Current and Emerging Directions in the Treatment of Eating Disorders.
Current and emerging directions in the treatment of eating disorders.
Filed under: Eating Disorders
Subst Abuse. 2012; 6: 33-61
Brown TA, Keel PK
Eating disorders are a significant source of psychiatric morbidity in young women and demonstrate high comorbidity with mood, anxiety, and substance use disorders. Thus, clinicians may encounter eating disorders in the context of treating other conditions. This review summarizes the efficacy of current and emerging treatments for anorexia nervosa (AN), bulimia nervosa (BN), and binge eating disorder (BED). Treatment trials were identified using electronic and manual searches and by reviewing abstracts from conference proceedings. Family based therapy has demonstrated superiority for adolescents with AN but no treatment has established superiority for adults. For BN, both 60 mg fluoxetine and cognitive behavioral therapy (CBT) have well-established efficacy. For BED, selective serotonin reuptake inhibitors, CBT, and interpersonal psychotherapy have demonstrated efficacy. Emerging directions for AN include investigation of the antipsychotic olanzapine and several novel psychosocial treatments. Future directions for BN and BED include increasing CBT disseminability, targeting affect regulation, and individualized stepped-care approaches.
HubMed – eating
[Repetitive impulse-associated behavioral disorders in Parkinson’s disease.]
Filed under: Eating Disorders
Nervenarzt. 2012 Aug 10;
Katzenschlager R, Goerlich KS, van Eimeren T
Parkinson’s disease (PD) is associated with a number of behavioral disorders which may cause considerable social, professional or financial problems. Impulse control disorders (ICDs), such as pathological gambling, binge eating, compulsive shopping and hypersexuality occur in approximately 13-14% of PD patients. Further behavioral disorders are the dopamine dysregulation syndrome (DDS), a substance dependence characterized by craving for dopaminergic substances and punding (prolonged repetitive activities which are not goal-oriented).Treatment-related risk factors are dopamine agonists for ICDs and a high total dopaminergic dose for DDS and punding. Shared risk factors are young age at onset, impulsive personality traits, depression and possibly dyskinesia. At the neuronal level these behavioral disorders seem to be associated with changes in the reward system and dysfunction of the orbitofrontal cortex. The evidence level for management strategies is at present insufficient. For ICDs current clinical practice consists of discontinuation or reduction of dopamine agonists.
HubMed – eating
Dietary Intake Measured from a Self-Administered, Online 24-Hour Recall System Compared with 4-Day Diet Records in an Adult US Population.
Filed under: Eating Disorders
J Acad Nutr Diet. 2012 Aug 7;
Frankenfeld CL, Poudrier JK, Waters NM, Gillevet PM, Xu Y
The objective of this study was to compare nutrient intake of two 24-hour recalls collected using the Automated Self-Administered 24-Hour Dietary Recall to a 4-day food record. A convenience sample of university-affiliated adults was chosen because of the diverse population at this university. Ninety-three participants completed the 4-day record and were then prompted to complete two 24-hour recalls within 2 weeks after. Pearson correlation coefficients were calculated for nutrient intake and Healthy Eating Index 2005 (HEI-2005), a summary measure of diet quality. Nutrients and HEI-2005 were also divided into quartiles and percent agreement and ? values were calculated. Results indicated that mean nutrient intakes were similar across the recall and record. Pearson correlations comparing the record and recall ranged from 0.16 to 0.78; with most correlations being between 0.4 and 0.6. For quartiles of dietary intake, percent agreement was moderately high (62.6% to 79.8%), with low to moderate ? values (?=0.11 to 0.52). The 24-hour recall provided a good overall ranking of intake compared to a 4-day food record. Overall correlations and percent agreement were moderate across the nutrients and HEI-2005, suggesting that the 24-recalls may have been capturing different information than the food record in our population. Individual researchers will need to weigh the benefits of a more automated system, such as efficiency, against the potential loss of food item detail and potential need for larger sample sizes, for their particular study populations.
HubMed – eating
The impact of posterior urethral valves on adult quality of life.
Filed under: Eating Disorders
J Pediatr Urol. 2012 Aug 6;
Jalkanen J, Mattila AK, Heikkilä J, Roine RP, Sintonen H, Taskinen S
OBJECTIVE: To investigate the quality of life of men who had been treated for posterior urethral valves (PUV) in childhood. PATIENTS AND METHODS: Questionnaires were mailed to 108 patients with PUV treated at the Children’s Hospital, University of Helsinki, and 67 (62%) of them responded. Three different questionnaires (15D, LSS, and RAND) were used to evaluate the quality of life. RESULTS: The total quality of life in PUV patients was reported as good compared to the general population in the RAND and LSS surveys. However, in the 15D analysis the PUV patients reported lower scores in sleeping, eating, and sexual activity. Those PUV patients who had been treated for renal insufficiency reported lower scores in several dimensions in all three surveys. Patients with urinary incontinence reported more sleeping problems and regarded themselves physically more disabled. CONCLUSIONS: The PUV patients with renal insufficiency or urinary incontinence had impaired quality of life in several dimensions.
HubMed – eating
Men’s experiences of eating disorders – Interviews by Oxford University and checked by experts in the field for accuracy. Five young men spoke to us about their experiences of eating disorders for a new section on Youthhealthtalk.org which launches later on in 2012. For help and support with eating disorders please contact B-eat: www.b-eat.co.uk or Men Get Eating Disorders Too: www.mengetedstoo.co.uk Youthhealthtalk.org is approved by the Department of Health Information Standard.
'Pretty Little Liars' Star Lucy Hale Admits To Eating Disorder, Went Days …
Filed under: Eating Disorders
Pretty Little Liars star Lucy Hale admitted to having an eating disorder during an interview for the September issue of Cosmopolitan. Lucy Hale also noted she has struggled with the eating disorder while performing on the ABC hit show Pretty Little …
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