Eating disorders

2010 ◽  
pp. 5317-5324 ◽  
Author(s):  
Christopher G. Fairburn
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Clinical Practice ◽  
Diagnostic Category ◽  
Routine Clinical Practice ◽  
Adult Women ◽  
Young Adult Women ◽  
Not Otherwise Specified ◽  
Chronic Course

Eating disorders affect about 5% of adolescent girls and young adult women. They are much less common among men. They typically begin in adolescence and may run a chronic course, interfering with psychological, physical, and social functioning. Three eating disorders are distinguished: (1) anorexia nervosa; (2) bulimia nervosa; and (3) a residual diagnostic category—the most common seen in routine clinical practice— termed ‘eating disorder not otherwise specified’ (eating disorder NOS). They all share a distinctive ‘core psychopathology’, the overevaluation of shape and weight, and patients frequently move between the categories, hence a case may be made for adopting a ‘transdiagnostic’ perspective....

scholarly journals Eating disorders, DSM–5 and clinical reality

2011 ◽  
Vol 198 (1) ◽  
pp. 8-10 ◽  
Author(s):  
Christopher G. Fairburn ◽  
Zafra Cooper
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Clinical Practice ◽  
Response To Treatment ◽  
Dsm 5 ◽  
Current State ◽  
Not Otherwise Specified ◽  
Clinical Reality ◽  
Dsm Iv

SummaryThe DSM–IV scheme for classifying eating disorders is a poor reflection of clinical reality. In adults it recognises two conditions, anorexia nervosa and bulimia nervosa, yet these states are merely two presentations among many. As a consequence, at least half the cases seen in clinical practice are relegated to the residual diagnosis ‘eating disorder not otherwise specified’. The changes proposed for DSM–5 will only partially succeed in correcting this shortcoming. With DSM–6 in mind, it is clear that comprehensive transdiagnostic samples need to be studied with data collected on their current state, course and response to treatment. Only with such data will it be possible to derive an empirically based classificatory scheme that is both rooted in clinical reality and of value to clinicians.

Epidemiology and Course of Eating Disorders

2010 ◽  
pp. 24-32 ◽  
Author(s):  
Pamela Keel
Keyword(s):  
Public Health ◽  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Bulimia Nervosa ◽  
The Public ◽  
Purging Disorder ◽  
Not Otherwise Specified ◽  
Public Health Significance ◽  
Health Significance

The epidemiology of eating disorders holds important clues for understanding factors that may contribute to their etiology. In addition, epidemiological findings speak to the public health significance of these deleterious syndromes. Information on course and outcome are important for clinicians to understand the prognosis associated with different disorders of eating and for treatment planning. This chapter reviews information on the epidemiology and course of anorexia nervosa, bulimia nervosa, and two forms of eating disorder not otherwise specified, binge eating disorder and purging disorder.

Cognitive behaviour therapy for eating disorders

2012 ◽  
pp. 1298-1304
Author(s):  
Zafra Cooper ◽  
Rebecca Murphy ◽  
Christopher G. Fairburn
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Bulimia Nervosa ◽  
Cognitive Behaviour Therapy ◽  
Behaviour Therapy ◽  
General Management ◽  
Not Otherwise Specified ◽  
Cognitive Behavioural ◽  
Cognitive Behaviour

The eating disorders provide one of the strongest indications for cognitive behaviour therapy. This bold claim arises from the demonstrated effectiveness of cognitive behaviour therapy in the treatment of bulimia nervosa and the widespread acceptance that cognitive behaviour therapy is the treatment of choice. Cognitive behaviour therapy is also widely used to treat anorexia nervosa although this application has not been adequately evaluated. Recently its use has been extended to ‘eating disorder not otherwise specified’ (eating disorder NOS), a diagnosis that applies to over 50 per cent of cases, and emerging evidence suggests that it is just as effective with these cases as it is with cases of bulimia nervosa. In this chapter the cognitive behavioural approach to the understanding and treatment of eating disorders will be described. The data on the efficacy and effectiveness of the treatment are considered in the chapters on anorexia nervosa and bulimia nervosa (see Chapters 4.10.1 and 4.10.2 respectively), as is their general management.

scholarly journals Menstruation disorders in adolescents with eating disorders – target body mass index percentiles for their resolution

