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The Royal College of Psychiatrists Improving the lives of people with mental illness

Eating Disorders: Core Interventions in the Treatment and Management of Anorexia Nervosa, Bulimia Nervosa and Related Eating Disorders

National Collaborating Centre for Mental Health (NCCMH)


Price: £25.00

College members' price: £22.50

Published: 2004

Format: Paperback + free CD-ROM

Number of pages: 260

ISBN: 9781854333988

Eating Disorders: Core Interventions in the Treatment and Management of Anorexia Nervosa, Bulimia Nervosa and Related Eating Disorders

This evidence-based clinical guideline endorsed by the National Institute for Health and Clinical Excellence (NICE) presents guidance on physical, psychological and service-level interventions for eating disorders. An essential resource for all professionals involved in the management of eating disorders, this book is a milestone in the development of truly independent and transparent clinical guidance and an essential tool in improving the quality of mental health care in the UK.


NICE Mental Health Guidelines

These guidelines from NICE set out clear recommendations, based on the best available evidence, for health care professionals on how to work with and implement physical, psychological and service-level interventions for people with various mental health conditions.

The book contains the full guidelines that cannot be obtained in print anywhere else. It brings together all of the evidence that led to the recommendations made, detailed explanations of the methodology behind their preparation, plus an overview of the condition covering detection, diagnosis and assessment, and the full range of treatment and care approaches.

The accompanying free CD-ROM contains all the data used as evidence, including:

  • Included and excluded studies.
  • Profile tables that summarise both the quality of the evidence and the results of the evidence synthesis.
  • All meta-analytical data, presented as forest plots.
  • Detailed information about how to use and interpret forest plots.

Full Contents

Eating Disorders Guideline Development Group Members and National Collaborating Centre for Mental Health staff.

 

1. Introduction

  • National guidelines.
  • The national eating disorders guideline.

2. Eating disorders

  • Anorexia nervosa.
  • Bulimia nervosa.
  • Atypical eating disorders.
  • Incidence and prevalence of eating disorders.
  • The aetiology of eating disorders.
  • Use of health service resources.
  • The treatment and management of eating disorders in the NHS.
  • Assessment.
  • Engagement, consent and the therapeutic alliance.
  • The patient experience of eating disorders.
  • The involvement of family members/carers.
  • Stigma.

3. Methods used to develop this guideline

  • Overview.
  • The Guideline Development Group.
  • Clinical questions.
  • Systematic clinical literature review strategies.
  • Health economics review strategies.
  • Stakeholder contributions.
  • Validation of this guideline.

4. Summary of recommendations

  • Introduction.
  • Care across all conditions.
  • Identification and screening of eating disorders in primary care and non-mental health settings.
  • Anorexia nervosa.
  • Bulimia nervosa.
  • Treatment and management of atypical eating disorders including binge eating disorder.
  • Research recommendations.

5. Identification of eating disorders in primary care

  • Introduction.
  • Screening.

6. Treatment and management of anorexia nervosa

  • Introduction.
  • Psychological interventions.
  • Pharmacological interventions.
  • Management of physical aspects.
  • Service interventions.
  • Predicting the outcome of treatment and recovery from anorexia nervosa.

7. Treatment and management of bulimia nervosa

  • Introduction.
  • Psychological interventions.
  • Pharmacological interventions.
  • Antidepressant drugs compared to psychological interventions and their combination.
  • Management of the physical aspects of bulimia nervosa.
  • Service level interventions.
  • 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

  • Introduction.
  • Psychological interventions.
  • Pharmacological interventions.
  • Management of physical aspects.
  • Service level interventions.

9. Health economics evidence

  • Systematic literature review.
  • Cost-effectiveness modelling.

10. Criteria for auditing the management of eating disorders

  • Objectives for the audit.
  • Individuals to be included in an audit.
  • Measures that could be used as a basis for an audit.

11. Appendices.

12. References.

13. Abbreviations.

14. Glossary.

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