Family-based treatment takes longer for adolescents with mental health comorbidities: findings from a community mental health service

Article


Lim, Jacqueline, White, Jacinda, Withington, Tania, Catania, Salvatore, Wilson, Daniel, Knight, Penny, Rees, Bronwyn, Middeldorp, Christel and Krishnamoorthy, Govind. 2023. "Family-based treatment takes longer for adolescents with mental health comorbidities: findings from a community mental health service ." Eating Disorders. 31 (6), pp. 588-609. https://doi.org/10.1080/10640266.2023.2201995
Article Title

Family-based treatment takes longer for adolescents with mental health comorbidities: findings from a community mental health service

ERA Journal ID6234
Article CategoryArticle
AuthorsLim, Jacqueline, White, Jacinda, Withington, Tania, Catania, Salvatore, Wilson, Daniel, Knight, Penny, Rees, Bronwyn, Middeldorp, Christel and Krishnamoorthy, Govind
Journal TitleEating Disorders
Journal Citation31 (6), pp. 588-609
Number of Pages22
Year2023
PublisherTaylor & Francis
Place of PublicationUnited States
ISSN1064-0266
1532-530X
Digital Object Identifier (DOI)https://doi.org/10.1080/10640266.2023.2201995
Web Address (URL)https://www.tandfonline.com/doi/full/10.1080/10640266.2023.2201995
Abstract

Children and adolescents diagnosed with an eating disorder often meet the diagnosis of another mental health disorder. In addition to eating disorders, individuals with comorbid disorders have higher suicide rates and more severe and chronic eating disorder symptoms. The present research aimed to investigate the influence of comorbid conditions on the treatment outcomes of children and adolescents that attended a public community mental health service. It was hypothesised that the patients with comorbidities would have a more extended treatment duration, slower rates of weight restoration, more hospital admissions for medical compromise, and poorer functioning than those without comorbidities. Data from 78 past patients at the Eating Disorder Program in Queensland, Australia, were analysed. Patients with comorbidities demonstrated similar recovery rates to those without comorbidities. However, those with comorbid conditions had longer episodes of treatment. The study’s results support using Family Based Treatment for patients with and without comorbidities. The implications of the findings for public mental health services and directions for future research are discussed.

Keywordsadolescents ; mental health ; community mental health service
ANZSRC Field of Research 2020420313. Mental health services
Public Notes

Files associated with this item cannot be displayed due to copyright restrictions.

Byline AffiliationsSchool of Psychology and Wellbeing
Children’s Health Queensland, Australia
University of Queensland
Young Minds Psychology, Australia
Permalink -

https://research.usq.edu.au/item/yw66q/family-based-treatment-takes-longer-for-adolescents-with-mental-health-comorbidities-findings-from-a-community-mental-health-service

  • 50
    total views
  • 0
    total downloads
  • 4
    views this month
  • 0
    downloads this month

