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Peer mentorship as an adjunct intervention for the treatment of eating disorders: A pilot randomized trial
Objective Peer mentorship has been shown to be helpful for other mental health conditions, but it has been understudied for patients with eating disorders. The goal of the present study was to evaluate the feasibility and efficacy of peer mentorship for individuals with eating disorders by conductin...
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Published in: | The International journal of eating disorders 2020-05, Vol.53 (5), p.497-509 |
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container_issue | 5 |
container_start_page | 497 |
container_title | The International journal of eating disorders |
container_volume | 53 |
creator | Ranzenhofer, Lisa M. Wilhelmy, Mylene Hochschild, Annabella Sanzone, Kaitlin Walsh, B. Timothy Attia, Evelyn |
description | Objective
Peer mentorship has been shown to be helpful for other mental health conditions, but it has been understudied for patients with eating disorders. The goal of the present study was to evaluate the feasibility and efficacy of peer mentorship for individuals with eating disorders by conducting a randomized controlled trial (RCT).
Trial Design
Parallel three‐arm pilot RCT with 1:1:1 allocation to peer mentorship, social support mentorship (active comparison intervention), and waiting list.
Method
Sixty outpatients with anorexia nervosa (AN), bulimia nervosa (BN), or binge‐eating disorder (BED) were randomly assigned to a condition. Outcome measures, including eating disorder symptoms and general psychopathology, were completed at baseline, mid‐, and postintervention.
Results
Session attendance and acceptability ratings were higher in peer mentorship than social support mentorship. More participants in social support mentorship (39%) dropped out compared to peer mentorship (5%). In intent‐to‐treat analysis, peer mentorship showed greater reductions in body dissatisfaction and anxiety compared with both control groups. Compared with social support mentorship, peer mentorship had greater reductions in depression. Compared with waiting list, peer mentorship had greater reduction in binge eating days/week in patients with BN/BED and restriction days/week in patients with AN. Peer mentorship did not impact body mass index or reentry into higher level of care.
Discussion
This pilot RCT provides preliminary evidence that peer mentorship is effective for some cognitive and behavioral symptoms of eating disorders as an adjunct to outpatient treatment. Additional studies are needed to evaluate the efficacy of peer mentorship in absence of treatment. |
doi_str_mv | 10.1002/eat.23258 |
format | article |
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Peer mentorship has been shown to be helpful for other mental health conditions, but it has been understudied for patients with eating disorders. The goal of the present study was to evaluate the feasibility and efficacy of peer mentorship for individuals with eating disorders by conducting a randomized controlled trial (RCT).
Trial Design
Parallel three‐arm pilot RCT with 1:1:1 allocation to peer mentorship, social support mentorship (active comparison intervention), and waiting list.
Method
Sixty outpatients with anorexia nervosa (AN), bulimia nervosa (BN), or binge‐eating disorder (BED) were randomly assigned to a condition. Outcome measures, including eating disorder symptoms and general psychopathology, were completed at baseline, mid‐, and postintervention.
Results
Session attendance and acceptability ratings were higher in peer mentorship than social support mentorship. More participants in social support mentorship (39%) dropped out compared to peer mentorship (5%). In intent‐to‐treat analysis, peer mentorship showed greater reductions in body dissatisfaction and anxiety compared with both control groups. Compared with social support mentorship, peer mentorship had greater reductions in depression. Compared with waiting list, peer mentorship had greater reduction in binge eating days/week in patients with BN/BED and restriction days/week in patients with AN. Peer mentorship did not impact body mass index or reentry into higher level of care.
