Open Access Journal
issn 2050-2974
language English
last_indexed 2024-03-12T19:12:35Z
publishDate 2022-08-01
publisher BMC
record_format Article
series Journal of Eating Disorders
spelling doaj.art-e618ce4450374e8885eab72de88490bc2023-08-02T05:45:25ZengBMCJournal of Eating Disorders2050-29742022-08-0110114210.1186/s40337-022-00622-wManagement of eating disorders for people with higher weight: clinical practice guidelineAngelique F. Ralph0Leah Brennan1Sue Byrne2Belinda Caldwell3Jo Farmer4Laura M. Hart5Gabriella A. Heruc6Sarah Maguire7Milan K. Piya8Julia Quin9Sarah K. Trobe10Andrew Wallis11AJ Williams-Tchen12Phillipa Hay13National Eating Disorders CollaborationSchool of Psychology and Public Health, La Trobe UniversityDepartment of Psychology, University of Western AustraliaEating Disorders VictoriaLived Experience AdvocateSchool of Psychology and Public Health, La Trobe UniversityEating Disorders and Nutrition Research Group (ENRG), School of Medicine, Western Sydney UniversityInsideOut Institute for Eating Disorders, The Boden Collaboration for Obesity, Nutrition, Exercise and Eating Disorders, The University of SydneySchool of Medicine, Western Sydney University, Macarthur Clinical SchoolLived Experience AdvocateNational Eating Disorders CollaborationSydney Children’s Hospitals Network, The Children’s Hospital WestmeadLived Experience AdvocateEating Disorders and Body Image (EDBI), Translational Health Research Institute, School of Medicine, Western Sydney UniversityPlain English summary The objective of this project was to develop recommendations and clinical considerations to guide clinicians in the management of people experiencing eating disorders who also have higher weight. A Guideline Development Group was formed containing members with academic and/or clinical expertise and people with a lived experience of eating disorder. The guideline was not only informed by reviews of the scientific literature but also clinical expertise and lived expertise. This guideline has undergone extensive review and consultation over an 18-month period involving reviews by key stakeholders, including experts and organisations with clinical, academic and/or lived expertise. The guideline outlines a set of recommendations for clinical practice including the strong recommendation for psychological treatment to be offered as the first treatment for an eating disorder in people who are of higher weight. Considerations in clinical practice including weight stigma, care by professionals from disparate disciplines, and cultural considerations are also discussed. The Guideline Development Group acknowledges a lack of available research evidence specific to people experiencing an eating disorder who are also of higher weight and consequently some recommendations relied on consensus of group members taking into account the expert reviews. The Group also identified areas where additional research is necessary such as research evaluating weigh-neutral and other more recent approached in the field.https://doi.org/10.1186/s40337-022-00622-wGuidelineAtypical anorexia nervosaBulimia nervosaBinge-eating disorderOther specified feeding or eating disorderObesity
spellingShingle Angelique F. Ralph
Leah Brennan
Sue Byrne
Belinda Caldwell
Jo Farmer
Laura M. Hart
Gabriella A. Heruc
Sarah Maguire
Milan K. Piya
Julia Quin
Sarah K. Trobe
Andrew Wallis
AJ Williams-Tchen
Phillipa Hay
Management of eating disorders for people with higher weight: clinical practice guideline
Journal of Eating Disorders
Guideline
Atypical anorexia nervosa
Bulimia nervosa
Binge-eating disorder
Other specified feeding or eating disorder
Obesity
title Management of eating disorders for people with higher weight: clinical practice guideline
title_full Management of eating disorders for people with higher weight: clinical practice guideline
title_fullStr Management of eating disorders for people with higher weight: clinical practice guideline
title_full_unstemmed Management of eating disorders for people with higher weight: clinical practice guideline
title_short Management of eating disorders for people with higher weight: clinical practice guideline
title_sort management of eating disorders for people with higher weight clinical practice guideline
topic Guideline
Atypical anorexia nervosa
Bulimia nervosa
Binge-eating disorder
Other specified feeding or eating disorder
Obesity
url https://doi.org/10.1186/s40337-022-00622-w
work_keys_str_mv AT angeliquefralph managementofeatingdisordersforpeoplewithhigherweightclinicalpracticeguideline
AT leahbrennan managementofeatingdisordersforpeoplewithhigherweightclinicalpracticeguideline
AT suebyrne managementofeatingdisordersforpeoplewithhigherweightclinicalpracticeguideline
AT belindacaldwell managementofeatingdisordersforpeoplewithhigherweightclinicalpracticeguideline
AT jofarmer managementofeatingdisordersforpeoplewithhigherweightclinicalpracticeguideline
AT lauramhart managementofeatingdisordersforpeoplewithhigherweightclinicalpracticeguideline
AT gabriellaaheruc managementofeatingdisordersforpeoplewithhigherweightclinicalpracticeguideline
AT sarahmaguire managementofeatingdisordersforpeoplewithhigherweightclinicalpracticeguideline
AT milankpiya managementofeatingdisordersforpeoplewithhigherweightclinicalpracticeguideline
AT juliaquin managementofeatingdisordersforpeoplewithhigherweightclinicalpracticeguideline
AT sarahktrobe managementofeatingdisordersforpeoplewithhigherweightclinicalpracticeguideline
AT andrewwallis managementofeatingdisordersforpeoplewithhigherweightclinicalpracticeguideline
AT ajwilliamstchen managementofeatingdisordersforpeoplewithhigherweightclinicalpracticeguideline
AT phillipahay managementofeatingdisordersforpeoplewithhigherweightclinicalpracticeguideline