Anorexia nervosa

Gerald Russell

Introduction; hiSoryof ideas Epidemiology

Screening,, instruments Populations.., surveyed ResMits.of,, .epidemiological ..surveys Ha,s,,t,he,,incid,enc,e,.o,f, .anorexia, ..nervosa,,, increased, .since the,, 1950s? Aetiology

Aetiological.concepts

Themuitidimensignal ..approach . .to. . anorexia,, .nervosa Socio™™™ .causes Adverse, ,life,„events Childhood .sexual ..abuse Family. ..factors Personality .disorders Biomedical, .fa^Storsand pathogenesis Ciinica.l.features

Cia.ssicai„ anorexia, ,n,,ervosa,ip,os,tp,u,be![tal) Complications, ,of„ malnutrition Anorexic, mothers,, asparents Anorexia., ne.ryo.sa.pf. earlyonset

Classification

Anorexia,,, nervosain,,, males Course „and.prognosis

Outcomes,, .from, ..follow-up, .studies, ,in,,anorex,ia„,nervosa Prognostic, , predictors , , of, outcome Comparison, ofmorMitx, .rates Fl0i|.0lw-up„studiesl,,in„ early-onsetanorexia,, nervosa Conclusions

Treatment Review, ofevidence

Inpatienttreatment

Day, , hospital ..treatment

Comparison,, .of.outpatien.t „treatments,„and,„hos,pital „admission

Family. therapy Advice. on .management

Main, obstacle,, to treatment;, the,, patient's, ayold.a.nce.of .treatment The,, stepped-care .approach

Outpatient „ps,ych,oth,erap,ie,s

Models,, ofpsychotherapy

Cognitiye-behavi.oural,t,herapy

Familytreatments

Daytreatment

Inpatienttreatment

Compulsory, .treatment, ,ln..,a,n.o.re.xla,.,n.e.rvosa Chapter,, References

Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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