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https://www.readbyqxmd.com/read/29083223/the-efficacy-of-cognitive-behavioral-therapy-for-eating-disorders-a-systematic-review-and-meta-analysis
#1
Jake Linardon, Tracey D Wade, Xochitl de la Piedad Garcia, Leah Brennan
OBJECTIVE: This meta-analysis examined the efficacy of cognitive-behavioral therapy (CBT) for eating disorders. METHOD: Randomized controlled trials of CBT were searched. Seventy-nine trials were included. RESULTS: Therapist-led CBT was more efficacious than inactive (wait-lists) and active (any psychotherapy) comparisons in individuals with bulimia nervosa and binge eating disorder. Therapist-led CBT was most efficacious when manualized CBT-BN or its enhanced version was delivered...
November 2017: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/29043085/a-pilot-open-series-of-lamotrigine-in-dbt-treated-eating-disorders-characterized-by-significant-affective-dysregulation-and-poor-impulse-control
#2
Mary Ellen Trunko, Terry A Schwartz, Laura A Berner, Anne Cusack, Tiffany Nakamura, Ursula F Bailer, Joanna Y Chen, Walter H Kaye
BACKGROUND: There is little effective psychopharmacological treatment for individuals with eating disorders who struggle with pervasive, severe affective and behavioral dysregulation. METHODS: This pilot open series evaluated lamotrigine, a mood stabilizer, in the treatment of patients with eating disorders who did not respond adequately to antidepressant medications. Nine women with anorexia nervosa- or bulimia nervosa-spectrum eating disorders in partial hospital or intensive outpatient dialectical behavior therapy (DBT)-based eating disorder treatment took lamotrigine for 147 ± 79 days (mean final dose = 161...
2017: Borderline Personality Disorder and Emotion Dysregulation
https://www.readbyqxmd.com/read/28957785/predictors-of-quality-of-life-in-patients-with-eating-disorders
#3
J Martín, A Padierna, A Loroño, P Muñoz, J M Quintana
BACKGROUND: The aims of this study were to analyse the quality of life (QoL) of a broad sample of patients with eating disorders (ED) and to identify potential factors that predict QoL. METHODS: This prospective cohort study involved 528 patients diagnosed with ED and treated over a 15-year period in the Eating Disorders Outpatient Clinic. Information on sociodemographic and clinical data were gathered. Patients completed five self-administered instruments: the Eating Attitudes Test-26 (EAT-26); the Eating Disorder Diagnostic Scale (EDDS); the Hospital Anxiety and Depression Scale (HADS); the Short-Form 12 (SF-12); and the Quality of Life in ED-short form (HeRQoLED-s)...
September 2017: European Psychiatry: the Journal of the Association of European Psychiatrists
https://www.readbyqxmd.com/read/28806268/pharmacotherapy-of-eating-disorders
#4
Haley Davis, Evelyn Attia
PURPOSE OF REVIEW: Medications are commonly prescribed in the treatment of eating disorders. In this review, we discuss relevant medications used for the treatment of bulimia nervosa, binge eating disorder (BED), and anorexia nervosa. We focus on recent research developments, where applicable, in addition to discussing important findings from older studies to provide a complete synopsis of the current evidence base for eating disorder treatment using pharmacologic agents. RECENT FINDINGS: Medications are generally useful for patients with bulimia nervosa and BED...
November 2017: Current Opinion in Psychiatry
https://www.readbyqxmd.com/read/28804915/psychotherapy-for-bulimia-nervosa-on-symptoms-of-depression-a-meta-analysis-of-randomized-controlled-trials
#5
REVIEW
Jake Linardon, Tracey Wade, Xochitl de la Piedad Garcia, Leah Brennan
OBJECTIVE: Depressive symptoms are an important risk factor and consequence of binge eating and purging behavior in bulimia nervosa (BN). Although psychotherapy is effective in reducing symptoms of BN in the short- and long-term, it is unclear whether psychotherapy for BN is also effective in reducing depressive symptoms. This meta-analysis examined the efficacy of psychotherapy for BN on depressive symptoms in the short- and long-term. METHOD: Randomized controlled trials (RCTs) on BN that assessed depressive symptoms as an outcome were identified...
