CPG for Eating Disorders

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224. Fairburn CG, Jones R, Peveler RC, Carr SJ, Solomon RA, O'Connor ME, et al. Three psychologicaltreatments for bulimia nervosa. A comparative trial. Arch Gen Psychiatry.1991;48(5):463-9.225. Cooper PJ, Steere J. A comparison of two psychological treatments for bulimia nervosa: implicationsfor models of maintenance. Behav Res Ther. 1995;33(8):875-85.226. Wilson GT, Eldredge KL, Smith D, Niles B. Cognitive-behavioural treatment with and withoutresponse prevention for bulimia. Behav Res Ther. 1991;29(6):575-83.227. Agras WS, Walsh T, Fairburn CG, Wilson GT, Kraemer HC. A multicenter comparison ofcognitive-behavioural therapy and interpersonal psychotherapy for bulimia nervosa. Arch GenPsychiatry. 2000;57(5):459-66.228. Fairburn CG, Kirk J, O'Connor M, Cooper PJ. A comparison of two psychological treatments forbulimia nervosa. Behav Res Ther. 1986;24(6):629-43.229. Garner DM, Rockert W, Davis R, Garner MV, Olmsted MP, Eagle M. Comparison of cognitivebehaviouraland supportive-expressive therapy for bulimia nervosa. Am J Psychiatry.1993;150(1):37-46.230. Bailer U, de ZwSHn M, Leisch F, Strnad A, Lennkh-Wolfsberg C, El-Giamal N, et al. Guided selfhelpversus cognitive-behavioural group therapy in the treatment of bulimia nervosa. Int J EatDisord. 2004;35(4):522-37.231. Treasure JL, Schmidt U, Troop N, Tiller J, Todd G, Keilen M, et al. First step in managing bulimianervosa: Controlled trial of a therapeutic manual. BMJ. 1994;308:686-9.232. Chen E, Touyz SW, Beumont PJ, Fairburn CG, Griffiths R, Butow P, et al. Comparison of group andindividual cognitive-behavioural therapy for patients with bulimia nervosa. Int J Eat Disord.2003;33(3):241-54.233. Walsh BT,Wilson GT, Loeb KL, Devlin MJ, Pike KM, Roose SP, et al. Medication andpsychotherapy in the treatment of bulimia nervosa. Am J Psychiatry. 1997;154(4):523-31.234. Wilson GT, Fairburn CC, Agras WS, Walsh BT, Kraemer H. Cognitive-behavioural therapy forbulimia nervosa: time course and mechanisms of change. J Consult Clin Psychol.2002;70(2):267-74.235. Wilfley DE,Agras WS,Telch CF, Rossiter EM, Schneider JA, Cole AG, et al. Groupcognitivebehavioural therapy and group interpersonal psychotherapy for the nonpurging bulimicindividual: a controlled comparison. J Consult Clin Psychol. 1993;61(2):296-305.236. Bulik CM, Sullivan PF, Carter FA, McIntosh VV, Joyce PR. The role of exposure with responseprevention in the cognitive-behavioural therapy for bulimia nervosa. Psychol Med.1998;28(3):611-23.237. Thiels C, Schmidt U, Treasure J, Garthe R, Troop N. Guided self-change for bulimia nervosaincorporating use of a self-care manual. Am J Psychiatry. 1998;155(7):947-53.238. Schmidt U, Lee S, Beecham J, Perkins S, Treasure J, Yi I, et al. A randomized controlled trial offamily therapy and cognitive behaviour therapy guided self-care for adolescents with bulimianervosa and related disorders. Am J Psychiatry. 2007;164(4):591-8.239. Burton E, Stice E, Bearman SK, Rohde P. Experimental test of the affect-regulation theory ofbulimic symptoms and substance use: a randomized trial. Int J Eat Disord. 2007;40(1):27-36.240. Berkman ND, Bulik CM, Brownley KA, Lohr KN, Sedway JA, Rooks A, et al. Management ofeating disorders. Rockville, MD (US): Agency for Healthcare Research and Quality; 2006.Informe núm. 135.241. Chen E, Touyz SW, Beumont PJ, Fairburn CG, Griffiths R, Butow P, et al. Comparison of group andindividual cognitive-behavioural therapy for patients with bulimia nervosa. Int J Eat Disord.2003;33(3):241-54.242. Carter JC, Olmsted MP, Kaplan AS, McCabe RE, Mills JS, Aime A. Self-help for bulimia nervosa: a276CLINICAL PRACTICE GUIDELINE FOR EATING DISORDERS
