Bethan Dalton1, Julia Dornik2, Jessica McClelland1, Savani Bartholdy1, Maria Kekic1, Iain C Campbell1, Ulrike Schmidt3,4. 1. Section of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience, King's College London, SE5 8AF, London, UK. 2. Maudsley Hospital, South London and Maudsley NHS Foundation Trust, Denmark Hill, SE5 8AZ, London, UK. 3. Section of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience, King's College London, SE5 8AF, London, UK. ulrike.schmidt@kcl.ac.uk. 4. Maudsley Hospital, South London and Maudsley NHS Foundation Trust, Denmark Hill, SE5 8AZ, London, UK. ulrike.schmidt@kcl.ac.uk.
Abstract
BACKGROUND: Neuromodulation techniques, such as repetitive transcranial magnetic stimulation (rTMS), transcranial direct current stimulation (tDCS) and deep brain stimulation (DBS), are emerging as promising treatment options in eating disorders (EDs). To date, the views of ED clinicians regarding these interventions have not been explored. METHODS: Eighteen clinicians were recruited from a specialist ED Service in London, UK. Following a short educational presentation on rTMS, tDCS and DBS, they completed a semi-structured interview to explore their views on the use of these treatment options in EDs. RESULTS: Clinician knowledge of neuromodulation techniques was low. They raised safety and ethical (particularly capacity to consent) concerns mainly with regard to DBS. Neuromodulation treatments were considered most appropriate as an adjunct to psychotherapy and for patients with severe, enduring illness (who had completed previous psychological treatments). CONCLUSIONS: Improving clinicians' knowledge and understanding of neuromodulation is fundamental for bridging the gap between research and clinical work. This is especially so given the predominance of psychological theory and practice in the treatment of EDs.
BACKGROUND: Neuromodulation techniques, such as repetitive transcranial magnetic stimulation (rTMS), transcranial direct current stimulation (tDCS) and deep brain stimulation (DBS), are emerging as promising treatment options in eating disorders (EDs). To date, the views of ED clinicians regarding these interventions have not been explored. METHODS: Eighteen clinicians were recruited from a specialist ED Service in London, UK. Following a short educational presentation on rTMS, tDCS and DBS, they completed a semi-structured interview to explore their views on the use of these treatment options in EDs. RESULTS: Clinician knowledge of neuromodulation techniques was low. They raised safety and ethical (particularly capacity to consent) concerns mainly with regard to DBS. Neuromodulation treatments were considered most appropriate as an adjunct to psychotherapy and for patients with severe, enduring illness (who had completed previous psychological treatments). CONCLUSIONS: Improving clinicians' knowledge and understanding of neuromodulation is fundamental for bridging the gap between research and clinical work. This is especially so given the predominance of psychological theory and practice in the treatment of EDs.
Entities:
Keywords:
Deep brain stimulation; Eating disorders; Qualitative study; Repetitive transcranial magnetic stimulation; Transcranial direct current stimulation
Authors: Vivienne M Hazzard; Carol B Peterson; Ross D Crosby; Lauren M Schaefer; Kathryn E Smith; Scott G Engel; Scott J Crow; Stephen A Wonderlich Journal: Int J Eat Disord Date: 2020-10-29 Impact factor: 4.861
Authors: Maria Kekic; Jessica McClelland; Savani Bartholdy; Elena Boysen; Peter Musiat; Bethan Dalton; Meyzi Tiza; Anthony S David; Iain C Campbell; Ulrike Schmidt Journal: PLoS One Date: 2017-01-25 Impact factor: 3.240
Authors: Bethan Dalton; Savani Bartholdy; Jessica McClelland; Maria Kekic; Samantha J Rennalls; Jessica Werthmann; Ben Carter; Owen G O'Daly; Iain C Campbell; Anthony S David; Danielle Glennon; Nikola Kern; Ulrike Schmidt Journal: BMJ Open Date: 2018-07-16 Impact factor: 2.692