Research Paper: Treatments of Bulimia Nervosa

Pages: 8 (2671 words)  ·  Bibliography Sources: 13  ·  Level: Master's  ·  Topic: Psychology  ·  Buy This Paper

SAMPLE EXCERPT:

[. . .] Results showed on significant benefit from the combined treatment on depression symptoms. A significant advantage was computed for impairment in the short-term of 12 weeks only. The combination, therefore, was found to produce limited advantage due to the varied sampling and methodology. Future research should focus on predictors of response and clinical components (Dubicka et al.). This is level-1 evidence, which can be generalized.

8. A single-site study, conducted by Riggs and her team (2007) aimed at comparing the effect of fluoxetine hydrochride against that of placebo in treating depression and related disorders in adolescents. They performed a randomized controlled trial from May 2001 to August 2004 on 126 adolescent volunteers, aged 13-19, from the community and according to the requirements of DSMMD for 16 weeks. Measures used were the Childhood Depression Rating Scale-Revised and Clinical Global Impression Improvement and self-reported symptoms for the past 30 days. The results showed that fluoxetine with CBT appeared to be similarly safe and effective for depression in participants with substance use disorder and those depressed but not into substance use. The researchers surmised that CBT may have produced the higher-then-expected response and thus blur the efficacy result (Riggs et al.). This is level-2 evidence, which can be generalized.

9. Hall (2008) and her team conducted multiple consistent RCTs to determine the most effective treatment or treatments for BN in adolescents. The group used a Cochrane review of 40 RCTs of 1-220 patients at a mean of 60 for 16 weeks median and a follow up median of 7.5 months. At that time of the test, CBT was considered the most effective. It confirmed that, compared with no treatment, CBT substantially improved symptoms. CBT also proved more significantly efficacious than other forms of psychotherapy in inducing eating abstinence. Guided self-help alone did not reduce binge and purge episodes. Results of this test and other case-control studies provided evidence that pharmacotherapy with anti-depressants are effective in treating BN. The combination is even more effective when psychotherapy is added. Remission rates were low but long-term follow-up data were limited (Hall et al.).

10. Schmidt (2007) and his associates conducted a randomized control trial of family therapy and CBT guided self-care for participating adolescents diagnosed with Bulimia Nervosa and related disorders. Their objective was to compare the effectiveness and cost-effectiveness of these two types on 85 respondents from the United Kingdom. Of the total, 41 were assigned at random to the family therapy group and 44 to CBT guided self-care. The primary measures used were abstinence from binge eating and vomiting for 6 months and then at 12 through interviews. The secondary measures included the symptoms and costs of care. The primary hypothesis was that family therapy would induce higher rates of abstinence and induced vomiting at treatment and follow-up. The secondary hypothesis was that guided self-care would be more inexpensive than family therapy. Results showed that CBT-guided self-care had a slight advantage over family therapy. It induced faster reduction of bingeing, cost less and was more acceptable to adolescents with BN (Schmidt et al.). This is level-2 evidence and can be generalized.

Synthesis

Of the 10 RTCs, 7 confirm the effectiveness of CBT in treating the symptoms of Bulimia Nervosa in combination with SSRIs. The combination is superior but only in the short-term (Boodyet et al., 2007). It accelerates improvement with SSRIs as well as raises the safety level (The TADS Team, 2007). The combination is better than simply switching SSRIs without the combination (Brent et al., 2008). Walkup (2008) and his team agree. Hay (2008) and his team also say that CBT alone will work on BN. Riggs (2007) and team that the combination will work. And Schmidt (2007) say the combination is more effective than family therapy. Of the 7 who confirm the benefits of CBT, 5 agree that the combination of CBT and SSRIs is the best treatment for BN.

Recommendation

CBT has been described as a talking therapy, which endeavors to solve emotional or behavioral problems and behaviors through a systematic approach (Osterhout, 2012). It appears best to manage BN through an interdisciplinary approach. This will involve and include a primary care provider, a psychiatrist, a psychotherapist, and a dietitian. It is preferable for the psychiatrist or psychotherapist to possess expertise in managing eating disorders. The dietitian should review and oversee the patient's nutritional rehab. A dentist and other health experts may also be needed. The overall aims should be to reduce or eliminate binge eating and purging, treat the complications, prevent them and enhance her overall health.