andomized controlled trial. Am J Psychiatry. 2003;160(5):973-8.243. Mitchell JE, Pyle RL, Eckert ED, Hatsukami D, Pomeroy C, Zimmerman R. A comparison study ofantidepressants and structured intensive group psychotherapy in the treatment of bulimia nervosa.Arch Gen Psychiatry. 1990;47(2):149-57.244. Kirkley BG, Schneider JA, Agras WS, Bachman JA. Comparison of two group treatments forbulimia. J Consult Clin Psychol. 1985;53(1):43-8.245. Brownley KA, Berkman ND, Sedway JA, Lohr KN, Bulik CM. Binge eating disorder treatment: asystematic review of randomized controlled trials. Int J Eat Disord. 2007;40(4):337-48.246. Agras WS, Telch CF, Arnow B, Eldredge KL, Detzer MJ, Henderson J, et al. Does interpersonaltherapy help patients with binge eating disorder who fail to respond to cognitive-behaviouraltherapy? J Consult Clin Psychol. 1995;63:356-60.247. Gorin A. A controlled trial of cognitive-behavioural therapy with and without spousal involvementfor binge eating disorder. Dissertations Abstracts International: Section B: the Sciences &Engineering. 2001;61.248. Telch CF, Agras WS, Rossiter EM, Wilfley D, Kenardy J. Group cognitive-behavioural treatmentfor the nonpurging bulimic: an initial evaluation. J Consult Clin Psychol. 1990;58(5):629-35.249. Wilfley DE, Welch RR, Stein RI, Spurrell EB, Cohen LR, Saelens BE, et al. A randomizedcomparison of group cognitive-behavioural therapy and group interpersonal psychotherapy for thetreatment of overweight individuals with binge-eating disorder. Arch Gen Psychiatry.2002;59(8):713-21.250. Nauta H, Hospers H, Kok G, Jansen A. A comparison between a cognitive and a behaviouraltreatment for obese binge eaters and obese non-binge eaters. Behav Ther. 2000;31:441-61.251. Gorin SH, le Grange D, Stone SH. Effectiveness of spouse involvement in cognitive behaviouraltherapy for binge eating disorder. Int J Eat Disord. 2003;33(4):421-33.252. Hilbert A, Tuschen-Caffier B. Body image interventions in cognitive-behavioural therapy of bingeeatingdisorder: a component analysis. Behav Res Ther. 2004;42(11):1325-39.253. Munsch S, Biedert E, Meyer A, Michael T, Schlup B, Tuch A, et al. A randomized comparison ofcognitive behavioural therapy and behavioural weight loss treatment for overweight individuals withbinge eating disorder. Int J Eat Disord. 2007;40(2):102-13.254. Shapiro JR, Reba-Harrelson L, Dymek-Valentine M,Woolson SL, Hamer RM, Bulik CM. Feasibilityand acceptability of CD-ROM-based cognitive-behavioural treatment for binge-eating disorder. EurEat Disord Rev. 2007;15(3):175-84.255. Peterson CB, Mitchell JE, Engbloom S, Nugent S, Pederson MM, Crow SJ, et al. Self-help versustherapist-led group cognitive-behavioural treatment of binge eating disorder at follow-up. Int J EatDisord. 2001;30(4):363-74.256. Peterson CB, Mitchell JE, Engbloom S, Nugent S, Mussell MP, Miller JP. Groupcognitivebehavioural treatment of binge eating disorder: a comparison of therapist-led versusselfhelp formats. Int J Eat Disord. 1998;24(2):125-36.257. Perkins SJ, Murphy R, Schmidt U, Williams C. Self-help and guided self-help for eating disorders.Cochrane Database of Systematic Reviews 2006, Issue 3. Art. No.:CD004191.258. Mitchell JE, Fletcher L, Hanson K, Mussell MP, Seim H, Crosby R, et al. The relative efficacy offluoxetine and manual-based self-help in the treatment of s with bulimia nervosa. J ClinPsychopharmacol. 2001;21(3):298-304.259. Durand MA, King M. Specialist treatment versus self-help for bulimia nervosa: a randomisedcontrolled trial in general practice. Br J Gen Pract. 2003;53(490):371-7.260. Loeb KL, Wilson GT, Gilbert JS, Labouvie E. Guided and unguided self-help for binge eating.Behav Res Ther. 2000;38(3):259-72.261. Carter JC, Fairburn CG. Cognitive-behavioural self-help for binge eating disorder: a controlledeffectiveness study. J Consult Clin Psychol. 1998;66(4):616-23.277CLINICAL PRACTICE GUIDELINE FOR EATING DISORDERS
Page 1 and 2:
Clinical Practice Guidelinefor Eati
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This clinical practice guideline (C
