Historically, eating disorders have been discussed in a very black and white fashion; either you do or you don’t have one. Whilst this may be beneficial in terms of research and diagnosis, it isn’t particularly helpful for those that sit in the grey area between the two. People in this grey area are often referred [read the full story…]
Psychiatric illnesses and some chronic physical illnesses are associated with an increased risk of self-harm and suicide
Last month, the Department of Health published the ‘Closing the Gap’ report, which highlighted the importance of better integration of physical and mental health care at every level. The report specifically flagged up the need for frontline services to respond better to people who self-harm, and cited statistics that emphasise the cyclical nature of the [read the full story…]
RCT compares two different versions of enhanced cognitive behavioural therapy for anorexia nervosa in an inpatient setting
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…]
We all know that the Internet can be a dangerous place for people with eating disorders, but can it also help them get better?
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…]
Weak evidence from recent review suggests there is no harm when using exercise to treat anorexia nervosa
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…]
The overall incidence of eating disorders increased between 2000 and 2009, says new register-based UK study
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…]
Cost effectiveness analysis finds stepped care to be cheaper and more effective than CBT for bulimia nervosa
Bulimia nervosa (BN) is an eating disorder; the diagnosis of which requires: persistent preoccupation with eating and an irresistible craving for food, episodes of overeating in which large amounts of food are consumed over a short period of time and potentially attempts to counteract the “fattening” effects of food by self-induced vomiting or laxative abuse. [read the full story…]
Adolescent girls are less satisfied with their bodies compared to boys, according to Finnish cohort study
It’s hardly surprising that teenage girls and boys express dissatisfaction with their bodies. The vast majority of TV, magazine, billboard and Internet images of the human body present a wholly unrealistic and unattainable version of the male and female physique. Young people cannot help but compare themselves to these standards and feel that they come [read the full story…]
New guideline on the diagnosis and treatment of eating disorders
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…]
Hospital admission and treatment of patients with anorexia nervosa: guidelines and recommendations
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…]