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Psychiatric Clinics of North America

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https://read.qxmd.com/read/31046934/new-developments-in-the-clinical-treatment-of-eating-disorders
#1
EDITORIAL
Harry A Brandt, Steven F Crawford
No abstract text is available yet for this article.
June 2019: Psychiatric Clinics of North America
https://read.qxmd.com/read/31046933/the-second-wave-of-public-policy-advocacy-for-eating-disorders-charting-the-course-to-maximize-population-impact
#2
REVIEW
S Bryn Austin, Rebecca Hutcheson, Shalini Wickramatilake-Templeman, Katrina Velasquez
Over the past decade, a first wave of US public policy advocacy for eating disorders made substantial progress, with passage of the federal 21st Century Cures Act in 2016 as its crowning achievement. However, the US response to eating disorders continues to fall short in several ways. On the cusp of a second wave of policy advocacy, efforts must be broadened to target structural determinants of illness and inequities to maximize clinical impact and diminish suffering. Mental health clinicians, patients, and their families will be essential players in public policy advocacy efforts in this regard...
June 2019: Psychiatric Clinics of North America
https://read.qxmd.com/read/31046932/eating-disorder-prevention
#3
REVIEW
Eric Stice, Sarah Johnson, Roxane Turgon
Thirteen percent of girls and women experience an eating disorder, yet most do not receive treatment. Thus, broad implementation of eating disorder prevention programs that reduce eating disorder symptoms and future eating disorder onset is a critical priority. This article (1) reviews risk factors that have been shown to predict future onset of eating disorders, because this should guide the content of prevention programs and high-risk subgroups to target with selective prevention programs; (2) reviews the evidence base for eating disorder prevention programs that have reduced eating disorder symptoms or future onset of eating disorders; and (3) discusses directions for future research...
June 2019: Psychiatric Clinics of North America
https://read.qxmd.com/read/31046931/involuntary-treatment-and-quality-of-life
#4
REVIEW
Terry Carney, Joel Yager, Sarah Maguire, Stephen William Touyz
The issues centering on the involuntary treatment of severe and enduring anorexia nervosa are daunting. There is a general consensus that people with this illness are likely to have high levels of disability, be underemployed/unemployed, and receive welfare. Anorexia nervosa shows a similar degree of impairment to those with depression or schizophrenia on quality-of-life measures. It is possible to mount a cogent argument as to why a rehabilitation model of care needs to be considered for those with persistent eating disorders...
June 2019: Psychiatric Clinics of North America
https://read.qxmd.com/read/31046930/problematic-eating-behaviors-and-eating-disorders-associated-with-bariatric-surgery
#5
REVIEW
Cassie S Brode, James E Mitchell
Bariatric surgery candidates often report problematic and/or eating disordered behaviors. For most patients, these eating behaviors improve after surgery. A subset, however, experience a recurrence or new onset of problematic eating behaviors as early as 2 months to 18 months after surgery, which can result in compromised weight loss/excessive weight regain. Those most at risk are individuals with comorbid psychopathology (ie, loss-of-control eating or depression) after surgery. For some, such problems are present before surgery...
June 2019: Psychiatric Clinics of North America
https://read.qxmd.com/read/31046929/medical-complications-of-binge-eating-disorder
#6
REVIEW
Elizabeth Wassenaar, Julie Friedman, Philip S Mehler
Binge eating disorder (BED) is the most common eating disorder and is accompanied by multiple medical comorbidities, many of which are associated with obesity-related diseases. However, the BED itself is likely to confer additional risk factors. BED presents with medical symptoms in virtually every body system and can have devastating consequences on both quality and length of life. This review covers the major comorbidities of BED and highlights areas of ongoing research in this disorder.
June 2019: Psychiatric Clinics of North America
https://read.qxmd.com/read/31046928/medical-complications-of-anorexia-nervosa-and-bulimia-nervosa
#7
REVIEW
Dennis Gibson, Cassandra Workman, Philip S Mehler
Anorexia nervosa and bulimia nervosa are mental illnesses with associated complications affecting all body systems with arguably the highest mortality of all mental health disorders. A comprehensive medical evaluation is an essential first step in the treatment of anorexia nervosa and bulimia nervosa. Weight restoration and cessation of purging behaviors are often essential components in the management of medical complications of these illnesses.
