1. Presentations to an Irish Eating Disorder Service – who are they
Presentations to an Irish Eating Disorder Service – who are they? Sarah Hughes (TCD) & Caoimhe Clarke (St. Patrick’s)

2. Researchers
Research Supervisor Dr. Sarah Prasad, MD, MRCPsych, MA, HDip. Consultant Psychiatrist/CBT Therapist.
Dr. Caoimhe Clarke, Senior Registrar / Special Lecturer in Psychiatry, MRCPsych, HDip. Medical Education.
Sarah Hughes, Psychology Doctoral student (Structured PhD in Child & Youth Research)
Daniel Carter

3. St. Patrick’s University Hospital
Founded 250 years ago Ireland’s largest, independent not-for-profit mental health service National provider

4. Eating Disorder Program
National adult population Inpatient Care – 8 beds Day Program Out Patient Service – Dean Clinic Multidisciplinary team

5. Objectives
Description and knowledge of patients Highlight mental health needs

6. Anorexia nervosa 0. 5–1% Bulimia nervosa 0. 9–4
Anorexia nervosa 0.5–1% Bulimia nervosa 0.9–4.1% Young adult population Additional 5–13% suffer from partial syndrome eating disorders

7. What does the literature say?

8. “Few studies have investigated the incidence of eating disorders”

9. “EDNOS was the most common incident ED in both genders”

10. “Limited available evidence reflects a general under-detection
& under-treatment of eating disorders”

11. “…Represent a public health concern because they are frequently associated with other psychopathology and role impairment, & are frequently under-treated”

12. 2014 Not in any treatment: 50% Psychotherapy / Counselling only: 14%
“Callers do not always disclose whether they are in any form of treatment. Where this is mentioned, in 2014, 50% were not in any form of treatment”
Not in any treatment: 50%
Psychotherapy / Counselling only: 14%
GP only: 12%
GP + Psychotherapy: 6%
Psychiatrist / Hospital Treatment: 17%
Dietician: 1%

13. Take home message?
Increasing trend Economic burden What about the Irish population??

14. Eating Disorder Questionnaire Childhood Trauma Questionnaire
Methodology
Ethical approval
Psychiatric assessment
Eating Disorder Questionnaire
BAI and BDI
The Big 5 Inventory
Childhood Trauma Questionnaire
Clinical Impairment Assessment Questionnaire
Motivation for Change
Perfectionism Scale
Perception of Adult Attachment Questionnaire
Three Factor Eating Questionnaire

15. Methodology Database collected October 2013 – February 2016
239 participants in the study (on-going!)
National study
Descriptive Research

17. Demographics

18. BMI

19. Education & Employment Levels

20. Relationships

21. Previous treatment

22. Assessment Outcome

23. E.Q.

24. Co-morbidities

25. Depression & Anxiety
Depression 66.4%
Anxiety 67.2%

26. Depression & Anxiety

27. Trauma

28. Personality

29. Patient Profile
Female < 30 years old Anorexia Nervosa Single Student / Full time employed Inpatient treatment Co-morbid psychiatric illness

30. Conclusions and Future Plans
Snapshot
Public health
Clinical practice
Service provision
More research!

31. Acknowledgements
Dr. Sarah Prasad Professor Declan Mc Loughlin Lisa Powell Daniel Carter Staff on Eating Disorder Program Patients Bodywhys

32. References
World Health Organization (2004) Prevention of Mental Disorders Effective Interventions and Policy Options, Geneva, Switzerland.
Micali, N., Hagbery, K.W., Petersen, I. and Treasure, J. (2013) 'The incidence of eating disorders in the UK in : findings from the General Practice Research Database', British Medical Journal Open.
Hay, P. J, Mond, J.Buttner,P and Darby, A. (2008) 'Eating Disorder Behaviors Are Increasing: Findings from Two Sequential Community Surveys in South Australia', Open Access Plos One, (2).
Simon, J., Schmidt, U. and Pilling, S. (2005) 'The Health Service Use and Cost of Eating Disorders', Psychological Medicine, 13(11), pp
Fairburn, C. and Harriso, P. (2003) 'Eating Disorders', The Lancet, 361(), pp
Bodywhys The Eating Disorders Association of Ireland (2014) Prevention of Mental Disorders Effective Interventions and Policy Options, Dublin, Ireland.

33. “There is no absolute success in the world, only constant progress”
Thank you
“There is no absolute success in the world, only constant progress”
Jonathan Swift