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Annex 2.7. Diagnostic Criteria for
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This CPG aims to provide the popula
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External Review of Patient Informat
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14. What is the efficacy and safety
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CLINICAL PRACTICE GUIDELINE FOR EAT
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D 6.2. In anorexia nervosa (AN), we
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D 8.6. Primary care centres should
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9.GM.02. Before initiating artifici
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Binge-Eating DisorderA 9.3.3.1. A s
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D 9.GP.11. In children and adolesce
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Binge-Eating DisorderD 9.GPH.6. In
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11. Prognosis of Eating Disorders (
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ED: Eating disorderEDNOS: Eating di
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1. IntroductionBackgroundThe develo
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However, there is a need for a guid
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Table 2. Studies on the prevalence
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2. Scope and ObjectivesTarget Popul
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Aspects not included in the CPGThe
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3. MethodologyThe methodology emplo
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- Synthesis and analysis of the sci
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4. Definition and Classification of
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- Other psychopathological disturba
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Sociocultural factorsThe studies id
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accompany eating disorders. However
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5. Prevention of Eating DisordersKe
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(causal factors). Participants in t
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is a programme that promotes a heal
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MA 1341++MA 1341++No definitive con
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Of all the proposed criteria and re
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Spanish version of the EAT-40In Spa
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of the five dimension results in th
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6.5. It is recommended to use quest
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7.2. How are eating disorders class
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to help them cope with the situatio
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Other examinationsTo ascertain whet
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- Initiating nutritional treatment
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8.2. In eating disorders, what clin
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8.3.2. Criteria for admission to da
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RecommendationsD 8.1. Individuals w
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9. Treatment of Eating DisordersThe
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An RCT (Rigaud, 2007; France) 203 c
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9.2. Nutritional Counselling (NC)9.
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Recommendations(See recommendations
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Anorexia nervosaRecommendationsD 9.