June 2019: Psychiatric Clinics of North America
https://read.qxmd.com/read/31046927/pharmacologic-treatment-of-eating-disorders
#8
REVIEW
Scott J Crow
Medications are a useful adjunct to nutritional and psychotherapeutic treatments for eating disorders. Antidepressants are commonly used to treat bulimia nervosa; high-dose fluoxetine is a standard approach, but many other antidepressants can be used. Binge eating disorder can be treated with antidepressants, with medications that diminish appetite, or with lisdexamfetamine. Anorexia nervosa does not generally respond to medications, although recent evidence supports modest weight restoration benefits from olanzapine...
June 2019: Psychiatric Clinics of North America
https://read.qxmd.com/read/31046926/clinician-delivered-teletherapy-for-eating-disorders
#9
REVIEW
Laura Elizabeth Sproch, Kimberly Peddicord Anderson
The delivery of teletherapy is an important advancement in clinical care for the treatment of eating disorders (EDs). Specifically, it seems to improve access to highly specialized ED treatment. Research on the application of videoconferencing-based psychotherapy services for EDs is minimal; however, results suggest that this treatment format leads to significant improvements in clinical symptoms and is well accepted by patients. General telemedicine guidelines and administrative and clinical recommendations specific to the treatment of ED patients have been identified...
June 2019: Psychiatric Clinics of North America
https://read.qxmd.com/read/31046925/self-help-treatment-of-eating-disorders
#10
REVIEW
See Heng Yim, Ulrike Schmidt
The authors provide an overview of the current state of research on self-help interventions for eating disorders. The efficacy of different forms of self-help interventions for bulimia nervosa, binge eating disorder, and other eating disorders at various stages of the care pathway (from prevention to relapse prevention) is described. Cost-effectiveness studies are also presented. Moderators of outcome, such as guidance and adherence, are discussed. Overall, the findings are promising and support the use of self-help interventions in the treatment of bulimic disorders, across the stages of the care pathway...
June 2019: Psychiatric Clinics of North America
https://read.qxmd.com/read/31046924/emerging-psychological-treatments-in-eating-disorders
#11
REVIEW
Emily M Pisetsky, Lauren M Schaefer, Stephen A Wonderlich, Carol B Peterson
The authors present the theoretic model, structure of treatment, and preliminary evidence for several emerging treatments that are increasingly being used and studied in eating disorders treatment, including dialectical behavior therapy, acceptance and commitment therapy, integrative cognitive-affective therapy, and neuromodulation. In addition, the article discusses treatments that address mindfulness, interpersonal factors, and habit.
June 2019: Psychiatric Clinics of North America
https://read.qxmd.com/read/31046923/interpersonal-psychotherapy-and-the-treatment-of-eating-disorders
#12
REVIEW
Anna M Karam, Ellen E Fitzsimmons-Craft, Marian Tanofsky-Kraff, Denise E Wilfley
Interpersonal psychotherapy (IPT) for the treatment of eating disorders is a brief treatment that addresses the social and interpersonal context in which the disorder begins and is maintained. IPT is classified as a strongly supported evidence-based treatment of bulimia nervosa and binge-eating disorder, and more research is needed to understand the effectiveness of IPT for anorexia nervosa and IPT for preventing excess weight gain. This article describes the core components and elements of IPT, the empirical evidence that supports its effectiveness, efforts to increase the dissemination and implementation of IPT, and future directions...
June 2019: Psychiatric Clinics of North America
https://read.qxmd.com/read/31046922/family-based-treatment-of-eating-disorders-a-narrative-review
#13
REVIEW
Sasha Gorrell, Katherine Loeb, Daniel Le Grange
Eating disorders (EDs) are serious psychiatric illnesses that typically develop during adolescence or young adulthood, indicating that individuals with EDs may benefit from early intervention. Family-based treatment is the leading treatment of youth with anorexia nervosa, with increasing evidence of its efficacy for youth with bulimia nervosa. This review describes the role of family engagement within family-based treatment of EDs, followed by a summary of current empirically supported, family-based ED interventions...
June 2019: Psychiatric Clinics of North America
https://read.qxmd.com/read/31046921/behavioral-interventions-in-the-treatment-of-eating-disorders
#14
REVIEW
Glenn Waller, Bronwyn Raykos
Behavioral methods are inherent in many evidence-based treatments of eating disorders and have also been used separately. This review demonstrates that behavioral methods are necessary in the effective treatment of eating disorders-in particular, the improvement of nutrition and exposure-based methods. It is also possible that these methods are sufficient to treat anorexia nervosa, although other elements are needed on the treatment of bulimia nervosa. The impacts and mechanisms of behavioral and nutritional change merit serious attention in clinical work and research...
