Gilbert, Nicola (2009)
Clin.Psy.D. thesis, University of Birmingham.
The severe consequences of having an eating disorder can be minimised by early treatment access. However, most individuals experience lengthy delays in accessing help. This review aimed to systematically evaluate the empirical literature relating to the barriers and facilitators that might influence these delays, for individuals with eating psychopathology. Twenty empirical studies were reviewed. Evidence for potential barriers included: 1) logistical difficulties, 2) ethnicity and acculturation, 3) poor mental health literacy, 4) self-reliance, and 5) social and interpersonal fears. Potential facilitators included: 1) problem recognition, 2) interventions to enhance recognition, 3) impairment of functioning and health, and 4) severity of eating disordered symptoms. More complex studies are required to establish the directional influence of these factors on help seeking. A shift in focus from resactive facilitators, such as symptom severity, towards the factors that might operate earlier on in the help seeking process, is more likely to generate ideas and interventions to achieve earlier treatment access.
This unpublished thesis/dissertation is copyright of the author and/or third parties. The intellectual property rights of the author or third parties in respect of this work are as defined by The Copyright Designs and Patents Act 1988 or as modified by any successor legislation. Any use made of information contained in this thesis/dissertation must be in accordance with that legislation and must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the permission of the copyright holder.
Repository Staff Only: item control page