2014 ◽  
Vol 12 (2) ◽  
pp. 175-180 ◽  
Author(s):  
Beatriz Vale ◽  
Sara Brito ◽  
Lígia Paulos ◽  
Pascoal Moleiro
Keyword(s):  
Body Mass Index ◽  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Body Mass ◽  
Female Adolescents ◽  
Secondary Amenorrhea ◽  
Not Otherwise Specified ◽  
Initial Body Mass Index ◽  
The Ideal

Objective To analyse the progression of body mass index in eating disorders and to determine the percentile for establishment and resolution of the disease.Methods A retrospective descriptive cross-sectional study. Review of clinical files of adolescents with eating disorders.Results Of the 62 female adolescents studied with eating disorders, 51 presented with eating disorder not otherwise specified, 10 anorexia nervosa, and 1 bulimia nervosa. Twenty-one of these adolescents had menstrual disorders; in that, 14 secondary amenorrhea and 7 menstrual irregularities (6 eating disorder not otherwise specified, and 1 bulimia nervosa). In average, in anorectic adolescents, the initial body mass index was in 75thpercentile; secondary amenorrhea was established 1 month after onset of the disease; minimum weight was 76.6% of ideal body mass index (at 4th percentile) at 10.2 months of disease; and resolution of amenorrhea occurred at 24 months, with average weight recovery of 93.4% of the ideal. In eating disorder not otherwise specified with menstrual disorder (n=10), the mean initial body mass index was at 85thpercentile; minimal weight was in average 97.7% of the ideal value (minimum body mass index was in 52nd percentile) at 14.9 months of disease; body mass index stabilization occured at 1.6 year of disease; and mean body mass index was in 73rd percentile. Considering eating disorder not otherwise specified with secondary amenorrhea (n=4); secondary amenorrhea occurred at 4 months, with resolution at 12 months of disease (mean 65th percentile body mass index).Conclusion One-third of the eating disorder group had menstrual disorder − two-thirds presented with amenorrhea. This study indicated that for the resolution of their menstrual disturbance the body mass index percentiles to be achieved by female adolescents with eating disorders was 25-50 in anorexia nervosa, and 50-75, in eating disorder not otherwise specified.

Relationships between eating disorders and personality disorders in adolescents

2011 ◽  
Vol 26 (S2) ◽  
pp. 722-722
Author(s):  
S. Gaudio ◽  
C. Bufacchi ◽  
M. Andreotti ◽  
N. Gregorini ◽  
F. Montecchi
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Eating Attitudes ◽  
Lower Prevalence ◽  
Axis Ii ◽  
Not Otherwise Specified ◽  
Significant Difference ◽  
Adolescent Patients ◽  
Dsm Iv

IntroductionSeveral research studies have investigated Personality Disorder (PD) comorbidity in adult with Eating Disorders (ED), which showed an association between the two types of disorder.ObjectiveThe aim of this study is to examine the relationships between ED and PD in a sample of adolescents between 14 to 18 years of age.MethodSixty-seven adolescents with ED treated in an outpatients setting [23 Anorexia Nervosa (AN), 17 Bulimia Nervosa (BN) and 27 Eating Disorder Not Otherwise Specified (EDNOS)] were assessed using the Structured Clinical Interview for DSM-IV Axis II Disorders (SCID-II), the Beck Depression Inventory (BDI) and the Eating Attitudes Test (EAT).ResultsOverall, 13 (19.4%) of ED patients had one or more PD. Cluster C PDs were the most common specific PDs. No significant difference was found between AN and BN based on the general presence of PDs. EDNOS patients had a lower prevalence of PDs compared to AN and BN patients. ED patients with a PD had an higher BDI rates compared to ED patients without PDs. No significant difference was observed in EAT rates between ED patients with and without PDs.ConclusionsCluster C PDs were the most frequent PDs found in ED adolescent patients. The prevalence of PDs is similar in AN and BN patients, whilst EDNOS patients have a lower prevalence of PDs compared to AN and BN patients. ED adolescent patients with current PD comorbidity show higher depression scores.

scholarly journals Management of bulimia nervosa and other binge eating problems

2009 ◽  
Vol 15 (2) ◽  
pp. 129-136 ◽  
Author(s):  
Zafra Cooper ◽  
Christopher G. Fairburn
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Bulimia Nervosa ◽  
Binge Eating ◽  
Entire Range ◽  
Eating Problems ◽  
Prominent Feature ◽  
Not Otherwise Specified

SummaryBinge eating occurs across the entire range of eating disorders. It is required for a diagnosis of bulimia nervosa but it is also seen in some cases of anorexia nervosa and in many cases of eating disorder not otherwise specified (usually referred to as eating disorder NOS or atypical eating disorder). This article focuses on the management of those eating disorders in which binge eating is a prominent feature.

