Excerpt

This guideline has been developed to advise on the identification, treatment and management of the eating disorders anorexia nervosa, bulimia nervosa and related conditions. The guideline recommendations have been developed by a multidisciplinary group of health care professionals, patients and their representatives, and guideline methodologists after careful consideration of the best available evidence. It is intended that the guideline will be useful to clinicians and service commissioners in providing and planning high quality care for those with eating disorders while also emphasising the importance of the experience of care for patients and carers.

Contents

• Eating Disorders Guideline Development Group Members
• National Collaborating Centre for Mental Health staff
• 1. Introduction
  • 1.1 National guidelines
  • 1.2 The national eating disorders guideline
• 2. Eating disorders
  • 2.1 Anorexia nervosa
  • 2.2 Bulimia nervosa
  • 2.3 Atypical eating disorders (eating disorders not otherwise specified; EDNOS) including binge eating disorder
  • 2.4 Incidence and prevalence of eating disorders
  • 2.5 The aetiology of eating disorders
  • 2.6 Use of health service resources
  • 2.7 The treatment and management of eating disorders in the NHS
  • 2.8 Assessment
  • 2.9 Engagement, consent and the therapeutic alliance
  • 2.10 The patient experience of eating disorders
  • 2.11 The involvement of family members/carers
  • 2.12 Stigma
• 3. Methods used to develop this guideline
  • 3.1 Overview
  • 3.2 The Guideline Development Group
  • 3.3 Clinical questions
  • 3.4 Systematic clinical literature review strategies
  • 3.5 Health economics review strategies
  • 3.6 Stakeholder contributions
  • 3.7 Validation of this guideline
• 4. Summary of recommendations
  • 4.1 Introduction
  • 4.2 Care across all conditions
  • 4.3 Identification and screening of eating disorders in primary care and non-mental health settings
  • 4.4 Anorexia nervosa
  • 4.5 Bulimia nervosa
  • 4.6 Treatment and management of atypical eating disorders including binge eating disorder
  • 4.7 Research recommendations
• 5. Identification of eating disorders in primary care
  • 5.1 Introduction
  • 5.2 Screening
• 6. Treatment and management of anorexia nervosa
  • 6.1 Introduction
  • 6.2 Psychological interventions
  • 6.3 Pharmacological interventions
  • 6.4 Management of physical aspects
  • 6.5 Service interventions for anorexia nervosa
  • 6.6 Predicting the outcome of treatment and recovery from anorexia nervosa
• 7. Treatment and management of bulimia nervosa
  • 7.1 Introduction
  • 7.2 Psychological interventions
  • 7.3 Pharmacological interventions
  • 7.4 Antidepressant drugs compared to psychological interventions and their combination
  • 7.5 Management of the physical aspects of bulimia nervosa
  • 7.6 Service level interventions
  • 7.7 Predicting the outcome of treatment and recovery from bulimia nervosa
• 8. Treatment and management of atypical eating disorders (eating disorders not otherwise specified) including binge eating disorder
  • 8.1 Introduction
  • 8.2 Psychological interventions
  • 8.3 Pharmacological interventions
  • 8.4 Management of physical aspects
  • 8.5 Service level interventions
• 9. Health economics evidence
  • 9.1 Systematic literature review
  • 9.2 Cost-effectiveness modelling
• 10. Criteria for auditing the management of eating disorders
  • 10.1 Objectives for the audit
  • 10.2 Individuals to be included in an audit
  • 10.3 Measures that could be used as a basis for an audit
• Appendices
  • Appendix 1 Scope for the development of a clinical guideline on the management of anorexia nervosa, bulima nervosa and binge eating disorders
  • Appendix 2 Special advisors to the Guideline Development Group
  • Appendix 3 Stakeholders who responded to early requests for evidence
  • Appendix 4 Stakeholders and experts who responded to the first consultation draft of the guideline
  • Appendix 5 Researchers contacted to request information about unpublished or soon-to-be published studies
  • Appendix 6 Clinical questions
  • Appendix 7 Physical Risk Assessment
  • Appendix 8 Search strategies for the identification of clinical studies
  • Appendix 9 Clinical study data extraction form
  • Appendix 10 Clinical study quality checklists
  • Appendix 11 Predicting the outcome of treatment and recovery review
  • Appendix 12 Search strategies for the identification of health economic evidence
  • Appendix 13 Quality checklists for economic studies
  • Appendix 14 Data extraction form for economic studies
  • Appendix 15 Model structure
  • Appendix 16 Model parameters
  • Appendix 17 Diagnostic criteria for eating disorders
  • Appendix 18 Clinical evidence table
• References
• Abbreviations
• Glossary
• Algorithms
• Evidence Statements

The views presented in this book do not necessarily reflect those of the British Psychological Society, and the publishers are not responsible for any error of omission or fact. The British Psychological Society is a registered charity (no. 229642).