Skift Typografi Marker tekst og klik TAB for at hoppe til næste typografi Klik SHIFT + TAB for at hoppe tilbage i typografierne 1. OVERSKRIFT 2. UNDEROVERSKRIFT.

Præsentationer af emnet: "Skift Typografi Marker tekst og klik TAB for at hoppe til næste typografi Klik SHIFT + TAB for at hoppe tilbage i typografierne 1. OVERSKRIFT 2. UNDEROVERSKRIFT."— Præsentationens transcript:

1 Skift Typografi Marker tekst og klik TAB for at hoppe til næste typografi Klik SHIFT + TAB for at hoppe tilbage i typografierne 1. OVERSKRIFT 2. UNDEROVERSKRIFT 3. Brødtekst 4. Punktopstilling Typografi billedtekst 1. Overskrift 2. Billedbrødtekst Tilpasse størrelse og placering på billed-pladsholder, før du indsætter billede 1. Klik på billed-pladsholderen 2. Træk i håndtaget i toppen eller i siderne 3. Justér og placér billed- og billedtekst-pladsholderen ift hjælpelinier. Du kan markere begge pladsholdere og flytte dem samtidigt ved at holde SHIFT- knappen nede mens du klikker 4. Hvis du ændrer størrelsen på billed-pladsholderen, så tilpas bredden på billedtekst- pladsholderen, hvis du bruger billedtekst Indsæt billede 1. Klik på det lille billed- indsættelsesikon i midtenaf pladsholderen 2. Indsæt det ønskede billede Beskær eller skalér billede 1. Klik Beskær for at ændre billedets fokus 2. Du skalerer billedet, ved at holde SHIFT-knappen nede, mens der trækkes i billedets hjørner Indsæt hjælpelinjer til placering af objekter 1. Højreklik uden for slidet og vælg Gitter og hjælpelinjer 2. Sæt kryds ved Vis tegnehjælpelinjer på skærmen 3. Sæt hak ved Fastgør objekter til gitter & Fastgør objekter til andre objekter 4. Vælg OK Indsæt / Ændre Cobrand-logo 1. Højreklik på logoet, vælg Skift billede 2. Find det nye logo, klik OK 3. Fjern logo og hvid kasse hvis du ikke ønsker Cobrand- logo 4. Hvis du ikke ønsker cobranding med Københavns Universitet skal du også huske at fjerne universitets-navnet ved Afsendervirksomhed i toppen til venstre Experiences and outcomes in treatment of binge eating disorder (BED) & obesity. A mixed methods study ​Unit for Psychotherapy Research/ Unit for Eating Disorders at Psychotherapy Centre Stolpegaard ​The National Institute of Public Health, University of Southern Denmark ​ Meyer, L., Waaddegaard, M., Tjørnhøj Thomsen, T., Lau, M. ​ DESIGN & METHODS The study uses a mixed methods design. The quantitative data are gathered pre- and post-interventions in a naturalistic single group design using Eating Disorder Examination interviews, self-report questionnaires, and Body Mass Index (BMI). This is supplemented with an embedded qualitative data generation using field observations and in-depth interviews with patients (n=15). 105 patients have been included during the period of Nov. 2013 to Nov. 2015. Field observations and interviews run from Nov. 2015 to May 2016. ​ BACKGROUND ​ Binge eating disorder (BED) is a common and severe eating disorder characterised by recurrent episodes of binge eating in the absence of regular compensatory behaviour. Approximately 2/3 becomes overweight or obese (1). As in other eating disorders, Body Image Disturbance (BID) is a central factor in BED (2), where it is associated with illness severity and prognosis. Whereas treatment is found effective in reducing binge eating behaviour, it is less effective in reducing BID and rarely leads to weight loss (3). ​ A purpose of this study is to explore effective and meaningful ways of working with body and weight issues in patients with BED and obesity. The study investigates outcomes and patient experiences in a new two-phased treatment programme introduced at Stolpegaard Psychotherapy Centre where phase 1 is systemic and narrative group psychotherapy followed by a phase 2 that is either weight loss or well-being treatment. ​ ANALYSES Interviews will be analysed using systemic and narrative theory. Qualitative and quantitative data will be integrated in an iterative process, Data are merged to produce detailed understandings of patient needs and changes both in and following treatment. ​ PERSPECTIVE ​ This study combines frequently used quantitative measures of eating disorder psychopathology and weight with patients’ experiences of recovery and change. This combination may shed light on the experienced meaning of measurable changes. Additionally, knowledge about change processes may provide insights into which treatment options need to be made available to patients in order to accommodate different treatment needs. AIMS The study aims to: 1.examine measurable changes following the two treatment phases. 