CPG for Eating Disorders

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experimental group presented sustained effects in terms of their knowledge regardinga healthy diet and exercise, a reduction in their wish to be thin and decreaseddisordered eating at 3 months follow-up.The experimental programme was also effective in the group of women who were atrisk, resulting in favourable changes in the majority of variables. This studydemonstrates the benefits of using an Internet-based prevention programme andproves that transcultural adaptation can be successful.Based on the results of this MA, 51% of eating disorder prevention programmesreduce eating disorder risk and 29% reduce current or future eating pathology. Theseoverall percentages are favourable when compared to results obtained in other publichealth programmes (21% obesity prevention and 22% HIV prevention).The effect of prevention programmes was greater if the following characteristics weresatisfied: selected strategies aimed at high-risk populations (versus universal), aimedexclusively at women (versus both sexes), offered to participants over 15 years of age(versus younger people), interactive <strong>for</strong>mats (versus didactic programmes), deliveredby trained professionals (versus endogenous providers, such as teachers or educators),with multiple sessions (versus single session), including contents on body acceptanceor the use of induction-dissonance techniques (versus psychoeducational orsociocultural interventions), assessed in trials using validated measures and, hence,more sensitive in determining the effect of interventions (only this type of measuresshould be used) and with shorter follow-up periods.In an RCT (Brien, 2006) 139 a population of 24 university females from Canada ofseveral different origins (58% Caucasian, 19% Hispanic and the rest of other origins),presenting subclinical levels of eating pathology, was studied. An 8-weekpsychoeducational intervention (N=13) was compared to self-monitoring control(N=11). Participants in the experimental group showed improvement in the scores ofdifferent specific questionnaires on eating disorders and other outcome measures thatwere significantly different from those observed in the control group.A psychoeducational intervention can alter the subclinical levels of eating pathologyin female university students from different cultures.In an RCT (Wilksch, 2006) 141 a population of young adolescent (mean age: 13.8 years)students in Australia (N=100 women and 137 males) was studied to compare onemedia literacy lesson vs. 6 lessons in the control group. Following the intervention,males had significantly lower values in 4/5 subscales of the questionnaire used tomeasure media internalisation, whereas females had significantly lower values in onesubscale. Higher baseline levels of dietary restraint, reading/buying magazines and aperception of sociocultural pressure predict lesser reductions in males’ scores,whereas depression predicts lesser reductions in females. Males must be included ineating disorder prevention programmes and media literacy is a promising approach toprimary prevention of eating disorders.In the only RCT (Elliot, 2006) 142 identified in a population of 1,179 female athletesstudying in schools in the US (mean age: 14.6 years), the ATHENA programme(N=457) was compared to a control group (standard treatments) (N=471). ATHENAMA ofRCTandQ-RCT1++RCA1+RCA1+RCA1++58CLINICAL PRACTICE GUIDELINE FOR EATING DISORDERS
is a programme that promotes a healthy diet and physical exercise as alternatives toeliminate harmful practices. It consists of group sessions with educational material.Significant reductions were observed in the experimental group versus the controlgroup in terms of behaviours related with eating disorders and in the use of weightreduction drugs (p
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Clinical Practice Guidelinefor Eati
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This clinical practice guideline (C
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Annex 2.7. Diagnostic Criteria for
Page 8 and 9: This CPG aims to provide the popula
Page 11 and 12: External Review of Patient Informat
Page 13 and 14: 14. What is the efficacy and safety
Page 15 and 16: CLINICAL PRACTICE GUIDELINE FOR EAT
Page 17 and 18: D 6.2. In anorexia nervosa (AN), we
Page 19 and 20: D 8.6. Primary care centres should
Page 21 and 22: 9.GM.02. Before initiating artifici
Page 23 and 24: Binge-Eating DisorderA 9.3.3.1. A s
Page 25 and 26: D 9.GP.11. In children and adolesce
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Page 29 and 30: 11. Prognosis of Eating Disorders (
Page 31 and 32: ED: Eating disorderEDNOS: Eating di
Page 33 and 34: 1. IntroductionBackgroundThe develo
Page 35 and 36: However, there is a need for a guid
Page 37 and 38: Table 2. Studies on the prevalence
Page 39 and 40: 2. Scope and ObjectivesTarget Popul
Page 41 and 42: Aspects not included in the CPGThe
Page 43 and 44: 3. MethodologyThe methodology emplo
Page 45 and 46: - Synthesis and analysis of the sci
Page 47 and 48: 4. Definition and Classification of
Page 49 and 50: - Other psychopathological disturba
Page 51 and 52: Sociocultural factorsThe studies id
Page 53 and 54: accompany eating disorders. However
Page 55 and 56: 5. Prevention of Eating DisordersKe
Page 57: (causal factors). Participants in t
Page 61 and 62: MA 1341++MA 1341++No definitive con
Page 63 and 64: Of all the proposed criteria and re
Page 65 and 66: Spanish version of the EAT-40In Spa
Page 67 and 68: of the five dimension results in th
Page 69 and 70: 6.5. It is recommended to use quest
Page 71 and 72: 7.2. How are eating disorders class
Page 73 and 74: to help them cope with the situatio
Page 75 and 76: Other examinationsTo ascertain whet
Page 77 and 78: CLINICAL PRACTICE GUIDELINE FOR EAT
Page 79 and 80: - Initiating nutritional treatment
Page 81 and 82: 8.2. In eating disorders, what clin
Page 83 and 84: 8.3.2. Criteria for admission to da
Page 85 and 86: RecommendationsD 8.1. Individuals w
Page 87 and 88: 9. Treatment of Eating DisordersThe
Page 89 and 90: An RCT (Rigaud, 2007; France) 203 c
Page 91 and 92: 9.2. Nutritional Counselling (NC)9.
Page 93 and 94: Recommendations(See recommendations
Page 95 and 96: Anorexia nervosaRecommendationsD 9.
Page 97 and 98: PSYCHOLOGICAL THERAPIESIn this sect
Page 99 and 100: Summary of the Evidence(See also th
Page 101 and 102: There is limited evidence to sugges
Page 103 and 104: In an RCT (Wilson, 2002; USA) 234 C
Page 105 and 106: SRSE 2401++SRSE 2401++CBT treatment
Page 107 and 108: 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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CLINICAL PRACTICE GUIDELINE FOR EAT
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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
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12. Do you eat reasonable amounts o
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Annex 2.7. Diagnostic Criteria for
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Within each guideline some variatio
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Bulimia nervosa (307.51)Diagnostic
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Annex 2.8. Spanish version of the E
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Formula:Patients with eating disord
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Annex 3. Information for patients w
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Alert SignsWhat signs can alert us
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members can seek support and guidan
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therapist who guides the sessions a
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negative attitudes towards weight a
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PizotifenThis drug belongs to the g
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TopiramateAnticonvulsant psychoacti
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BULIT Bulimia TestBULIT-R Revised v
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ISCIII Carlos III Health InstituteI
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General Directorate for Public Heal
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2) We identified 20 documents elabo
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estimator, establishing the followi
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17. Detecció i orientacions terap
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59. Lo importante es tu vida. No la
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98. Garner DM. Pathogenesis of anor
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141. Wilksch SM, Tiggemann M, Wade
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181. Rivas T, Jiménez M, Bersabé
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224. Fairburn CG, Jones R, Peveler
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262. McCann UD, Agras WS. Successfu
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302. McElroy SL, Casuto LS, Nelson
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341. Hodes M, Timimi S, Robinson P.
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388. Steinhausen HC. The outcome of
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427. Finnish Medical Society Duodec
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