Eating Disorders

Contents......Page 6
List of Review Contributors......Page 14
Preface......Page 16
1 Classification, Diagnosis and Comorbidities of Eating Disorders: A Review......Page 18
1.1 Unresolved Issues in the Classification, Diagnosis and Comorbidity of Eating Disorders......Page 51
1.2 The Classification of Eating Disorders: How Many Categorical Distinctions is it Worth Making?......Page 54
1.3 The Problem of Classification and Comorbidity: Relationship to Trauma and Post-traumatic Stress Disorder......Page 57
1.4 Getting to the Essence of Eating Disorders......Page 61
1.5 Capturing an Elusive Entity: Classification, Diagnosis and Comorbidities in Eating Disorders......Page 63
1.6 How Well Do We Understand Eating Disorders?......Page 66
1.7 Validity of Categorical Distinctions for Eating Disorders: From Disorders to Symptoms......Page 69
1.8 Eating Disorders: From Heterogeneous Disorders to Distinct Diseases?......Page 72
1.9 Eating Disorders—A Challenge for Clinicians and Scientists......Page 75
1.10 Do We Miss the Forest Because of the Trees?......Page 78
1.11 Controversies in the Classification of Eating Disorders......Page 81
1.12 Clinical Experience with the Diagnosis and Treatment of Eating Disorders......Page 83
1.13 Do Sociocultural Factors Influence the Comorbidity of Eating Disorders?......Page 87
1.14 Eating Disorders: Syndromes with Still Poorly Defined Boundaries......Page 89
2 Epidemiology and Cultural Aspects of Eating Disorders: A Review......Page 92
2.1 Epidemiology of Eating Disorders: Issues of Measurement......Page 122
2.2 Problems in the Identification of Rare Disorders in a Transcultural Frame......Page 125
2.3 The Meaning of Numbers......Page 127
2.4 Eating Pathology—A Continuum of Behaviours?......Page 128
2.5 Culture as a Defining Aspect of the Epidemiology and Aetiology of Eating Disorders......Page 131
2.6 Unpackaging ‘‘Cultures’’ in Eating Disorders......Page 133
2.7 Eating Disorders in Infancy: Epidemiology and Cultural Aspects......Page 136
2.8 Treatment Referral and Atypical Eating Disorders: New Directions for Future Research......Page 138
2.9 Understanding the Epidemiology of Eating Disorders......Page 140
2.10 The Epidemiology of Eating Disorders: Data from Japan......Page 143
2.11 Eating Disorders in the Age of Globalization......Page 146
2.12 Eating Disorders in Developing Countries—Do We Need New Criteria?......Page 148
2.13 The Search for Influences on Eating Disorders......Page 151
2.14 Cross-cultural Psychology and Epidemiology of Eating Disorders......Page 154
3 Physical Complications and Physiological Aberrations in Eating Disorders: A Review......Page 156
3.1 Bringing the Soma into Psychosomatic Aspects of Eating Disorders......Page 210
3.2 Medical Findings in Eating Disorders: Clinical Perspectives on Cause and Consequence......Page 214
3.3 Eating Disorders: Minimizing Medical Complications and Preventing Deaths......Page 216
3.4 Clinical Impact of the Endocrine Alterations in Patients with Eating Disorders: Adaptation or Inappropriate Response?......Page 218
3.5 So Much to Learn and So Little Time......Page 221
3.6 Medical Abnormalities in Eating Disorders......Page 224
3.7 Physiological Aberrations: Cause and Consequence?......Page 226
3.8 Anorexia Nervosa and Bulimia Nervosa—Neuroendocrine Disturbances......Page 229
3.9 The Consequences of Starvation......Page 231
3.10 Biological Abnormalities in Eating Disorders......Page 233
3.11 Towards an Understanding of the Biological Causes and Consequences of Eating Disorders......Page 235
3.12 A Special Situation of Malnutrition Triggering Organism Adaptive Changes......Page 237
4 Pharmacological Treatment of Eating Disorders: A Review......Page 240
4.1 Pharmacotherapy of Eating Disorders: Only a Few Conclusions Can be Drawn......Page 303
4.2 Pharmacotherapy for the Eating Disorders: A Clinical Perspective......Page 305
4.3 Psychopharmacological Therapy of Disorders of Eating Behaviour: Past and Future......Page 310
4.4 Pharmacological Treatment of Eating Disorders: Much Progress, Many Problems......Page 314
4.5 Medicating Disordered Eating: Moving Toward the Next Generation of Studies......Page 316
4.6 Clinical Decision-making From a Spotty Evidence Base: Connecting the Dots in Eating Disorders Treatment......Page 319
4.7 New Treatments for People with Eating Disorders: Hope Renewed......Page 321
4.8 Is Psychopharmacological Treatment of Patients with Eating Disorders Necessary?......Page 324
4.9 Evidence vs. Experience in Eating Disorders......Page 326
4.10 Pharmacotherapy for Eating Disorders: Beyond Serotonin?......Page 327
4.11 New Trends in the Pharmacotherapy of Binge Eating Disorder......Page 330
5 Psychological Interventions for Eating Disorders: A Review......Page 332
5.1 As Many Questions As Answers: Evidence-based and Evidence-generating Practice......Page 356
5.2 Mind Over Matter in the Eating Disorders......Page 358
5.3 Broadening the Evidence-based Net......Page 361
5.4 Seeing the Wood for the Trees......Page 364
5.5 Efficacy, Effectiveness and the Implementation of Evidence......Page 367
5.6 Further Perspectives on Psychological Interventions for Eating Disorders......Page 370
5.7 Establishing the Evidence Base for Psychological Interventions for Eating Disorders......Page 375
5.8 Psychoanalytical Psychotherapy in the Eating Disorders......Page 378
5.9 To Prove or Not to Prove? Limitations of Evidence-based Choice of Treatment in Eating Disorders......Page 380
5.10 Different Psychotherapeutic Approaches: For What Reasons?......Page 383
5.11 Eating Disorders—Family Business or Not?......Page 385
5.12 Nothing is as Practical as a Good Theory......Page 387
5.13 Great Expectations, Yet Anorexic Results......Page 390
5.14 A Recipe for the Psychological Management of Eating Disorders......Page 392
5.15 Psychological Interventions for Eating Disorders: Much Done, Much to be Done......Page 395
6 The Economic and Social Burden of Eating Disorders: A Review......Page 400
6.1 A Spectrum of Costs......Page 414
6.2 Reducing the Multiple Burdens of Suffering: Accessing Care for Eating Disorders......Page 417
6.3 Where Does the Burden Come From?......Page 419
6.4 Economic Burden and the Eating Disorders......Page 422
6.5 Eating Disorders: Time to Count the Cost......Page 424
6.6 The Hidden Burdens of Eating Disorders......Page 427
6.7 Differential Treatments for Eating Disorders Might Reduce Social and Economic Burden......Page 430
6.8 The Burdens of Eating Disorders are Rarely Recognized......Page 432
6.9 Counting the Cost of Counting the Calories......Page 435
6.10 What About The Family Burden of Eating Disorders?......Page 437
6.11 A Field with Important Issues Awaiting Investigation......Page 439
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