Quality of life in anorexia nervosa, bulimia nervosa and eating disorder not-otherwise-specified

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.

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Validating the Danish version of the Eating Disorder Quality of Life Scale (EDQLS) in anorexia nervosa

Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity ◽

10.1007/s40519-021-01310-5 ◽

2022 ◽

Author(s):

Laura Al-Dakhiel Winkler ◽

Sidse Marie Hemmingsen Arnfred ◽

Pia Veldt Larsen ◽

Michael Ejnar Røder ◽

Claire Gudex ◽

...

Keyword(s):

Quality Of Life ◽

Anorexia Nervosa ◽

Eating Disorder ◽

Danish Version ◽

Quality Of Life Scale ◽

Life Scale

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Cognitive behaviour therapy for eating disorders

New Oxford Textbook of Psychiatry ◽

10.1093/med/9780199696758.003.0166 ◽

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.

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Randomised controlled feasibility trial of real versus sham repetitive transcranial magnetic stimulation treatment in adults with severe and enduring anorexia nervosa: the TIARA study

BMJ Open ◽

10.1136/bmjopen-2018-021531 ◽

2018 ◽

Vol 8 (7) ◽

pp. e021531 ◽

Cited By ~ 19

Author(s):

Bethan Dalton ◽

Savani Bartholdy ◽

Jessica McClelland ◽

Maria Kekic ◽

Samantha J Rennalls ◽

...

Keyword(s):

Quality Of Life ◽

Anorexia Nervosa ◽

Eating Disorder ◽

Magnetic Stimulation ◽

Repetitive Transcranial Magnetic Stimulation ◽

Controlled Trial ◽

Eating Disorder Symptoms ◽

Randomised Controlled

ObjectiveTreatment options for severe, enduring anorexia nervosa (SE-AN) are limited. Non-invasive neuromodulation is a promising emerging intervention. Our study is a feasibility randomised controlled trial of repetitive transcranial magnetic stimulation (rTMS) in individuals with SE-AN, which aims to inform the design of a future large-scale trial.DesignDouble-blind, parallel group, two-arm, sham-controlled trial.SettingSpecialist eating disorders centre.ParticipantsCommunity-dwelling people with anorexia nervosa, an illness duration of ≥3 years and at least one previous completed treatment.InterventionsParticipants received 20 sessions (administered over 4 weeks) of MRI-guided real or sham high-frequency rTMS to the left dorsolateral prefrontal cortex in addition to treatment-as-usual.OutcomesPrimary outcomes were recruitment, attendance and retention rates. Secondary outcomes included body mass index (BMI), eating disorder symptoms, mood, quality of life and rTMS safety and tolerability. Assessments were conducted at baseline, post-treatment and follow-up (ie, at 0 month, 1 month and 4 months post-randomisation).ResultsThirty-four participants (17 per group) were randomly allocated to real or sham rTMS. One participant per group was withdrawn prior to the intervention due to safety concerns. Two participants (both receiving sham) did not complete the treatment. rTMS was safe and well tolerated. Between-group effect sizes of change scores (baseline to follow-up) were small for BMI (d=0.2, 95% CI −0.49 to 0.90) and eating disorder symptoms (d=0.1, 95% CI −0.60 to 0.79), medium for quality of life and moderate to large (d=0.61 to 1.0) for mood outcomes, all favouring rTMS over sham.ConclusionsThe treatment protocol is feasible and acceptable to participants. Outcomes provide preliminary evidence for the therapeutic potential of rTMS in SE-AN. Largest effects were observed on variables assessing mood. This study supports the need for a larger confirmatory trial to evaluate the effectiveness of multi-session rTMS in SE-AN. Future studies should include a longer follow-up period and an assessment of cost-effectiveness.Trial registration numberISRCTN14329415; Pre-results.

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Management of bulimia nervosa and other binge eating problems

Advances in Psychiatric Treatment ◽

10.1192/apt.bp.107.004275 ◽

2009 ◽

Vol 15 (2) ◽

pp. 129-136 ◽

Cited By ~ 2

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.

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SOA03-01 - Eating disorders: State of the art

European Psychiatry ◽

10.1016/s0924-9338(11)73879-2 ◽

2011 ◽

Vol 26 (S2) ◽

pp. 2176-2176

Author(s):

J. Treasure

Keyword(s):

Eating Disorders ◽

Anorexia Nervosa ◽

Eating Disorder ◽

Bulimia Nervosa ◽

State Of The Art ◽

Explanatory Models ◽

Top Down ◽

Duration Of Untreated Illness ◽

Not Otherwise Specified ◽

Dsm V

The DSM V will probably include four categories of eating disorders, anorexia nervosa, bulimia nervosa, binge eating disorder and eating disorder not otherwise specified. The lifetime prevalence is about 5%. Cultural, social and interpersonal elements can trigger the onset and changes in neural networks can sustain the illness. Brain based explanatory models have been developed which include an imbalance between top down control and hedonic and homeostatic elements. The longer the duration of untreated illness the harder it is to reverse the illness as a variety of maintaining factors develop. CBT remains the treatment of choice for bulimia nervosa but there is more uncertainty about treatment for anorexia nervosa although treatment with a focus on the interpersonal elements is of value

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The Prevalence of Eating Disorders in Recently Admitted Psychiatric In-patients

The British Journal of Psychiatry ◽

10.1192/bjp.159.4.562 ◽

1991 ◽

Vol 159 (4) ◽

pp. 562-565 ◽

Cited By ~ 7

Author(s):

Phillipa J. Hay ◽

Anne Hall

Keyword(s):

Eating Disorders ◽

Anorexia Nervosa ◽

Eating Disorder ◽

Bulimia Nervosa ◽

Personality Disorders ◽

Psychiatric Disorders ◽

Psychiatric Patients ◽

Diagnosis And Management ◽

Eating Disorder Symptoms ◽

Not Otherwise Specified

Of 107 recently admitted psychiatric patients screened for eating-disorder symptoms by questionnaire, 17% met DSM–III–R criteria for eating disorders. Eight patients (one male) had bulimia nervosa. Ten patients had eating disorder not otherwise specified: seven (three male) bulimic type, and three (one male) anorexia nervosa type. The most common concurrent diagnoses were mood and personality disorders. As eating-disorder symptoms are relevant to the diagnosis and management of other psychiatric disorders they should be assessed routinely in all psychiatric patients.

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