Export as

Related outputs

The impact of trauma-informed practices on academic outcomes of First Nations children: a pilot study of culturally responsive supports in Australia
Krishnamoorthy, Govind, Harrison, Ellisa, Ayre, Kay, Ahmadi Forooshani, Sayedhabibollah, Berger, Emily, Rees, Bronwyn, Wheeler, Keane, Eiby, Nathan, Ong, Sabrina, Dallinger, Vicki and Ulhaq, Anwaar. 2024. "The impact of trauma-informed practices on academic outcomes of First Nations children: a pilot study of culturally responsive supports in Australia." Humanities and Social Sciences Communications. 11. https://doi.org/10.1057/s41599-024-03892-8
Supporting the Mental Health Needs of Neurodivergent Students: Outcomes of a Mental Health Literacy Program for Primary School Educators
Terlich, Rebecca, Krishnamoorthy, Govind and Fein, Erich C.. 2024. "Supporting the Mental Health Needs of Neurodivergent Students: Outcomes of a Mental Health Literacy Program for Primary School Educators." Education Sciences. 14 (10). https://doi.org/10.3390/educsci14101069
Male-friendly counselling for young men: a thematic analysis of client and caregiver experiences of Menslink counselling
Boerma, Micah, Beel, Nathan, Neill, James T., Jeffries, Carla, Krishnamoorthy, Govind and Guerri-Guttenberg, Jonathan. 2024. "Male-friendly counselling for young men: a thematic analysis of client and caregiver experiences of Menslink counselling." Australian Psychologist. https://doi.org/10.1080/00050067.2024.2378119
Post-Disaster Social Connectedness in Parent–Child Dyads: A Qualitative Investigation of Changes in Coping and Social Capital of Rural Australian Families Following Bushfires
Stribley, Lisa, Krishnamoorthy, Govind, Dallinger, Vicki, Ma, Jennifer, Nielson, Thomas, Bryce, India, Rees, Bronwyn, Morse, Alyssa, Rogers, Marg and Burton, Lorelle. 2024. "Post-Disaster Social Connectedness in Parent–Child Dyads: A Qualitative Investigation of Changes in Coping and Social Capital of Rural Australian Families Following Bushfires." The British Journal of Social Work. https://doi.org/10.1093/bjsw/bcae123
Power spectral density-based resting-state EEG classification of first-episode psychosis
Redwan, Sadi Md., Uddin, Md Palash, Ulhaq, Anwaar, Sharif, Muhammad Imran and Krishnamoorthy, Govind. 2024. "Power spectral density-based resting-state EEG classification of first-episode psychosis." Scientific Reports. 14. https://doi.org/10.1038/s41598-024-66110-0
An investigation into the efficacy, predictors and moderators of treatments for eating disorders at an outpatient child and adolescent eating disorder clinic
Withington, Tania, Wilson, Dan, Knight, Penny, Dalton, Melanie, Catania, Salvatore, Geissler, Ingrid, White, Jacinda, Davis, Amy, Sidari, Morgan, Miskovic-Wheatley, Jane, Krishnamoorthy, Govind, Loxton, Natalie, Cox, Jolene, Nkwenty, Edith, Middeldorp, Christel, Maclaughlin, Helen, Sellars, Gabryela, Conforti, Grace, Mendes, Renata, ..., Steward, Jamie. 2024. An investigation into the efficacy, predictors and moderators of treatments for eating disorders at an outpatient child and adolescent eating disorder clinic. Australia. Australian New Zealand Clinical Trial Registry.
I’ve been diagnosed with cancer. How do I tell my children?
Dittman, CassyCassy, Krishnamoorthy, Govind and Rogers, Marg. 2024. "I’ve been diagnosed with cancer. How do I tell my children?" The Conversation.
Our children, their future: understanding screen use in young children
Biddle, Stuart, Kolbe-Alexander, Tracy, Krishnamoorthy, Govind, Rowland, Deborah, Thomas, George, Vergeer, Ineke and March, Sonja. 2024. Our children, their future: understanding screen use in young children. Australia. University of Southern Queensland.
Trauma Informed Multi-tiered Systems of Support: A Blueprint for Supporting the Academic Achievement, Social-Emotional Development, and Wellbeing of Students attending Catholic Education Diocese of Wagga Wagga Schools
Leif, Erin, Berger, Emily, Ann, Kelly-Ann, Fox, Russ, Finefter-Rosenbluh, Ilana, Cordoba, Beatriz Gallo and Krishnamoorthy, Govind. 2024. Trauma Informed Multi-tiered Systems of Support: A Blueprint for Supporting the Academic Achievement, Social-Emotional Development, and Wellbeing of Students attending Catholic Education Diocese of Wagga Wagga Schools . Australia. Monash University.
‘It's all about rapport’: Australian therapists' recommendations for engaging adolescent males in counselling and psychotherapy
Boerma, Micah, Beel, Nathan, Jeffries, Carla and Krishnamoorthy, Govind. 2024. "‘It's all about rapport’: Australian therapists' recommendations for engaging adolescent males in counselling and psychotherapy." Counselling and Psychotherapy Research. 24 (2), pp. 805-817. https://doi.org/10.1002/capr.12716
