NURSING FORUM, vol.57, pp.1213-1219, 2022 (ESCI)
Abstract
Background: Eating behavior in individuals with chronic mental disorders is affected
by several factors such as stress, drugs, and the environment. Eating problems
can lead to over‐nutrition and obesity. Therefore, the Shared Decision Making
Model‐based Guided Self‐Help Program aimed at solving the eating problems of
individuals with bipolar disorder living in the community should be tested with
preliminary studies. Thus, it would be appropriate to create a useful, accessible, and
applicable program for these individuals to overcome their eating problems.
Case Presentation: In this case study, the effects of the Guided Self‐Help Program
based on the Shared Decision Making Model (GSHP‐SDM) on the eating behaviors
of an individual who was diagnosed with bipolar disorder and displayed binge eating
and emotional eating behaviors were investigated. In the study, it was determined
that implementation of the eight‐session GSHP‐SDM, during which the participant
was interviewed once a week, improved her emotional and uncontrolled eating
behaviors.
Conclusions: This study is the first case study in which the GSHP was implemented
to change the eating behavior of an individual with a chronic mental disorder.
We observed that the GSHP regulated her eating behavior. We also observed that
SDM therapeutic intervention enabled her to decide that she could regulate her
eating behaviors.
KEYWORDS
bipolar disorder, case study, emotional eating, guided self‐help, shared decision making,