Eating disorders: recognition and treatment

This guideline covers assessment, treatment, monitoring and inpatient care for children, young people and adults with eating disorders. It aims to improve the care people receive by detailing the most effective treatments for anorexia nervosa, binge eating disorder and bulimia nervosa.
Source: Current Awareness Service for Health (CASH) - Category: Consumer Health News Source Type: news

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This study aims to provide a comprehensive understanding of the neural mechanisms by which LDX improves symptoms of BED. We hypothesise that LDX will act by normalising connectivity within neural circuits responsible for reward and impulse control, and that this normalisation will correlate with reduced binge eating episodes.MethodsThis is an open-label Phase 4 clinical trial of LDX in adults with moderate to severe BED. Enrolment will include 40 adults with moderate to severe BED aged 18 –40 years and Body Mass Index (BMI) of 20–45 kg/m2, and 22 healthy controls matched for age, gender and BMI. C...
Source: Journal of Eating Disorders - Category: Eating Disorders & Weight Management Source Type: research
This article provides a state-of-the-art review of our current understanding of the neurobiology of anorexia nervosa and bulimia nervosa. This includes brain structure and function studies to understand food restriction, binge-eating or purging behaviors, cognitive and emotional factors, as well as interoception. Binge-eating disorder and avoidant restrictive food intake disorder are also discussed, but the literature is still very small.
Source: Child and Adolescent Psychiatric Clinics of North America - Category: Psychiatry Authors: Source Type: research
This article reviews the evidence base on psychotropic medications, including all randomized trials, uncontrolled trials, and case reports for the treatment of anorexia nervosa, bulimia nervosa, other specified feeding and eating disorders, binge-eating disorder, and avoidant/restrictive food intake disorder. Despite advances in the number of medication-based studies completed in young patients with eating disorders over the last 2 decades, significantly more work needs to be done in terms of identifying what role, if any, psychotropic medications can have on treatment outcomes.
Source: Child and Adolescent Psychiatric Clinics of North America - Category: Psychiatry Authors: Source Type: research
This study found that, in the minds of participants, the different diagnostic labels were associated with various good or bad character traits. This contributed to the belief in a diagnos tic hierarchy, whereby individuals diagnosed with anorexia nervosa were viewed as morally better than those diagnosed with bulimia nervosa or binge eating disorder. Consequently, diagnostic crossover from a “better” to a “worse” eating disorder was often experienced as shameful moral failing , and a new diagnosis impacted the individual’s sense of self-identity. These findings are of significance for both eth...
Source: Journal of Bioethical Inquiry - Category: Medical Ethics Source Type: research
AbstractPurpose of ReviewThe Yale Food Addiction Scale (YFAS) is a self-report questionnaire for the assessment of addiction-like consumption of high-calorie, processed foods. The original scale was developed in 2009 and —for its tenth anniversary—we now review studies using its revised version—the YFAS 2.0.Recent FindingsThe 11 symptoms of food addiction as measured with the YFAS 2.0 demonstrated high internal reliability and a unidimensional structure in several studies, supporting construct validity. Similar to the original YFAS, highest prevalence rates of YFAS 2.0 diagnoses were found in individuals ...
Source: Current Addiction Reports - Category: Addiction Source Type: research
What would you say if a graduate student or clinical fellow asked you to explain the difference between a feeding/swallowing disorder and an eating disorder for pediatric patients? As a pediatric feeding and swallowing specialists, I answer this question with, “It’s complicated.” Often, an overriding medical issue—such as gastrointestinal issues or poor oral strength and coordination due to prematurity—causes feeding and swallowing disorders. As medical issues resolve, feeding and swallowing issues can persist. And, over time, these issues could gradually change from medically based issues to...
Source: American Speech-Language-Hearing Association (ASHA) Press Releases - Category: Speech-Language Pathology Authors: Tags: Health Care Private Practice Schools Slider Speech-Language Pathology Dysphagia eating disorders Feeding Disorders Social Media Source Type: blogs
DiscussionSelf-image aspects once again display substantial power in predicting outcome in EDs. In AN/R patients, self-love plays an almost as crucial a role as baseline ED pathology in relation to 12-month outcome.
Source: Journal of Eating Disorders - Category: Eating Disorders & Weight Management Source Type: research
CONCLUSIONS: Eating disorders, particularly 'other specified' syndromes, are common in adolescence, and are experienced across age, weight, socioeconomic and migrant status. The merit of adding a criterion for clinical significance to the eating disorders, similar to other DSM-5 disorders, warrants consideration. At the least, screening tools should measure distress and impairment associated with eating disorder symptoms in order to capture adolescents in greatest need for intervention. PMID: 31043181 [PubMed - as supplied by publisher]
Source: Psychological Medicine - Category: Psychiatry Authors: Tags: Psychol Med Source Type: research
This article describes the core components and elements of IPT, the empirical evidence that supports its effectiveness, efforts to increase the dissemination and implementation of IPT, and future directions.
Source: The Psychiatric Clinics of North America - Category: Psychiatry Authors: Source Type: research
Medications are a useful adjunct to nutritional and psychotherapeutic treatments for eating disorders. Antidepressants are commonly used to treat bulimia nervosa; high-dose fluoxetine is a standard approach, but many other antidepressants can be used. Binge eating disorder can be treated with antidepressants, with medications that diminish appetite, or with lisdexamfetamine. Anorexia nervosa does not generally respond to medications, although recent evidence supports modest weight restoration benefits from olanzapine.
Source: The Psychiatric Clinics of North America - Category: Psychiatry Authors: Source Type: research
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