BIBLIOGRAPHY

Blake, J. G and Rich, J. (2008). Which drugs are most effective for moderate to severe depression in adolescents? Vol 57 # 5 The Journal of Family Practice: Quadrant

Health Com. Inc. Retrieved on February 29, 2012 from http://www.jfponline.com/Pages.asp?AID-6182

Brent et al. (2008). Switching to another SSRI or to Venlafaxine with or without cognitive behavioral therapy for adolescents with SSRI-resistant depression.

The Journal of the American Medical Association: American Medical Association.

Retrieved on February 29, 2012 from http://www.jama.ama-assn.org/content/299/8/901.full?linkType=FULL&journalCode=jama&resid=299/8/901

Dubicka, B. et al. (2010). Combined treatment with cognitive-behavioral therapy in adolescent depression: meta-analysis. Vol 197, The British Journal of Psychiatry: The

Royal College of Psychiatrists. Retrieved on February 29, 2012 from http://www.bjp.rcpsych.org/content/197161433.full

Goodyer, S., et al. (2007). Selective serotonin reuptake inhibitors and routine specialist care with and without cognitive behavior therapy in adolescents with major depression: randomized controlled trial. British Medical Journal: BMJ Publishing

Group Ltd. Retrieved on February 29, 2012 from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1925185

Grange, D. le, et al. (2004). Bulimia nervosa in adolescents: a disorder in evolution? Vol

158 Archives of Pediatric and Adolescent Medicine: University of Chicago. Retrieved on February 29, 2012 from http://www.archipedi.ama-assn.og/cgi/reprit/158/5/478.pdf

Hall, M.N. et al. (2008). Treatment of Bulimia Nervosa. Vol 77 (11) American Family

Physician: Family Physicians Inquiries Network. Retrieved on March 4, 2012 from http://www.aafp.org/afp/2008/0601/p1588.html

Hay, P.J., et al. (2008). Bulimia nervosa. Clinical Evidence: BMJ Publishing Group Lt.

Retrieved on February 29, 2012 from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2907970

Osterhout, C. (2012). Bulimia Nervosa treatment and management. Medscape News:P

Medscape: WebMD LLC. Retrieved on March 6, 2012 from http://www.emedicine.medscape.com/article/286485-treatment

Riggs, P. d., et al. (2007). A randomized controlled trial of fluoxetine and cognitive behavioral therapy in adolescents with major depression, behavior problems, and substance use disorders. Vol 161 (11) Archive Pediatric and Adolescent Medicine:

American Medical Association. Retrieved on February 29, 2012 from http://www.archpedi.ama-assn:org/cgi/content/161/11/1026

Schmidt, U. et al. (2007). A randomized controlled trial of family therapy and cognitive behavior therapy guided self-care for adolescents with Bulimia Nervosa and related disorders. Vol 164 (4) American Journal of Psychiatry: American Psychiatric

Association. Retrieved on March 3, 2012 from http://www.ajp.psychiatryonline.org/article.aspx?volume=164&page=591&journalID=13

Solomando, A.M., et al. (2008). Cognitive behavioral therapy for children and Adolescents. 21 (4) Current Opinion in Psychiatry: Lippincott Williams & Wilkins.

Retrieved on February 29, 2012 from http://www.medscape.com/viewarticle/575409

SJH (2012). Bulimia nervosa in adolescents. St. Joseph's Hospital and Medical Center:

Catholic Healthcare West. Retrieved on February 29, 2012 from http://www.stjosephs-phx.org/Medical_Services/Adolescent_Medicine/221179

TADS Team, The (2007). The treatment for adolescents with depression study. Vol 64

(10) Archives in General Psychiatry: American Medical Association. Retrieved on February… [END OF PREVIEW]

Bulimia Nervosa: Abnormal Psychology Term Paper


Bulimia Nervosa Is Stated by the National Thesis


Anorexia Nervosa and Bulimia Term Paper


General Psychology Bulimia Term Paper


Causes of Anorexia Nervosa Research Paper


View 77 other related papers  >>

Cite This Research Paper:

APA Format

Treatments of Bulimia Nervosa.  (2012, March 6).  Retrieved October 21, 2019, from https://www.essaytown.com/subjects/paper/treatments-bulimia-nervosa/58882

MLA Format

"Treatments of Bulimia Nervosa."  6 March 2012.  Web.  21 October 2019. <https://www.essaytown.com/subjects/paper/treatments-bulimia-nervosa/58882>.

Chicago Format

"Treatments of Bulimia Nervosa."  Essaytown.com.  March 6, 2012.  Accessed October 21, 2019.
https://www.essaytown.com/subjects/paper/treatments-bulimia-nervosa/58882.