scholarly journals The occupational roles of women with anorexia nervosa

2012 ◽  
Vol 20 (2) ◽  
pp. 1-2 ◽  
Author(s):  
Leila Maria Quiles-Cestari ◽  
Rosane Pilot Pessa Ribeiro
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Occupational Therapy ◽  
Significant Loss ◽  
Care Group ◽  
Control Group ◽  
Adult Women ◽  
Anthropometric Data ◽  
Occupational Roles

This study’s objective was to understand how occupational roles of individuals with anorexia nervosa are configured. The sample was composed of a control group and 11 adult women with anorexia nervosa being cared for by the Eating Disorders Care Group in a hospital in Ribeirão Preto, SP, Brazil. Socio-demographic and anthropometric data were collected and the Role Checklist was applied. The results revealed a significant loss of roles for women with anorexia nervosa in relation to the performance of the roles worker, friend, and amateur/hobbyist, supporting the idea that psychosocial harm may arise from this eating disorder. The evaluation of occupational roles in the treatment of eating disorders is an important strategy for planning Occupational Therapy activities and supporting the creation of healthier spaces to enable individuals to resume occupational roles, and acquire independence and autonomy.

scholarly journals Multidisciplinary study: DCD method applied to patients with eating disorders

2009 ◽  
Vol 3 (2) ◽  
pp. 71-80
Author(s):  
Marina Conese ◽  
Maria Teresa Laura Abbruzzese ◽  
Grace Massiah ◽  
Piero Oberto De Cavi
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Clinical Practice ◽  
Bulimia Nervosa ◽  
Behavioural Therapy ◽  
Eating Patterns ◽  
Multidisciplinary Study ◽  
Unhealthy Eating ◽  
Dietary Education

Eating disorders are quite common in clinical practice and can include out-of-control behaviours and thoughts that powerfully reinforce unhealthy eating patterns. They include anorexia nervosa and bulimia nervosa and Binge Eating Disorder. We conducted a trial on 102 patients (89 females and 13 males) to investigate the efficacy of “DCD method” (appropriate dietary education associated to New-Electrosculpture) on patients with obesity and eating disorders. The study underlines the efficacy of “DCD method”, especially when supported by behavioural therapy, in obese and overweight patients.

Cognitive Behavioral Therapy for the Eating Disorders

2021 ◽  
Vol 17 (1) ◽  
pp. 417-438
Author(s):  
W. Stewart Agras ◽  
Cara Bohon
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Clinical Practice ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Research Findings ◽  
Short And Long Term

Research findings strongly suggest that cognitive behavioral therapy for the eating disorders (CBT-ED) is more effective than other treatments for bulimia nervosa (BN) and for binge eating disorder (BED), although interpersonal psychotherapy appears to be equally effective for BED. Evidence for the effectiveness of CBT-ED for the persistent (adult) form of anorexia nervosa (AN) is insufficient at present and is essentially absent for AN in adolescents except for some evidence from uncontrolled trials. This article begins with an overview of the early studies in the development of CBT-ED that showed a similar effectiveness of other symptom-focused psychotherapies—a finding that was neglected at the time. Later developments are then considered, including comparisons of CBT-ED with other psychotherapies, efforts to develop Internet-based training and treatment, and electronic applications for treatment. Finally, implications of the findings for future short- and long-term research and for clinical practice are considered.

Cognitive Behavioral Therapy for Eating Disorders

2010 ◽  
pp. 330-347 ◽  
Author(s):  
Gregory D. Wilson
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Behavioral Therapy ◽  
Evidence Based ◽  
Cognitive Behavior ◽  
Evidence Based Treatment ◽  
Not Otherwise Specified ◽  
Self Help ◽  
Clinical Strategies

Cognitive behavior therapy (CBT) is the most effective treatment of bulimia nervosa (BN) and binge eating disorder (BED). Initial findings with eating disorder not otherwise specified (EDNOS) other than BED promise similar outcomes. Options for improving upon the efficacy and efficiency of CBT are discussed, primarily by incorporating an expanded range of principles and clinical strategies from CBT in general. Fairburn’s (2008) enhanced CBT provides an illustration. Dissemination of CBT is poor. Guided self-help based on CBT principles is effective for a subset of patients with BN and BED and provides the means for making evidence-based treatment available to a wider range of patients. There is scant research on CBT for anorexia nervosa, and evidence of efficacy is lacking.

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