title: Frontline clinicians' perspectives on and utilization of trauma-focused therapy with individuals with eating disorders.
abstract: With this study, we sought to survey clinicians regarding their perspectives and use of concurrent or integrated psychotherapy for co-occurring eating disorders (EDs) and posttraumatic stress disorder. We conducted a quantitative survey of 184 frontline ED clinicians to investigate whether, and to what extent, they view concurrent EDs and trauma-focused therapy as clinically important. We also assessed clinicians' specific concerns regarding concurrent EDs and trauma-focused treatment, as well as barriers to implementation of an evidence-based concurrent treatment. On the whole, clinicians reported that addressing trauma-related symptoms in individuals with EDs is highly important and should be administered concurrently. Although clinicians reported anticipating many important benefits of concurrent treatment, they also reported anticipating several potential negative side effects, and they reported a number of perceived barriers to implementation. Clinicians working in hospital settings anticipated more complications, expected fewer benefits, and perceived more barriers to the administration of concurrent treatment.
authors.affiliation: a Department of Psychiatry , University Health Network , Toronto , Ontario , Canada.|b Department of Psychiatry , University of Toronto , Toronto , Ontario , Canada.
authors.forename: Kathryn
authors.initials: K
authors.lastname: Trottier
authors.affiliation: c Department of Psychology , Ryerson University , Toronto , Ontario , Canada.
authors.forename: Candice M
authors.initials: CM
authors.lastname: Monson
authors.affiliation: d Neuropsychiatric Research Institute & Department of Clinical Neuroscience , University of North Dakota , Fargo , North Dakota , USA.
authors.forename: Stephen A
authors.initials: SA
authors.lastname: Wonderlich
authors.affiliation: a Department of Psychiatry , University Health Network , Toronto , Ontario , Canada.|c Department of Psychology , Ryerson University , Toronto , Ontario , Canada.
authors.forename: Danielle E
authors.initials: DE
authors.lastname: MacDonald
authors.affiliation: a Department of Psychiatry , University Health Network , Toronto , Ontario , Canada.|b Department of Psychiatry , University of Toronto , Toronto , Ontario , Canada.
authors.forename: Marion P
authors.initials: MP
authors.lastname: Olmsted
mesh_terms: D001291:Attitude of Health Personnel; D015897:Comorbidity; D001068:Feeding and Eating Disorders / Q000453:epidemiology / Q000628:therapy*; D019538:Health Care Surveys / Q000379:methods*; D006801:Humans; D011613:Psychotherapy / Q000379:methods*; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology / Q000628:therapy*