June 2019: Psychiatric Clinics of North America
https://read.qxmd.com/read/31046920/cognitive-behavior-therapy-for-the-eating-disorders
#15
REVIEW
William Stewart Agras
Cognitive behavioral therapy (CBT) is an evidence-based treatment for bulimia nervosa and binge-eating disorder and is regarded as the first-line treatment for both eating disorders. An enhanced version of the treatment (CBT-E) appears more effective in treating patients with severe comorbidity. There is less evidence that CBT is effective for the treatment of anorexia nervosa. Evidence suggests that CBT-E is no more effective than specialist care involving regular medical follow-up and supportive psychotherapy in the persistent adult form of anorexia nervosa (AN)...
June 2019: Psychiatric Clinics of North America
https://read.qxmd.com/read/30704643/eating-disorders-2018-new-insights-in-diagnosis-research-and-treatment
#16
EDITORIAL
Harry A Brandt, Steven F Crawford
No abstract text is available yet for this article.
March 2019: Psychiatric Clinics of North America
https://read.qxmd.com/read/30704642/the-microbiome-and-eating-disorders
#17
REVIEW
Jochen Seitz, Stefanie Trinh, Beate Herpertz-Dahlmann
Growing interest exists in the association of gut bacteria with diseases, such as diabetes, obesity, inflammatory bowel disease, and psychiatric disorders. Gut microbiota influence the fermentation of nutrients, body-weight regulation, gut permeability, hormones, inflammation, immunology, and behavior (gut-brain axis). Regarding anorexia nervosa (AN), altered microbial diversity and taxa abundance were found and associated with depressive, anxious, and eating disorder symptoms. Potential mechanisms involve increased gut permeability, low-grade inflammation, autoantibodies, and reduced brain cell neogenesis and learning...
March 2019: Psychiatric Clinics of North America
https://read.qxmd.com/read/30704641/cognitive-neuroscience-of-eating-disorders
#18
REVIEW
Joanna E Steinglass, Laura A Berner, Evelyn Attia
Anorexia nervosa and bulimia nervosa are characterized by severely restricted intake, binge eating, and compensatory behaviors like self-induced vomiting. The neurobiological underpinnings of these maladaptive behaviors are poorly understood, but the application of cognitive neuroscience and neuroimaging to eating disorders has begun to elucidate their pathophysiology. Specifically, this review focuses on 3 areas that suggest paths forward: reward, cognitive and behavioral control, and decision making. Understanding the brain-based mechanisms that promote and maintain these often chronic symptoms could guide the development of new and more effective treatments...
March 2019: Psychiatric Clinics of North America
https://read.qxmd.com/read/30704640/genetics-of-eating-disorders-what-the-clinician-needs-to-know
#19
REVIEW
Cynthia M Bulik, Lauren Blake, Jehannine Austin
Anorexia nervosa (AN), bulimia nervosa (BN), and binge-eating disorder (BED) are heritable conditions that are influenced by both genetic and environmental factors. Recent genome-wide association studies (GWAS) of AN have identified specific genetic loci implicated in AN, and genetic correlations have implicated both psychiatric and metabolic factors in its origin. No GWAS have been performed for BN or BED. Genetic counseling is an important tool and can aid families and patients in understanding risk for these illnesses...
March 2019: Psychiatric Clinics of North America
https://read.qxmd.com/read/30704639/avoidant-restrictive-food-intake-disorder
#20
REVIEW
Debra K Katzman, Mark L Norris, Nancy Zucker
Avoidant restrictive food intake disorder (ARFID) is a rearticulated eating disorder diagnosis in the Diagnostic and Statistical Manual of Mental Disorders (fifth edition) (DSM-5), published in 2013. The purpose of this article is to review what is known about ARFID; specifically outline the DSM-5 diagnostic criteria; review the epidemiology; describe the clinical characteristics of patients with this disorder; and discuss evolving treatment approaches. Although this disorder occurs across the lifespan, the focus of recent research has been primarily in children and adolescents with ARFID...
March 2019: Psychiatric Clinics of North America
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