'It's not fair!' Kids grumble and complain for a reason, here's how to handle it
Rogers, Marg, Dittman, Cassy and Krishnamoorthy, Govind. 2023. "'It's not fair!' Kids grumble and complain for a reason, here's how to handle it." The Conversation.
Conceptualisation of Personal Recovery and Recovery-Oriented Care for Youth: Multisystemic Perspectives
Dallinger, Vicki C., Krishnamoorthy, Govind, du Plessis, Carol, Pillai-Sasidharan, Arun, Ayres, Alice, Waters, Lillian, Groom, Yasmin, Sweeney, Kiara, Anderson, Linda, Rees, Bronwyn and Burton, Lorelle. 2023. "Conceptualisation of Personal Recovery and Recovery-Oriented Care for Youth: Multisystemic Perspectives." International Journal of Mental Health and Addiction. https://doi.org//10.1007/s11469-023-01170-3
Teacher Mental Health Literacy and Child Development in Australian Primary Schools: A Program Evaluation
Bowyer, Melissa, Fein, Erich C. and Krishnamoorthy, Govind. 2023. "Teacher Mental Health Literacy and Child Development in Australian Primary Schools: A Program Evaluation." Education Sciences. 13 (4), pp. 1-22. https://doi.org/10.3390/educsci13040329
Common Client Issues in Counselling: An Australian Perspective
Beel, Nathan, Chinchen, Christine, Machin, Tanya, du Plessis, Carol, Mullens, Amy B., Rees, Bronwyn, Purnell-Webb, Trish, Brown, Samantha, Murray, Judith, Ayre, Kay, Gilmour, John, Falcon, John, Flanagan, John, Brown, James, Krishnamoorthy, Govind, Bryce, India, Malengret, Claire, Dall'Osto, Claire and King, Deborah. Beel, Nathan, Chinchen, Christine, Machin, Tanya and du Plessis, Carol (ed.) 2023. Common Client Issues in Counselling: An Australian Perspective . University of Southern Queensland.
Trauma in Children and Adolescence
Krishnamoorthy, Govind and Mullens, Amy B.. 2023. "Trauma in Children and Adolescence." Beel, Nathan, Chinchen, Christine, Machin, Tanya and du Plessis, Carol (ed.) Common Client Issues in Counselling: An Australian Perspective. Australia. University of Southern Queensland. pp. 189-197
Trauma in Adults
Mullens, Amy B., Krishnamoorthy, Govind, Gilmour, John and Bryce, India. 2023. "Trauma in Adults." Beel, Nathan, Chinchen, Christine, Machin, Tanya and du Plessis, Carol (ed.) Common Client Issues in Counselling: An Australian Perspective. Australia. University of Southern Queensland. pp. 171-188
Child Maltreatment
Krishnamoorthy, Govind, Ayre, Kay, Rees, Bronwyn and Brown, Samantha. 2023. "Child Maltreatment." Beel, Nathan, Chinchen, Christine, Machin, Tanya and du Plessis, Carol (ed.) Common Client Issues in Counselling: An Australian Perspective. Australia. University of Southern Queensland. pp. 66-85
Trauma Informed Education: Interdisciplinary Insights
Krishnamoorthy, Govind, Ayre, Kay, Schimke, Dayna and King, Deborah. Schimke, Dayna (ed.) 2023. Trauma Informed Education: Interdisciplinary Insights. University of Southern Queensland.
Transformative change comes from more than structured content: Qualitative exploration of parent experiences of a post-separation group program
Bayliss, Luke, Krishnamoorthy, Govind, Malhotra, Aastha, Beel, Nathan, du Plessis, Carol, Crathern, Jennifer, Hall, Stuart and Burton, Lorelle. 2023. "Transformative change comes from more than structured content: Qualitative exploration of parent experiences of a post-separation group program." Family Relations. 72 (5), pp. 3067-3083. https://doi.org/10.1111/fare.12836
A Machine Learning Framework for Early-Stage Detection of Autism Spectrum Disorders
Hasan, S. M. Mahedy, Uddin, Palash, Al Mamun, Md., Sharif, Muhammad Imran, Ulhaq, Anwaar and Krishnamoorthy, Govind. 2023. "A Machine Learning Framework for Early-Stage Detection of Autism Spectrum Disorders." IEEE Access. 11, pp. 15038-5057. https://doi.org/10.1109/ACCESS.2022.3232490
Future-proofing Queensland families: Investigating CatholicCare’s leadership in family support services and responses to national family law reforms
Bayliss, Luke, Krishnamoorthy, Govind, Malhotra, Aastha, Beel, Nathan, du Plessis, Carol and Burton, Lorelle. 2022. Future-proofing Queensland families: Investigating CatholicCare’s leadership in family support services and responses to national family law reforms. Toowoomba, Australia. University of Southern Queensland.
Day Programs for children and adolescents with eating disorders: A systematic review
Krishnamoorthy, Govind, Shin, So Min and Rees, Bronwyn. 2023. "Day Programs for children and adolescents with eating disorders: A systematic review." European Eating Disorders Review. 31 (2), pp. 199-225. https://doi.org/10.1002/erv.2953