2.explore patient experiences of change. 3.examine characteristics of patients who choose and benefit from weight loss or well-being treatment. ​ Figure 1. Design: Mixed methods How can we effectively and meaningfully address body & weight issues in treatment of patients with BED and obesity? PARTICIPANTS Adult patients at Stolpegard Psychotherapy Centre meeting DSM- IV diagnostic criteria for Binge Eating Disorder. BMI > 27. FACT – In Denmark, an estimated 50.000 people are affected by BED. This is more than Anorexia and Bulimia together. Approximately 8% of people with obesity and 25% of people in weight loss treatment have BED. FACT –DSM-5 Diagnostic criteria for BED include recurrent episodes of binge eating characterized by eating a large amount of food within a short period of time, accompanied by a sense of loss of control and followed by marked distress. Contrary to bulimia, the is no regular compensatory behavior. ”…I have given up on the idea of loosing 20 kg in this treatment but I am slowly working to change my life style. I feel like I’m in a good place with myself, and that’s worth something isn’t it. If there are too many rules and things I can’t do, it starts off the eating disorder and all the critical things it says about me. I still want to lose weight, I just want to do it without hating myself. ”My body is my friend more than my enemy. My body talks to me and tells me what I need. For instance, if I’m tired or my knee hurts. I’ve noticed all that it does for me. I’m also aware of my senses, and I’m grateful to be able to see, hear and smell. And for tasting food. Before, my body was just a rack that carried me around. ​ RESULTS Phase 1: Preliminary statistical analyses of quantitative data indicate a decrease in binge eating behaviour and a stable weight following Phase 1. Interviews mirror this stability, and patients describe it as a liberation from the BED. According to both quantitative and qualitative data body and weight issues persist. Funded by satspuljemidler (Woman from a Weight Loss group) (Woman from a Well-Being group) Patients’ experiences of a Weight Loss group and a Well-Being group 6 months (1-2 months) 6 months PRE- PHASE 1 POST- PRE- PHASE 2 POST- EDE-Intw BMI SCL-90 IIP SDS WHO-5 Systemic & narrative PSYCHOTHERAPY WEIGHT LOSS WELL-BEING FIELD- OBSERVATIONS IN- DEPTH INTWS EDE-Intw BMI SCL-90 IIP SDS WHO-5 EDE-Intw BMI SCL-90 IIP SDS WHO-5 EDE-Intw BMI SCL-90 IIP SDS WHO-5 IN- DEPTH INTWS FIELD- OBSERVATIONS ​ Figure 2. Flow: Included patients Nov. 2013-Nov.2015 Phase 2: Statistical analysis is premature. Field observations and interviews show a variety of processes of change in relation to body and weight. In the Well-Being group patients express experiences of reconnecting with their bodies, thus bringing about change via acceptance and appreciation of their bodies. In the Weight Loss group patients are balancing, how they can make small changes in their eating and movement so as to induce a modest weight loss without leaning into the strict rules and regulations of the eating disorder. References 1) Hudson, J.I., Hiripi, E., Harrison, G.P., & Kessler, (2011) The prevalence and Correlates of eating disorders ion the national comorbidity survey replication, BIOL PSYCHIATRY, 61 2) Grilo, C.M. 2013), Int. J Eat Disord 208-211 3) Hay, P. 2013 A systematic review of evidence for psychological treatments in eating disorders: 2005-2012, Int. J Eat Disord. 46: 462-469