August 14, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/27664596/interventions-for-adolescent-mental-health-an-overview-of-systematic-reviews
#6
REVIEW
Jai K Das, Rehana A Salam, Zohra S Lassi, Marium Naveed Khan, Wajeeha Mahmood, Vikram Patel, Zulfiqar A Bhutta
Many mental health disorders emerge in late childhood and early adolescence and contribute to the burden of these disorders among young people and later in life. We systematically reviewed literature published up to December 2015 to identify systematic reviews on mental health interventions in adolescent population. A total of 38 systematic reviews were included. We classified the included reviews into the following categories for reporting the findings: school-based interventions (n = 12); community-based interventions (n = 6); digital platforms (n = 8); and individual-/family-based interventions (n = 12)...
October 2016: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/27456048/intensive-inpatient-treatment-for-bulimia-nervosa-statistical-and-clinical-significance-of-symptom-changes
#7
Alice Diedrich, Sandra Schlegl, Martin Greetfeld, Markus Fumi, Ulrich Voderholzer
OBJECTIVE: This study examines the statistical and clinical significance of symptom changes during an intensive inpatient treatment program with a strong psychotherapeutic focus for individuals with severe bulimia nervosa. METHOD: 295 consecutively admitted bulimic patients were administered the Structured Interview for Anorexic and Bulimic Syndromes-Self-Rating (SIAB-S), the Eating Disorder Inventory-2 (EDI-2), the Brief Symptom Inventory (BSI), and the Beck Depression Inventory-II (BDI-II) at treatment intake and discharge...
July 25, 2016: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/26830430/psychotropic-medications-in-adult-and-adolescent-eating-disorders-clinical-practice-versus-evidence-based-recommendations
#8
David M Garner, Michael L Anderson, Christopher D Keiper, Rachel Whynott, Lisa Parker
AIM: The current study examined the frequency of psychotropic prescriptions in a clinical sample of eating disorder (ED) patients confirming earlier research indicating their use is very common but inconsistent with evidence-based recommendations. METHODS: The sample consisted of 501 ED patients admitted to an adult partial hospitalization or adolescent residential program. Patients were divided into two diagnostic groups: anorexia nervosa (AN = 287) and bulimia nervosa (BN = 214), as well as two age groups: adults (age ≥18; N = 318) and adolescents (age <18; N = 183)...
September 2016: Eating and Weight Disorders: EWD
https://www.readbyqxmd.com/read/26644208/immunomodulatory-effects-of-fluoxetine-a-new-potential-pharmacological-action-for-a-classic-antidepressant-drug
#9
REVIEW
María Emilia Di Rosso, María Laura Palumbo, Ana María Genaro
Selective serotonin reuptake inhibitors are frequently used antidepressants. In particular, fluoxetine is usually chosen for the treatment of the symptoms of depression, obsessive-compulsive, panic attack and bulimia nervosa. Antidepressant therapy has been associated with immune dysfunction. However, there is contradictory evidence about the effect of fluoxetine on the immune system. Experimental findings indicate that lymphocytes express the serotonin transporter. Moreover it has been shown that fluoxetine is able to modulate the immune function through a serotonin-dependent pathway and through a novel independent mechanism...
July 2016: Pharmacological Research: the Official Journal of the Italian Pharmacological Society
https://www.readbyqxmd.com/read/26471029/-the-treatment-of-binge-eating-disorder-a-review
#10
REVIEW
Ildikó Papp, Irena Szumska, Ferenc Túry
The binge eating disorder is a relatively new type of eating disorders, which was first described in 1992, and became a distinct nosological entity in the system of DSM-5 in 2013. Its central symptom is the binge, which is not followed by compensatory behaviours as in bulimia nervosa. Therefore, the patients are generally obese. The prevalence of the disorder is 1-3% in the general population, but much higher in help-seeking obese subjects. The two main goals of the therapy is body weight reduction, and the cessation of binges...
