Disclosure of eating disorders and subsequent help seeking

428 50 1019 10 1477 document 1019 Gilbert09PhDVol1.pdf application/pdf 49da24f7cc6887cc77acb485f52981a8 MD5 878720 2011-07-19 16:17:14 http://etheses.bham.ac.uk//id/eprint/428/4/Gilbert09PhDVol1.pdf 428 4 1 application/pdf application/pdf en public

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http://eprints.org/relation/isVersionOf http://etheses.bham.ac.uk/id/document/1019 http://eprints.org/relation/isVolatileVersionOf http://etheses.bham.ac.uk/id/document/1019 http://eprints.org/relation/isIndexCodesVersionOf http://etheses.bham.ac.uk/id/document/1019 archive 4031 disk0/00/00/04/28 2009-12-08 12:46:12 2019-01-23 09:52:08 2011-07-19 16:17:14 thesis show 0 Gilbert Nicola Meyer Caroline Jones Christopher University of Birmingham Disclosure of eating disorders and subsequent help seeking unpub BF 10col_life eating disorders; help seeking; barriers; access to services 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generate ideas and interventions to achieve earlier treatment access. 2009-12-10 2009-06 graduation eng uobscanned This unpublished thesis/dissertation is copyright of the author and/or third parties.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. public 121 University of Birmingham School of Psychology d_cp na 2009-12-10 graduation