Discussion
This pilot RCT provides preliminary evidence that peer mentorship is effective for some cognitive and behavioral symptoms of eating disorders as an adjunct to outpatient treatment. Additional studies are needed to evaluate the efficacy of peer mentorship in absence of treatment.</description><identifier>ISSN: 0276-3478</identifier><identifier>EISSN: 1098-108X</identifier><identifier>DOI: 10.1002/eat.23258</identifier><identifier>PMID: 32159243</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Adolescent ; Adult ; anorexia nervosa ; binge‐eating disorder ; bulimia nervosa ; Eating disorders ; Feeding and Eating Disorders - therapy ; Female ; Humans ; Male ; Mentors ; Middle Aged ; Peer Group ; peer mentorship ; peer‐based intervention ; Pilot Projects ; randomized controlled trial ; Social support ; Young Adult</subject><ispartof>The International journal of eating disorders, 2020-05, Vol.53 (5), p.497-509</ispartof><rights>2020 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4438-84c83d6559bc86477905a1a6858c3857c652eca93c555fb54ca36b30c50b4c683</citedby><cites>FETCH-LOGICAL-c4438-84c83d6559bc86477905a1a6858c3857c652eca93c555fb54ca36b30c50b4c683</cites><orcidid>0000-0002-7199-6998</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32159243$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ranzenhofer, Lisa M.</creatorcontrib><creatorcontrib>Wilhelmy, Mylene</creatorcontrib><creatorcontrib>Hochschild, Annabella</creatorcontrib><creatorcontrib>Sanzone, Kaitlin</creatorcontrib><creatorcontrib>Walsh, B. Timothy</creatorcontrib><creatorcontrib>Attia, Evelyn</creatorcontrib><title>Peer mentorship as an adjunct intervention for the treatment of eating disorders: A pilot randomized trial</title><title>The International journal of eating disorders</title><addtitle>Int J Eat Disord</addtitle><description>Objective
Peer mentorship has been shown to be helpful for other mental health conditions, but it has been understudied for patients with eating disorders. The goal of the present study was to evaluate the feasibility and efficacy of peer mentorship for individuals with eating disorders by conducting a randomized controlled trial (RCT).
Trial Design
Parallel three‐arm pilot RCT with 1:1:1 allocation to peer mentorship, social support mentorship (active comparison intervention), and waiting list.
Method
Sixty outpatients with anorexia nervosa (AN), bulimia nervosa (BN), or binge‐eating disorder (BED) were randomly assigned to a condition. Outcome measures, including eating disorder symptoms and general psychopathology, were completed at baseline, mid‐, and postintervention.
Results
Session attendance and acceptability ratings were higher in peer mentorship than social support mentorship. More participants in social support mentorship (39%) dropped out compared to peer mentorship (5%). In intent‐to‐treat analysis, peer mentorship showed greater reductions in body dissatisfaction and anxiety compared with both control groups. Compared with social support mentorship, peer mentorship had greater reductions in depression. Compared with waiting list, peer mentorship had greater reduction in binge eating days/week in patients with BN/BED and restriction days/week in patients with AN. Peer mentorship did not impact body mass index or reentry into higher level of care.
Discussion
This pilot RCT provides preliminary evidence that peer mentorship is effective for some cognitive and behavioral symptoms of eating disorders as an adjunct to outpatient treatment. Additional studies are needed to evaluate the efficacy of peer mentorship in absence of treatment.</description><subject>Adolescent</subject><subject>Adult</subject><subject>anorexia nervosa</subject><subject>binge‐eating disorder</subject><subject>bulimia nervosa</subject><subject>Eating disorders</subject><subject>Feeding and Eating Disorders - therapy</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Mentors</subject><subject>Middle Aged</subject><subject>Peer Group</subject><subject>peer mentorship</subject><subject>peer‐based intervention</subject><subject>Pilot Projects</subject><subject>randomized controlled trial</subject><subject>Social support</subject><subject>Young Adult</subject><issn>0276-3478</issn><issn>1098-108X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp1kUtLxDAUhYMoOo4u_AMScKOLappXUxfCIL5A0IWCu5CmqZOhTcakVfTXm3FUVHCVwP3uuefeA8BOjg5zhPCRUf0hJpiJFTDKUSmyHImHVTBCuOAZoYXYAJsxzhBCnCC2DjYIzlmJKRmB2a0xAXbG9T7EqZ1DFaFyUNWzwekeWteb8Jyq1jvY-AD7qYF9SAMXLdA3MH2te4S1jT7UJsRjOIFz2_oeBuVq39k3U6cOq9otsNaoNprtz3cM7s_P7k4vs-ubi6vTyXWmKSUiE1QLUnPGykoLTouiREzligsmNBGs0Jxho1VJNGOsqRjVivCKIM1QRTUXZAxOlrrzoepMrZPRoFo5D7ZT4VV6ZeXvirNT-eifZUEEKZOHMdj_FAj-aTCxl52N2rStcsYPUWJS8HRuKhaz9v6gMz8El9aTmCJEaPKfJ-pgSengYwym-TaTI7lIUKYryo8EE7v70_03-RVZAo6WwIttzev_SvJscreUfAcP9KYp</recordid><startdate>202005</startdate><enddate>202005</enddate><creator>Ranzenhofer, Lisa M.