Anorexia nervosa has long been known to have a poor prognosis and few effective treatments are available (Kaplan and Garfinkel, 1999). Research in this area is limited, particularly in regards to evidence-based guidance. The NICE eating disorders guidance (2004) is in need of an update, although there is a more recently produced care pathway. Other [read the full story…]
A general misconception about anorexia is that it’s just about eating and ‘being thin’, but it’s more complex than that. The illness affects multiple aspects of a person’s life, and often goes hand in hand with other psychological issues such as low mood, or excessive worry. In addition, the jury is still out on the exact [read the full story…]
Chances are you’ve heard of the internet. Unless you’re reading this after it’s been transcribed onto some parchment and brought to you by a psychologically-interested crow in which case you’ve got some further research to do. In terms of eating disorders, most people may associate the internet with those ghastly pro-anorexia sites which for reasons [read the full story…]
Exercise is usually promoted as a healthy behaviour, with government guidelines on how much we should all do per week. At the right levels many people find exercise an enjoyable way to improve their health, but is this always the case? For a particular group of people who have problems with eating and weight, this [read the full story…]
Eating disorders are chronic conditions associated with high mortality and morbidity as highlighted by a previous Mental Elf blog in 2011. Eating disorders are categorised into three main groups: i. Anorexia Nervosa (AN), ii. Bulimia Nervosa (BN) and iii. Eating Disorder Not Otherwise Specified (EDNOS). Using ICD 10 criteria, EDNOS includes atypical AN and atypical BN as well [read the full story…]
Evidence-based treatments for mental health conditions have come on in leaps and bounds in the last 20 years. I remember as a young elf, skipping around the country and running workshops on evidence-based mental health; training psychiatrists, psychologists, nurses and others. There wasn’t much gold standard evidence to choose from back then and there was [read the full story…]
The 8 year old NICE guideline on eating disorders should be updated fairly soon. In the meantime, researchers in Germany have published a new clinical practice guideline on anorexia nervosa, bulimia nervosa and binge eating disorder. The guideline contains evidence- and consensus-based recommendations for the diagnosis and treatment of eating disorders. The guideline is available in [read the full story…]
This Canadian rapid response report will be of interest to anyone looking for a general introduction to the high level evidence relating to hospital admission and the treatment of patients with anorexia nervosa. The authors found 1 meta-analysis, 2 systematic reviews and 3 guidelines, but no health technology assessments. They summarised their findings as follows: [read the full story…]
The rates of morbidity and mortality in eating disorders are thought to be high, but the exact rates were not known before this meta analysis published in the Archives of General Psychiatry. The authors set out to systematically compile and analyze the mortality rates in individuals with anorexia nervosa, bulimia nervosa, and eating disorder not otherwise [read the full story…]
