Predictors and Outcomes of Eating Disorders PDF Download

Author: Alexandra Stanbury
Publisher:
ISBN:
Category :
Languages : en
Pages :

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Author: Stephen Touyz
Publisher: Routledge
ISBN: 1317678109
Category : Psychology
Languages : en
Pages : 366

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Book Description
Based on the only evidence-based randomized controlled trial yet undertaken in patients with severe and enduing anorexia nervosa, Managing Severe and Enduring Anorexia Nervosa uses the results of that trial to present a new paradigm for treatment. Moreover, this informative new text assembles the leading scientists across three continents to provide a comprehensive overview and new paradigm for treatment and stimulate interest in the development of new psychosocial approaches. Students, clinicians, and researchers in the field of eating disorders will find this edited volume a valuable reference handbook in the clinical management of patients with anorexia nervosa.

Author: James Lock
Publisher: Guilford Publications
ISBN: 1462542840
Category : Medical
Languages : en
Pages : 242

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Book Description
From pioneering family-based treatment developer James Lock, this is the first comprehensive guide to adolescent-focused therapy (AFT) for anorexia nervosa (AN), an evidence-based individual approach. AFT is an effective alternative to family-based treatment that may be a better fit for some patients. Lock explains how AN serves as a maladaptive response to developmental challenges of adolescence. He presents a manualized framework for helping adolescents find more adaptive coping strategies, manage difficult emotions, and develop greater autonomy and a stronger sense of self, while reducing risky behaviors and restoring weight. AFT emphasizes the therapist–patient alliance and involves parents in a supportive role. Rich case material and sample dialogues illustrate how to implement each phase of the approach. AFT is recognized as a best practice for the treatment of anorexia nervosa in adolescents by the U.K. National Institute for Health and Care Excellence (NICE).

Author: Anna Mae Jorgensen
Publisher:
ISBN:
Category : Electronic dissertations
Languages : en
Pages : 74

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Book Description
The present investigation examined characteristic, symptomatic, and familial predictors of long-term symptom severity of eating disorders. The purpose of the study was to determine if, after accounting for a number of known predictors of outcome, familial variables explained a significant amount of additional variance in disordered eating and general well-being scores measured at post-treatment follow-up. The sample included 398 women, ages 13 to 56, who had completed eating disorder treatment at an inpatient facility. Hierarchal multiple regression analysis demonstrated that familial predictors at admission to treatment did significantly predict long-term outcomes, while changes from admission to treatment in symptoms and perceptions of parents did not predict recovery. Patients' relationships with their fathers significantly contributed to the regression model. Recommendations for future investigations are discussed.

Author: Linda Smolak
Publisher: Routledge
ISBN: 1134790376
Category : Psychology
Languages : en
Pages : 445

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Book Description
Although eating problems--ranging from body dissatisfaction and dieting to anorexia nervosa or bulimia nervosa--can begin and typically have their roots in childhood, theory and research in developmental psychopathology and developmental psychology have not received substantial attention in eating disorders research. This book provides crucial background material from both fields, and then makes direct applications to numerous aspects of the field of eating disorders including theory, research, treatment, and primary prevention. This book was born out of a transaction between frustration and optimism. The frustrations reflected the limitations of current knowledge about eating problems and disorders. Etiological "causes" which are sensitive and specific to eating disorders have been elusive. Although there is some understanding of risk factors, little is known about protective factors. This has made prevention, among other things, difficult. Furthermore, the mechanisms underlying the association between risk factors and disordered eating are poorly understood. For example, it is known that women are at greater risk than men are, but clinicians are hard- pressed to get beyond gender-based speculations and demonstrate why this is true. The optimism grows from familiarity with the field of developmental psychopathology. It seems evident that this approach has much to offer the field of eating disorders. This book is an early step in the integration of developmental psychopathology into theorizing, research, treatment, and prevention of eating disorders. It addresses four specific goals: * to introduce the principles and methodologies of developmental psychopathology, * to review the work of developmental psychologists in several major areas of behavior relevant to understanding the causes, treatment, and prevention of eating disorders, * to apply developmental psychopathology principles to the area of eating disorders, both in the form of theoretical models and in specific areas/issues raised by developmental psychopathology, and * to discuss the implications of developmental approaches for prevention programs and treatments.

Author: Dawn O. Witherspoon
Publisher:
ISBN:
Category : Eating disorders
Languages : en
Pages : 150

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Book Description
Eating disorders are common psychiatric disorders, especially in adolescent and adult females. Given the significant impairment these disorders cause, patients often require intensive inpatient treatment; however the majority of outcome studies are related to outpatient treatment. The purpose of this study was to create and test a theoretical model that predict inpatient treatment outcomes for patients with eating disorders using structural equation modeling. The goal of the current study was to examine predictors of treatment outcomes in an inpatient and partial hospitalization eating disorder program. The sample consisted of a total of 140 subjects with bulimia nervosa, anorexia nervosa and eating disorders NOS. Empirically supported risk factors for the development and maintenance of eating disorders, including demographic factors, biological factors and psychological factors were included in the model. Structural equation modeling was used because it allows for the production and testing of theoretical models that can then be used in predicting and studying treatment outcomes in this population. To refine the proposed model separate linear regression analyses were conducted on both the psychological and eating disorder severity risk factors and the treatment outcome variable. Overall, psychological severity risk factors model was statistically significant. The results from this multivariate regression using eating disorder severity factors were statistically significant as well. The revised model was tested by an EFA including the variables in the model. The items converged into two factors; however they did not align according to the predicted model of Psychological Severity and Eating Disorder Severity Factors. Instead they formed the first factor termed: Mental Health Factors in ED and the second factor called Self Destructive/Impulsive Behavior. The final model showed a superior fit to the data. One important clinical implication is the effect of financial restraints and health care insurance systems on clinical treatments, as evident by the relatively large number of patients who had to leave treatment early due to financial restraints. Other findings support the need for early treatment intervention to reduce morbidity and mortality.

