Antidepressants versus psychological treatments and their combination for bulimia nervosa

Hay, Phillipa; Claudino, Angélica Medeiros; Kaio, Marcel H

doi:10.1002/14651858.cd003385

Cited by 39 publications

(25 citation statements)

References 52 publications

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“…According to Barker, P. (2003), people with bulimia nervosa may also exercise to a point that excludes other activities. Bulimia nervosa as reported by Hay, P. J. et al (2010), may affect up to 1% of young women and, after 10 years of diagnosis, half will recover fully, a third will recover partially, and 10-20% will still have symptoms. However, Nauert, PhD, R. (2015),reported that, girls who are African American are 50 percent more likely than girls who are white to be bulimic and thatgirls from families in the lowest income bracket were 153 percent more likely to be bulimic than girls from the highest income bracket.…”

Section: Resultsmentioning

confidence: 99%

Athletes Abstinence Knowledge from Eating Disorders like Anorexia Nervosa (AN), Bulimia Nervosa (BN) and Binge Eating Disorder (BED), as Health Education Method in Decreasing Unhealthy Ageing with Reference to Physical and Mental Health

Joseph¹,

Augustine²,

Joe³

2017

jesp

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Aim: The objective of this study was to point out abstinence knowledge in decreasing unhealthy ageing with reference to physical and mental health, with justification to evaluate athlete's abstinence knowledge from eating disorders like Anorexia Nervosa (AN), Bulimia Nervosa (BN) and Binge Eating Disorder (BED) as health education method in decreasing unhealthy ageing with reference to physical and mental health among athletes at Njala Campus. Method: Behavioral Health Risk Modified Survey Questionnaire (BHRMSQ) was the research instrument for the survey. The variables of the findings were proved at level of significance p<0.05 through an inferential statistical instrument called Dependent t-test (t). The researchers interviewed mainly undergraduate athletes with an average number of one hundred and fifty (n=150), of which 37% (n=55) female and 63% (n=95) male, were selected using the stratified random sampling. Also stratified were 43.2% (n=65) from the School of Agriculture-to-Environmental Science; 57% (n=85) from the School of Education-to-Technology; 83 % (n=125) from level (100-to-200); 17% (n=25) from level (300-to-400); 60% (n=90) within the age circle of (18-to-25); 40% (n=60) within the age circle of (26-to-30+) in years. Results: Analysis shows negative skewedness in all three variables as placed in tabulated values (t-scores of 0.237, 0.452 and 0.318)of 5, 7 and 9 when proved at p < 0.05. Conclusion: The findings demonstrated that majority of athletes' lack abstinence knowledge from eating disorders like Anorexia Nervosa (AN), Bulimia Nervosa (BN) and Binge Eating Disorder (BED) regarding health education method in decreasing unhealthy ageing with reference to physical and mental health among athletes at Njala Campus.

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Section: Resultsmentioning

confidence: 99%

Athletes Abstinence Knowledge from Eating Disorders like Anorexia Nervosa (AN), Bulimia Nervosa (BN) and Binge Eating Disorder (BED), as Health Education Method in Decreasing Unhealthy Ageing with Reference to Physical and Mental Health

Joseph¹,

Augustine²,

Joe³

2017

jesp

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“…Drug treatments are usually an adjunct to psychological therapies for people with eating disorders, or for comorbid conditions 12,32…”

Section: Adjunctive Therapiesmentioning

confidence: 99%

Psychological interventions for eating disorders

2016

DTB

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Eating disorders, including anorexia nervosa, bulimia nervosa and binge eating disorder, are common conditions, characterised by disturbances of eating behaviours and a core psychopathology centred on food, eating and body image concerns. Eating disorders are associated with medical and psychological comorbidities; a signiﬁcantly impaired health-related quality of life; a high rate of inpatient, outpatient and emergency care; significant healthcare costs; and increased mortality. Here, we focus on the evidence for non-drug interventions for eating disorders.

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“…Hay at al. [19], Barlow et al [20] and Walsh et al [21] reveal superiority of psychotherapy treatment for bulimia nervosa when comparing it with effects of medication and promote a combination of both treatment forms. Huhn et al [1], having carried out a systematic review of the efficacy of pharmacotherapies and psychotherapies for major psychiatric disorders, state that "effec-tive medication and psychotherapy are available for most psychiatric disorders".…”

Section: Introductionmentioning

confidence: 99%

Biomedical and psychosocial interventions in the mental health care system in Lithuania: “Leaving the psychiatrist’s clinic – with at least a couple of prescriptions”

Šumskienė¹,

Petružytė²,

Klimaitė³

2018

Arch Psych Psych

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Aim of the studyThe aim of article is to reveal evaluations of mental health care system from a perspective of experts, as well as subjective view of patients in mental health centers towards the treatment they are getting.Subject or material and methodsThis article includes data from two studies done in Lthuania: expert and patient research. Research participants were 20 experts (nongovernmental organizations, academics, service workers, decision makers, central government) and 30 patients (heterogeneous according to their demographic characteristics, diagnoses, different treatment forms received).ResultsAccording to patients’ view, psychotherapeutic treatment requires much higher degree of patients’ active involvement and input; medication based treatment contributes to the patient’s passive position regarding his healing process.DiscussionExperts’ opinions regarding the balance between psychotherapy and medication: the availability of psychotherapy in bigger cities and a lack of them in provinces; the supply of private providers and lack of public services; a progressive youth and a conservative older generation; a paradoxical concentration of psychotherapy in in-patient facilities and a lack of them in the community.ConclusionsThough mental health care requires a clear and ethical balance of biomedical and psychotherapeutic interventions, a clear and public dialogue about the efficacy and advantage of different treatments is needed, but this consensus is still not achieved in many countries including Lithuania. Both, psychotherapy and medication based treatment are regarded as useful elements of treatment from perspective of experts, as well as patients. However, there is lack of availability of psychotherapy services in mental health system in Lithuania

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Antidepressants versus psychological treatments and their combination for bulimia nervosa

Abstract: Analysis 2.3. Comparison 2 Antidepressants versus combination of antidepressants and psychotherapy, Outcome 3 Dropouts.... Analysis 2.4. Comparison 2 Antidepressants versus combination of antidepressants and psychotherapy, Outcome 4 Di erence in bulimic symptoms.

Cited by 39 publications

References 52 publications

Athletes Abstinence Knowledge from Eating Disorders like Anorexia Nervosa (AN), Bulimia Nervosa (BN) and Binge Eating Disorder (BED), as Health Education Method in Decreasing Unhealthy Ageing with Reference to Physical and Mental Health

Athletes Abstinence Knowledge from Eating Disorders like Anorexia Nervosa (AN), Bulimia Nervosa (BN) and Binge Eating Disorder (BED), as Health Education Method in Decreasing Unhealthy Ageing with Reference to Physical and Mental Health

Psychological interventions for eating disorders

Biomedical and psychosocial interventions in the mental health care system in Lithuania: “Leaving the psychiatrist’s clinic – with at least a couple of prescriptions”

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