Adamson, James; (2022) Towards better outcomes for autistic individuals with Eating Disorders. Doctoral thesis (D.Clin.Psy), UCL (University College London).

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Abstract

Evidence suggests that autistic individuals with an Eating Disorder (ED) respond to current interventions differently compared to neurotypical individuals. Furthermore, many are undiagnosed until they reach mental health services with mainly women being missed with current bias in the assessment process. Once they reach mental health services clinicians struggle to identify who might benefit from a full assessment and potential treatment adaptations. This thesis aims to firstly evaluate how autistic individuals respond to standard ED interventions utilising a systematic search to evaluate all available literature on the topic. By evaluating the current literature clinicians can make more informed clinical pathway decisions. Secondly, to evaluate an improved screening measure for use in ED services to help guide clinicians to make accurate referrals and appropriate adaptations for those that might benefit from an autism assessment. Participants were recruited as part of a larger study examining eating difficulties in autistic individuals, but the data was utilised in a novel way to develop a predictive model for screening autistic individuals with an ED. Finally, my reflections on the process of completing a thesis in this area for the benefit of fellow researchers and clinicians working in this field.

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