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PSYCHOLOGICAL THERAPIESIn this sect
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Summary of the Evidence(See also th
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There is limited evidence to sugges
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In an RCT (Wilson, 2002; USA) 234 C
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SRSE 2401++SRSE 2401++CBT treatment
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In an RCT (Bulik, 1998) 236 the ove
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Evidence indicates that it is unlik
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A 9.3.3.1. Adult patients with BED
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In an RCT (Carter, 2003; Canada) 24
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Variable: reduction / remission of
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In yet another RCT (Carter, 1998 26
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Scientific EvidenceThere is insuffi
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Recommendations(See also recommenda
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Summary of the Evidence(See summary
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In an RCT (Lock, 2005) 271 , 20% of
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elaborated by the AHRQ of the US (2
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SUMMARY OF THE EVIDENCE FORPSYCHOLO
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D 9.GP.6. For patients with AN who
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PHARMACOLOGICAL TREATMENTIn this se
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9.9.1.2. What is the safety of anti
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There is strong evidence that antid
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Summary of the EvidenceSRSE 311++SR
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There is insufficient evidence sugg
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An RCT (Appolinario, 2003; Brazil)
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9.10. AntipsychoticsEvidence in AN
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9.11.2. What is the safety of cypro
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9.13.1.2. What is the safety of top
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Recommendations(See recommendations
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SUMMARY OF THE EVIDENCE FORPHARMACO
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COMBINED INTERVENTIONSThis section
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Antidepressants vs. antidepressants
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There is insufficient evidence to s
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Summary of the EvidenceSRSE 311++SR
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9.16.3. Binge-eating disorder9.16.3
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TREATMENT OF EATING DISORDERS THATO
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TREATMENT OF CHRONIC EATING DISORDE
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10. Assessment of Eating DisordersK
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EDI-2 (Version 2 of the EDI-1)Later
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BIABody Image Assessment. Collins,
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10.1.5. The use of questionnaires a
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has been widely used. It consists o
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out as the most adequate, given its
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abuse/dependency, low sensation see
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the freedom of articles 17 of the S
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12.2. Is the informed consent of an
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RecommendationAccording to current
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Algorithm 2. Intervention if there
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9) Day care admission criteria:- Fr
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- Oral nutritional support in eatin
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Algorithm 4. Treatment of BN and BE
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14.Dissemination and implementation
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IntegralcareOutcomeSatisfaction ind
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15. Future research recommendations
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Annex 1. Levels of Evidence and Gra
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Annex 2. Clinical chaptersAnnex 2.1
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30. I eat diet food.31. I feel food
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Annex 2.4. Spanish version of the C
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6. Do you feel you have control ove
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20. I feel sad after eating more th
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33. APPLICABLE ONLY TO WOMEN. My la
Page 226 and 227: 12. Do you eat reasonable amounts o
Page 228 and 229: Annex 2.7. Diagnostic Criteria for
Page 230 and 231: Within each guideline some variatio
Page 232 and 233: Bulimia nervosa (307.51)Diagnostic
Page 234 and 235: Annex 2.8. Spanish version of the E
Page 236 and 237: Formula:Patients with eating disord
Page 238 and 239: Annex 3. Information for patients w
Page 240 and 241: Alert SignsWhat signs can alert us
Page 242 and 243: members can seek support and guidan
Page 244 and 245: therapist who guides the sessions a
Page 246 and 247: negative attitudes towards weight a
Page 248 and 249: PizotifenThis drug belongs to the g
Page 250 and 251: TopiramateAnticonvulsant psychoacti
Page 252 and 253: BULIT Bulimia TestBULIT-R Revised v
Page 254 and 255: ISCIII Carlos III Health InstituteI
Page 256 and 257: CLINICAL PRACTICE GUIDELINE FOR EAT
Page 258 and 259: General Directorate for Public Heal
Page 260 and 261: 2) We identified 20 documents elabo
Page 262 and 263: estimator, establishing the followi
Page 264 and 265: CLINICAL PRACTICE GUIDELINE FOR EAT
Page 266 and 267: 17. Detecció i orientacions terap
Page 268 and 269: 59. Lo importante es tu vida. No la
Page 270 and 271: 98. Garner DM. Pathogenesis of anor
Page 272 and 273: 141. Wilksch SM, Tiggemann M, Wade
Page 274 and 275: 181. Rivas T, Jiménez M, Bersabé
Page 278 and 279: 262. McCann UD, Agras WS. Successfu
Page 280 and 281: 302. McElroy SL, Casuto LS, Nelson
Page 282 and 283: 341. Hodes M, Timimi S, Robinson P.
Page 284 and 285: 388. Steinhausen HC. The outcome of
Page 286 and 287: 427. Finnish Medical Society Duodec
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