2015: Psychiatria Hungarica: A Magyar Pszichiátriai Társaság Tudományos Folyóirata
https://www.readbyqxmd.com/read/26367397/-a-comparative-analysis-of-effectiveness-tolerance-and-cost-of-second-generation-antidepressants-in-france
#11
COMPARATIVE STUDY
Guillaume Fond
While French authorities point to the need for rational prescribing, especially concerning psychotropic drugs, few data on the prescription of second-generation antidepressants (SGA) are synthesized for clinicians' use. Our objective is to carry out a comparative analysis of effectiveness and tolerability / acceptability of SGA. Considering the benefit/risk ratio and the cost (generic), the first-line treatment for a major depressive episode may be currently sertraline (50 mg / d). It may however have more digestive side effects than other SSRIs (due to the serotonin action), which calls for caution while increasing doses...
March 2015: La Tunisie Médicale
https://www.readbyqxmd.com/read/25591200/initial-evaluation-diagnosis-and-treatment-of-anorexia-nervosa-and-bulimia-nervosa
#12
Brian C Harrington, Michelle Jimerson, Christina Haxton, David C Jimerson
Eating disorders are life-threatening conditions that are challenging to address; however, the primary care setting provides an important opportunity for critical medical and psychosocial intervention. The recently published Diagnostic and Statistical Manual of Mental Disorders, 5th ed., includes updated diagnostic criteria for anorexia nervosa (e.g., elimination of amenorrhea as a diagnostic criterion) and for bulimia nervosa (e.g., criterion for frequency of binge episodes decreased to an average of once per week)...
January 1, 2015: American Family Physician
https://www.readbyqxmd.com/read/25351912/royal-australian-and-new-zealand-college-of-psychiatrists-clinical-practice-guidelines-for-the-treatment-of-eating-disorders
#13
Phillipa Hay, David Chinn, David Forbes, Sloane Madden, Richard Newton, Lois Sugenor, Stephen Touyz, Warren Ward
OBJECTIVES: This clinical practice guideline for treatment of DSM-5 feeding and eating disorders was conducted as part of the Royal Australian and New Zealand College of Psychiatrists (RANZCP) Clinical Practice Guidelines (CPG) Project 2013-2014. METHODS: The CPG was developed in accordance with best practice according to the National Health and Medical Research Council of Australia. Literature of evidence for treatments of anorexia nervosa (AN), bulimia nervosa (BN), binge eating disorder (BED), other specified and unspecified eating disorders and avoidant restrictive food intake disorder (ARFID) was sourced from the previous RANZCP CPG reviews (dated to 2009) and updated with a systematic review (dated 2008-2013)...
November 2014: Australian and New Zealand Journal of Psychiatry
https://www.readbyqxmd.com/read/24999427/mapping-the-evidence-for-the-prevention-and-treatment-of-eating-disorders-in-young-people
#14
REVIEW
Alan P Bailey, Alexandra G Parker, Lauren A Colautti, Laura M Hart, Ping Liu, Sarah E Hetrick
ABSTRACT: Eating disorders often develop during adolescence and young adulthood, and are associated with significant psychological and physical burden. Identifying evidence-based interventions is critical and there is need to take stock of the extant literature, to inform clinical practice regarding well-researched interventions and to direct future research agendas by identifying gaps in the evidence base. AIM: To investigate and quantify the nature and distribution of existing high-quality research on the prevention and treatment of eating disorders in young people using evidence mapping methodology...
2014: Journal of Eating Disorders
https://www.readbyqxmd.com/read/24926978/new-aspects-of-diagnosis-and-pharmacotherapy-of-eating-disorders
#15
C Lennkh, M De Zwaan, S Kasper
This paper points out recent diagnostic features of bulimia and anorexia nervosa and of the recently defined 'binge eating disorder'. The pharmacologic treatment approaches for these conditions will be reviewed by discussing the results of randomized controlled studies. For anorexia nervosa (AN), the outcome of pharmacotherapy has been poor, in contrast to bulimia nervosa (BN) and binge eating disorder (BED), where pharmacological treatment, primarily with antidepressants, has proved to be effective, at least in the short run...
