An examination of the impact of “the Maudsley eating disorder collaborative care skills workshops” on the well being of carers: A pilot study

• Published in: Social Psychiatry and Psychiatric Epidemiology 2008-07, Vol.43 (7), p.584-591
• Main Authors: Sepulveda, Ana Rosa, Lopez, C., Todd, G., Whitaker, W., Treasure, J.
• Format: Article
• Language: English
• Subjects: Adaptation, Psychological; Adult; Aged; Attitude to Health; Biological and medical sciences; Caregivers - education; Caregivers - psychology; Cognitive Behavioral Therapy - education; Cognitive Behavioral Therapy - methods; Cooperative Behavior; Education - methods; Education - organization & administration; Epidemiology; Expressed Emotion; Family environment. Family history; Family Health; Feasibility Studies; Feeding and Eating Disorders - psychology; Feeding and Eating Disorders - therapy; Female; Follow-Up Studies; Humans; Male; Medical sciences; Medicine; Medicine & Public Health; Mental health; Middle Aged; Motivation; Original Paper; Pilot Projects; Prevention. Health policy. Planification; Problem Solving; Problem-Based Learning; Program Evaluation; Psychiatry; Psychology. Psychoanalysis. Psychiatry; Psychometrics; Psychopathology. Psychiatry; Social psychiatry. Ethnopsychiatry; Stress, Psychological - prevention & control; Stress, Psychological - psychology; Surveys and Questionnaires
• ISSN: 0933-7954; 1433-9285
• DOI: 10.1007/s00127-008-0336-y

Background Carers of people with eating disorders experience high levels of distress due to the difficulties in their care giving role and their perceived lack of resources to help their relative. This paper describes an intervention where some of the skills used by specialist nurses and other staff from an eating disorder intensive care setting are taught to carers to improve their sense of competency and alleviate their distress. The aim of this study was to examine the feasibility and acceptability of “the Maudsley eating disorder collaborative care skills workshops” programme among care givers and whether the difficulties and distress involved in caring for a person with an eating disorder were reduced. Methods Thirty-five carers from 30 families were invited to participate in this programme, which consisted of a total of six workshops, delivered in 2-h sessions over 3 months. Assessments were undertaken at baseline ( T 0 ), at the end of the workshops ( T 1 ) and 3 months later ( T 2 ). Results The level of carer distress (GHQ) fell significantly after the intervention. The level of general care giving burden (ECI) also reduced as did the specific difficulties caused by eating disorder symptoms (EDSIS). These changes were maintained over time ( T 2 ). Conclusions The transfer of specialist skills within the programme was highly valued by the carers and lessened their stress and care giving difficulties.