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Eating Disorders guidelines

Core interventions in the treatment and management of anorexia nervosa, bulimia nervosa and related eating disorders

National Collaborating Centre for Mental Health

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Format: A4 paperback, 264pp
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A short version of this guideline and a quick reference guide are available free of charge from the National Institute for Clinical Excellence (NICE), together with information for the public from:

NICE guideline: www.nice.org.uk/CG009NICEguideline
Quick reference guide: www.nice.org.uk/CG009quickrefguide

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This evidence-based clinical guideline endorsed by NICE presents guidance on physical, psychological and service-level interventions for eating disorders.

In this volume, we present the full guideline, including the evidence on which the guideline statements are based, and a detailed explanation of the methodology behind the guideline's preparation. 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.

Included is a data CD providing:

• Full details of studies included in the guideline and reasons for excluding studies, with reference list
• All meta-analytical data, presented as forest plots linked to each guideline statement
• Detailed information about how to use and interpret forest plots.

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Contents

Eating Disorders Guideline Development Group Members. 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.

Appendices. References. Abbreviations. Glossary.

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Please note: the downloadable files include guidance notes to help you use them but no further support is available.

View a sample chapter - Eating Disorders Book, Sample Chapter

View the complete guideline - Full Eating Disorders Book

Download the contents of the accompanying data CD-ROM - Eating Disorders Book, CD Contents for PC Users mac_eatingdisorder
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