1997: International Journal of Psychiatry in Clinical Practice
https://www.readbyqxmd.com/read/24764595/psychotropic-medication-use-at-a-private-eating-disorders-treatment-facility-a-retrospective-chart-review-and-descriptive-data-analysis
#16
Kelly N Gable, Julie A Dopheide
BACKGROUND: The extent of psychotropic medication use in patients with eating disorders worldwide is unknown. OBJECTIVES: THE PURPOSES OF THIS STUDY WERE TO: (1) describe the extent and pattern of psychotropic medication use at a private treatment facility for patients with eating disorders and (2) describe patient characteristics and treatment outcomes at the facility. METHODS: This retrospective chart review included data from a private treatment facility (inpatient or outpatient) for patients with eating disorders in the greater Los Angeles area...
November 2005: Current Therapeutic Research, Clinical and Experimental
https://www.readbyqxmd.com/read/24615023/cytotoxicity-and-mutagenicity-of-fluoxetine-hydrochloride-prozac-with-or-without-vitamins-a-and-c-in-plant-and-animal-model-systems
#17
E Düsman, I V Almeida, R G Mariucci, M S Mantovani, V E P Vicentini
Fluoxetine, commonly known as Prozac, is the first representative of the so-called new generation of antidepressants that promise efficacy, with few side effects, against deep depression, nervous bulimia, and anxiety. As there is a growing number of people suffering from anxiety and depression; consequently, the use of fluoxetine is also increasing. Verifying absence of drug effects such as cytotoxicity or mutagenicity is of great importance. Certain vitamins, such as vitamin A (retinol, retinoids) and vitamin C (ascorbic acid) protect and are extremely active against mutagens...
2014: Genetics and Molecular Research: GMR
https://www.readbyqxmd.com/read/24343841/lamotrigine-use-in-patients-with-binge-eating-and-purging-significant-affect-dysregulation-and-poor-impulse-control
#18
Mary Ellen Trunko, Terry A Schwartz, Enrica Marzola, Angela S Klein, Walter H Kaye
OBJECTIVE: Some patients with symptoms of binge eating and purging are successfully treated with specific serotonin reuptake inhibitors (SSRIs), but others experience only partial or no benefit. Significant affect dysregulation and poor impulse control may be characteristics that limit responsiveness. METHOD: We report on the treatment of five patients with bulimia nervosa (BN), anorexia nervosa-binge/purge type (AN-B/P) or eating disorder not otherwise specified (EDNOS), using the anticonvulsant lamotrigine after inadequate response to SSRIs...
April 2014: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/24163386/relationship-between-obesity-and-depression-characteristics-and-treatment-outcomes-with-antidepressant-medication
#19
RANDOMIZED CONTROLLED TRIAL
Marisa S P Toups, Alyson K Myers, Stephen R Wisniewski, Benji Kurian, David W Morris, Augustus John Rush, Maurizio Fava, Madhukar H Trivedi
OBJECTIVE: Obesity and major depressive disorder often co-occur. However, differences between obese and normal-weight depressed patients and the moderating effect of obesity on antidepressant treatment outcome are not well studied. METHODS: Adults (n = 662) with major depressive disorder in the Combining Medications to Enhance Depression Outcomes study were randomized to treatment with escitalopram plus placebo, bupropion plus escitalopram, or venlafaxine plus mirtazapine for a 12-week primary treatment phase and 16-week follow-up...
November 2013: Psychosomatic Medicine
https://www.readbyqxmd.com/read/23996224/cognitive-behavioral-therapy-for-bulimia-nervosa-and-atypical-bulimic-nervosa-effectiveness-in-clinical-settings
#20
Glenn Waller, Emma Gray, Hendrik Hinrichsen, Victoria Mountford, Rachel Lawson, Eloise Patient
OBJECTIVE: The efficacy of cognitive-behavioral therapy (CBT) for bulimic disorders has been established in research trials. This study examined whether that efficacy can be translated into effectiveness in routine clinical practice. METHOD: Seventy-eight adult women with bulimic disorders (bulimia nervosa and atypical bulimia nervosa) undertook individual CBT, with few exclusion criteria and a treatment protocol based on evidence-based approaches, utilizing individualized formulations...
January 2014: International Journal of Eating Disorders
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