Multi-Tiered Culturally Responsive Behavior Support: A Qualitative Study of Trauma-Informed Education in an Australian Primary School
Schimke, Dayna, Krishnamoorthy, Govind, Ayre, Kay, Berger, Emily and Rees, Bronwyn. 2022. "Multi-Tiered Culturally Responsive Behavior Support: A Qualitative Study of Trauma-Informed Education in an Australian Primary School." Frontiers in Education. 7, pp. 1-11. https://doi.org/10.3389/feduc.2022.866266
Trauma-informed behavior support with youth in flexible learning and vocational education settings: Exploring the acceptability of an online trauma-informed education program
Gavin, Tessa, Krishnamoorthy, Govind, Ayre, Kay, Bryce, India and Trimmer, Karen. 2024. "Trauma-informed behavior support with youth in flexible learning and vocational education settings: Exploring the acceptability of an online trauma-informed education program." Preventing School Failure. 68 (1), pp. 8-15. https://doi.org/10.1080/1045988X.2022.2132197
Internet-based interventions to support recovery in youth: A systematic review
Dallinger, Vicki, Krishnamoorthy, Govind, Burton, Lorelle, Du Plessis, Carol, Pillai, Arun and Ayres, Alice. 2022. "Internet-based interventions to support recovery in youth: A systematic review." Digital Health. 8, pp. 1-16. https://doi.org/10.1177/20552076221129094
Trauma-Informed School Programming: A Partnership Approach to Culturally Responsive Behavior Support
Bellamy, Tessa, Krishnamoorthy, Govind, Ayre, Kay, Berger, Emily, Machin, Tony and Rees, Bronwyn Elizabeth. 2022. "Trauma-Informed School Programming: A Partnership Approach to Culturally Responsive Behavior Support." Sustainability. 14 (7), pp. 1-17. https://doi.org/10.3390/su14073997
Roadblocks and Enablers for Teacher Engagement in Professional Development Opportunities Aimed at Supporting Trauma-informed Classroom Pedagogical Practice
Collier, Simone, Trimmer, Karen, Bryce, India and Krishnamoorthy, Govind. 2022. "Roadblocks and Enablers for Teacher Engagement in Professional Development Opportunities Aimed at Supporting Trauma-informed Classroom Pedagogical Practice." Journal of Graduate Education Research. 3, pp. 51-65.
Characteristics and treatment outcomes of children and adolescents accessing treatment in Child and Youth Mental Health Services
Lu, Zhen Qi, de Geus, Hanna, Roest, Sanna, Payne, Leanne, Krishnamoorthy, Govind, Littlewood, Robyn, Hoyland, Margaret, Stathis, Stephen, Bor, William and Middeldorp, Christel. 2022. "Characteristics and treatment outcomes of children and adolescents accessing treatment in Child and Youth Mental Health Services." Early Intervention in Psychiatry. 16 (12), pp. 1297-1308. https://doi.org/10.1111/eip.13275
Exploring self-care practices in foster carers: a qualitative study
Miko, Amy L., Berger, Emily and Krishnamoorthy, Govind. 2023. "Exploring self-care practices in foster carers: a qualitative study." Journal of Public Child Welfare. 17 (2), pp. 333-355. https://doi.org/10.1080/15548732.2022.2027844
Validating the barriers and enablers for teachers accessing professional development of trauma informed pedagogy
Collier, Simone, Bryce, India, Trimmer, Karen and Krishnamoorthy, Govind. 2022. "Validating the barriers and enablers for teachers accessing professional development of trauma informed pedagogy." Social Sciences & Humanities Open. 6 (1), pp. 1-7. https://doi.org/10.1016/j.ssaho.2022.100332
Applications and Careers in Psychology within Public Health and Community Settings to Build Wellbeing and Promote Social Justice
Mullens, Amy B, Krishnamoorthy, Govind, She, Eidin Ni and Burton, Lorelle. 2022. "Applications and Careers in Psychology within Public Health and Community Settings to Build Wellbeing and Promote Social Justice." Machin, Tony, Machin, Tanya, Jeffries, Carla, Hoare, Nancey and Abel, Susan (ed.) The Australian Handbook for Careers in Psychological Science. Toowoomba, Australia. University of Southern Queensland. pp. 297-325
COVID-19 Unmasked Global Collaboration Protocol: longitudinal cohort study examining mental health of young children and caregivers during the pandemic
De Young, Alexandra, Vasileva, Mira, Boruszak-Kiziukiewicz, Joanna, Secinti, Dilara Demipence, Christie, Hope, Egberts, Marthe R., Anastassiou-Hadjicharalambous, Xenia, Marsac, Meghan L., Ruiz, Gemma, Alisic, Eva, Cobham, Vanessa, Donavon, Caroline, Hoehn, Elisabeth, March, Sonja, Middeldorp, Christel, Paterson, Rebecca S., Andreas, Petropoulos, Lioupi, Chrysanthi, Lioupis, Matteo, ..., Wamser R.. 2021. "COVID-19 Unmasked Global Collaboration Protocol: longitudinal cohort study examining mental health of young children and caregivers during the pandemic." European Journal of Psychotraumatology. 12 (1). https://doi.org/10.1080/20008198.2021.1940760