</creator><creator>Wilhelmy, Mylene</creator><creator>Hochschild, Annabella</creator><creator>Sanzone, Kaitlin</creator><creator>Walsh, B. Timothy</creator><creator>Attia, Evelyn</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-7199-6998</orcidid></search><sort><creationdate>202005</creationdate><title>Peer mentorship as an adjunct intervention for the treatment of eating disorders: A pilot randomized trial</title><author>Ranzenhofer, Lisa M. ; Wilhelmy, Mylene ; Hochschild, Annabella ; Sanzone, Kaitlin ; Walsh, B. Timothy ; Attia, Evelyn</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4438-84c83d6559bc86477905a1a6858c3857c652eca93c555fb54ca36b30c50b4c683</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>anorexia nervosa</topic><topic>binge‐eating disorder</topic><topic>bulimia nervosa</topic><topic>Eating disorders</topic><topic>Feeding and Eating Disorders - therapy</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Mentors</topic><topic>Middle Aged</topic><topic>Peer Group</topic><topic>peer mentorship</topic><topic>peer‐based intervention</topic><topic>Pilot Projects</topic><topic>randomized controlled trial</topic><topic>Social support</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ranzenhofer, Lisa M.</creatorcontrib><creatorcontrib>Wilhelmy, Mylene</creatorcontrib><creatorcontrib>Hochschild, Annabella</creatorcontrib><creatorcontrib>Sanzone, Kaitlin</creatorcontrib><creatorcontrib>Walsh, B. Timothy</creatorcontrib><creatorcontrib>Attia, Evelyn</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The International journal of eating disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ranzenhofer, Lisa M.</au><au>Wilhelmy, Mylene</au><au>Hochschild, Annabella</au><au>Sanzone, Kaitlin</au><au>Walsh, B. Timothy</au><au>Attia, Evelyn</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Peer mentorship as an adjunct intervention for the treatment of eating disorders: A pilot randomized trial</atitle><jtitle>The International journal of eating disorders</jtitle><addtitle>Int J Eat Disord</addtitle><date>2020-05</date><risdate>2020</risdate><volume>53</volume><issue>5</issue><spage>497</spage><epage>509</epage><pages>497-509</pages><issn>0276-3478</issn><eissn>1098-108X</eissn><abstract>Objective
Peer mentorship has been shown to be helpful for other mental health conditions, but it has been understudied for patients with eating disorders. The goal of the present study was to evaluate the feasibility and efficacy of peer mentorship for individuals with eating disorders by conducting a randomized controlled trial (RCT).
Trial Design
Parallel three‐arm pilot RCT with 1:1:1 allocation to peer mentorship, social support mentorship (active comparison intervention), and waiting list.
Method
Sixty outpatients with anorexia nervosa (AN), bulimia nervosa (BN), or binge‐eating disorder (BED) were randomly assigned to a condition. Outcome measures, including eating disorder symptoms and general psychopathology, were completed at baseline, mid‐, and postintervention.
Results
Session attendance and acceptability ratings were higher in peer mentorship than social support mentorship. More participants in social support mentorship (39%) dropped out compared to peer mentorship (5%). In intent‐to‐treat analysis, peer mentorship showed greater reductions in body dissatisfaction and anxiety compared with both control groups. Compared with social support mentorship, peer mentorship had greater reductions in depression. Compared with waiting list, peer mentorship had greater reduction in binge eating days/week in patients with BN/BED and restriction days/week in patients with AN. Peer mentorship did not impact body mass index or reentry into higher level of care.
Discussion
This pilot RCT provides preliminary evidence that peer mentorship is effective for some cognitive and behavioral symptoms of eating disorders as an adjunct to outpatient treatment. Additional studies are needed to evaluate the efficacy of peer mentorship in absence of treatment.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>32159243</pmid><doi>10.1002/eat.23258</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0002-7199-6998</orcidid><oa>free_for_read</oa></addata></record> |
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language | eng |
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source | Wiley |
subjects | Adolescent Adult anorexia nervosa binge‐eating disorder bulimia nervosa Eating disorders Feeding and Eating Disorders - therapy Female Humans Male Mentors Middle Aged Peer Group peer mentorship peer‐based intervention Pilot Projects randomized controlled trial Social support Young Adult |
title | Peer mentorship as an adjunct intervention for the treatment of eating disorders: A pilot randomized trial |
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