Author: American Psychiatric Association
Publisher: American Psychiatric Publishing
ISBN:
Category : Medical
Languages : en
Pages : 92

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Book Description
The care of patients with eating disorders involves a comprehensive array of approaches. These guidelines contain the clinical factors that need to be considered when treating a patient with anorexia nervosa or bulimia nervosa.

Author: Wolfgang Herzog
Publisher: Springer Science & Business Media
ISBN: 364276634X
Category : Psychology
Languages : en
Pages : 349

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Book Description
More and more clinicians as well as researchers realize that anorexia nervosa and bulimia nervosa often are extremely difficult to treat and that the short-term outcome can be very misleading. In many cases these disordersprevail for a long period of time and can have serious consequences for the patient's further life. This book gives a detailed over- view oftoday's knowledge regarding the long-term outcome of the treatment of anorexic and bulimic patients, many of whom were treated in highly spezialized centers. Experts from bo- th Europe and the U.S. report on theirmost recent research. Their studies include medical as well as psychosocial and psychiatric aspects of eating disorders. Clinicians with long experience in the treatment of eating disorder patients discuss the important practical implications of these rese- arch findings. The information given in this book is helpful for both treatment and prevention of eating disorders. Finally, concrete guidelines show as how to conduct further follow-up studies in this field.

Author: Lisa Jane Chinnery
Publisher:
ISBN:
Category :
Languages : en
Pages : 0

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Book Description
Anorexia nervosa (AN) is characterised by self-induced weight loss, a fear of weight gain, and a disturbance in the perception of one's body image. It can severely affect physical, social, and emotional development and is also one of the most serious and chronic illnesses to affect adolescents and young adults. There has been a shift from treating patients with AN in inpatient settings towards outpatient based treatments. While there is considerable evidence to support the effectiveness of adult day programs for treating individuals with eating disorders, the use of adolescent day programs is an emerging area. The first study reviewed the outcomes of day program attendance in 39 adolescents with AN and the potential predictors of treatment outcome and drop-out. The results provide support for the effectiveness of day program treatment in adolescents, in terms of improving weight, core eating disorder cognitions and behaviours, and general psychosocial functioning. Findings also suggested the relevance of pre-treatment weight and patient age in impacting on outcome, and pre-treatment weight on completion rates. In contrast to the limited research around adolescent day programs, a growing evidence base suggests that Family Based Treatment (FBT) should be the first line outpatient treatment for adolescents with AN. The second study aimed to review the impact of length of treatment on rates of cognitive change and outcomes, and predictors of outcome and drop-out in a 'real world' sample of 45 adolescents with AN. The study found support for the notion that completion of all three phases of FBT regardless of the number of sessions, leads to weight restoration, return of menstruation, and improvements in core eating disorder cognitions and behaviours, and general psychosocial functioning. The study also suggested a role for expected body weight and severity of eating disordered cognitions on drop-out rates. The third study aimed to investigate the effectiveness of FBT (n = 45) compared with a day program (n = 39) for adolescents with AN, given that a key deficiency in the research is that there have been no clinical trials comparing the effectiveness of FBT with day programs. The findings suggest differences between the two treatment modalities with lower drop-out rates from day program, but improved outcomes in FBT for weight, menses and core eating disorder cognitions and behaviours at completion. The final study aimed to provide a qualitative investigation into the family experience, including the sibling perspective, of having an adolescent with AN participate in both day program treatment and FBT as this has not been a focus of previous studies. The study was preliminary in nature and due to the small sample size it has been included in Appendix A. Three adolescents, their parents and siblings provided feedback regarding their experiences of participating in both treatment modalities. Their responses indicated that overall each family member considered both treatment modalities to be beneficial in unique and overlapping ways, with most reporting wanting a combination of both treatments. Overall the results from the four studies suggest that day program and FBT are effective treatments for adolescents with AN in terms of improving physical factors and eating disordered cognitions and behaviours, with a number of factors impacting on treatment outcome and drop-out. Families also found components of both treatments to be beneficial. Clinical implications of the findings and future research directions are discussed.

Author: Glenn Waller
Publisher: Routledge
ISBN: 0429576676
Category : Psychology
Languages : en
Pages : 222

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Most people with eating disorders struggle to find an effective therapy that they can access quickly. Brief Cognitive Behavioural Therapy for Non-Underweight Patients: CBT-T for Eating Disorders presents a new form of cognitive behavioural therapy (CBT) that is brief and effective, allowing more patients to get the help that they need. CBT is a strongly supported therapy for all adults and many adolescents with eating disorders. This 10-session approach to CBT (CBT-T) is suitable for all eating disorder patients who are not severely underweight, helping adults and young adults to overcome their eating disorder. Using CBT-T with patients will allow clinicians to treat people in less time, shorten waiting lists, and see patients more quickly when they need help. It is a flexible protocol, which fits to the patient rather than making the patient fit to the therapy. Brief Cognitive Behavioural Therapy for Non-Underweight Patients provides an evidence-based protocol that can be delivered by junior or senior clinicians, helping patients to recover and go on to live a healthy life. This book will appeal to clinical psychologists, psychiatrists, psychotherapists, dietitians, nurses, and other professionals working with eating disorders.