Sustaining interdisciplinary work in trauma‑informed education
Krishnamoorthy, Govind and Ayre, Kay. 2022. "Sustaining interdisciplinary work in trauma‑informed education." The Australian Educational Researcher. 49 (3), pp. 529-546. https://doi.org/10.1007/s13384-021-00483-3
Balancing the Needs of the School Community: Implementing Trauma-Informed Behaviour Supports in an Australian Regional Primary School.
Ayre, Kay, Krishnamoorthy, Govind, Rees, Bronwyn and Berger, Emily. 2022. "Balancing the Needs of the School Community: Implementing Trauma-Informed Behaviour Supports in an Australian Regional Primary School." Australian Journal of Teacher Education. 47 (9), pp. 43-61.
Utilisation of Digital Applications for Personal Recovery Amongst Youth with Mental Health Concerns
Dallinger, Vicki C., Krishnamoorthy, Govind, du Plessis, Carol, Pillai-Sasidharan, Arun, Ayres, Alice, Waters, Lillian, Groom, Yasmin, Alston, Olivia, Anderson, Linda and Burton, Lorelle. 2022. "Utilisation of Digital Applications for Personal Recovery Amongst Youth with Mental Health Concerns." International Journal of Environmental Research and Public Health. 19 (24), pp. 1-21. https://doi.org/10.3390/ijerph192416818
Trauma informed behaviour support: a practical guide to developing resilient learners
Ayre, Kay and Krishnamoorthy, Govind. Anderson, Nikki (ed.) 2020. Trauma informed behaviour support: a practical guide to developing resilient learners. Australia. University of Southern Queensland.
Evaluating frameworks for practice in mainstream primary school classrooms catering for children with developmental trauma: an analysis of the literature
Collier, Simone, Bryce, India, Trimmer, Karen and Krishnamoorthy, Govind. 2020. "Evaluating frameworks for practice in mainstream primary school classrooms catering for children with developmental trauma: an analysis of the literature." Children Australia. 45 (SI4), pp. 258-265. https://doi.org/10.1017/cha.2020.53
Through Benevolent Eyes: the Differential Efficacy of Perspective Taking and Cognitive Reappraisalon the Regulation of Shame
Krishnamoorthy, Govind, Davis, Penelope, O'Donovan, Analise, McDermott, Brett and Mullens, Amy. 2021. "Through Benevolent Eyes: the Differential Efficacy of Perspective Taking and Cognitive Reappraisalon the Regulation of Shame." International Journal of Cognitive Therapy. 14 (2), pp. 263-288. https://doi.org/10.1007/s41811-020-00085-4
Coping with COVID-19: Understanding and managing the impact of pandemics
Krishnamoorthy, Govind and Rees, Bronwyn. 2020. "Coping with COVID-19: Understanding and managing the impact of pandemics." Coping with COVID-19: Returning to face-to-face learning: Training provided to Goodna State School staff (2020). Goodna, Australia 08 May 2020
Trauma informed care: Adverse childhood experiences and its implications for health care
Krishnamoorthy, Govind and Bradley, Julie. 2020. "Trauma informed care: Adverse childhood experiences and its implications for health care." Australian Physiotherapy Association Online Seminar series: Trauma informed care: Implications for physiotherapists (2020). Online 23 May 2020
The impact of abuse and neglect on children: Understanding challenging behaviour and trauma informed practice
Krishnamoorthy, Govind. 2019. "The impact of abuse and neglect on children: Understanding challenging behaviour and trauma informed practice." The Pyjama Foundation Seminar Series: The impact of abuse and neglect on children (2019). Toowoomba, Australia 15 Oct 2019
Trauma informed care in early childhood education
Krishnamoorthy, Govind and Ayre, Kay. 2020. "Trauma informed care in early childhood education." Developmental Trauma and the Brain: Three part online professional development seminar for Gowrie NSW (2020). Online 06 Apr - 18 May 2020
Helping children who have been affected by bushfires
Krishnamoorthy, Govind, Ayre, Kay and Rees, Bronwyn. 2020. "Helping children who have been affected by bushfires." Reflections. 2020 (1), pp. 3-6.
Effects of the ‘Circle of Security’ group parenting program (COS-P) with foster carers: An observational study
Krishnamoorthy, Govind, Hessing, Paula, Middeldorp, Christel and Branjerdporn, Melissa. 2020. "Effects of the ‘Circle of Security’ group parenting program (COS-P) with foster carers: An observational study." Children and Youth Services Review. 115, pp. 1-8. https://doi.org/10.1016/j.childyouth.2020.105082