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17 results on '"Fox, John R.E."'

5. Experiences of shame and guilt in anorexia and bulimia nervosa: A systematic review

Author

Blythin, Suzanne P.M., Nicholson, Hannah L., Macintyre, Vanessa G., Dickson, Joanne M., Fox, John R.E., Blythin, Suzanne P.M., Nicholson, Hannah L., Macintyre, Vanessa G., Dickson, Joanne M., and Fox, John R.E.

Abstract

Objectives Emotional states may play an important role in the development and maintenance of anorexia (AN) and bulimia nervosa (BN). This systematic review aimed to examine the evidence regarding the relationship that shame and guilt have with two eating disorders, AN and BN. Methods Four major databases (Pubmed, PsychINFO, Web of Science, Medline) were searched (up until April 2018) for studies measuring guilt or shame in clinically diagnosed AN and BN groups. Included papers were evaluated for risk of bias. Results Twenty‐four papers met the inclusion criteria. Several methodological issues were noted within the reviewed studies, including a lack of longitudinal data and unaccounted confounding variables. Nonetheless, shame was typically more common in those with AN and BN than controls, was positively related to the severity of symptoms, and associated with the onset of eating disorder‐related difficulties (e.g., binging or purging). Effect sizes were typically moderate to large. The role of guilt was less clear, with few studies and mixed results. Discussion There is preliminary evidence that shame is implicated in the aetiology of AN and BN presentations, whilst there is currently insufficient evidence of such a role for guilt. It remains unclear whether shame is a risk factor for the development of AN and BN or a consequence of these difficulties. Practitioner Points Elevated shame appears to be a feature of anorexia (AN) and bulimia nervosa (BN). Shame appears to fluctuate with the occurrence of eating disordered behaviours like binging, purging or restricted eating. Guilt is less consistently linked to AN and BN presentations. Interventions directed at shame may be helpful for these populations. A lack of longitudinal data means the temporal features of these relationships are still unclear.

Published
2020

11. Young children’s experience of a parent with bipolar disorder:Understanding the child’s perspective

Author

Backer, Clare, Murphy, Rebecca, Fox , John R.E., Ulph, Fiona, and Calam, Rachel

Subjects
bipolar disorder, child, parenting, computer-assisted interview, qualitative, mental health, service user
Abstract

Objectives: To explore the experiences of young children of living with a parent with bipolar disorder (BD) and how this impacts on their emotional well-being.Design: Qualitative study using a computer-assisted semi-structured interview, ‘In My Shoes’ (IMS).Methods: Ten children aged between 4 and 10 years with a parent with BD identified via self-help groups were interviewed about their experience of family life. Thematic analysis was used following transcription.Results: Four main themes emerging from thematic analysis were as follows: perception of parents; knowledge and awareness of BD; managing family life with a ‘bipolar’ parent; and living in a family with BD. Four-year-old children could participate in the IMS interviews and discuss their parent's mood, behaviour, and mental health. Children had candid and insightful discussions about their parent's BD including symptoms and parenting, and could reflect on how having a parent with BD affected them emotionally and practically. Older children were better able to articulate their parent's illness and its impact.Conclusions: This exploratory study represents an important step in examining directly experiences of young children whose parents have BD. Using IMS, it was possible to gather insightful information from children to generate hypotheses and influence service development. Children of all ages had some knowledge and understanding of their parent's illness, describing both positive and negative experiences in the family. Further research to build understanding of children's perspectives and the support they feel they and their family would benefit from would enhance the development of appropriate services and interventions.Practitioner points: Using age-appropriate tools, it is possible to elicit the views of young children about their parent's mental health and parenting.Young children have insight into the impact of bipolar disorder in the family on themselves and family members.

Published
2017

17. Experiences of shame and guilt in anorexia and bulimia nervosa: A systematic review

Author

Blythin, Suzanne P.M., Nicholson, Hannah L., Macintyre, Vanessa G., Dickson, Joanne M., Fox, John R.E., Blythin, Suzanne P.M., Nicholson, Hannah L., Macintyre, Vanessa G., Dickson, Joanne M., and Fox, John R.E.

Abstract

Blythin, S. P., Nicholson, H. L., Macintyre, V. G., Dickson, J. M., Fox, J. R., & Taylor, P. J. (2020). Experiences of shame and guilt in anorexia and bulimia nervosa: A systematic review. Psychology and Psychotherapy: Theory, Research and Practice. 93(1), 134 - 159. Available here.

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