Sunday, 1 December 2013

Anorexia nervosa - Treatments In conventional medicine perspective

Anorexia nervosa
Anorexia nervosa is a type of eating disorder usually develop in the teen years and effect over 90% of female, because of excessive food restriction and irrational fear to become fat due the wrongly influenced media as attractiveness is equated to thinness.
Treatments 
A. In conventional medicine perspective
A.1. Non medical therapy
1. Cognitive behavior therapy (CBT) 
In the examining psychological factors that influence the level of weight gain across the first 20 sessions of cognitive behavioral therapy (CBT) for anorexia nervosa, found that during CBT for anorexia nervosa, weight gain might be enhanced by addressing a range of aspects of axis 1 pathology (e.g., depression, hostility, and features of anxiety). However, the approach is likely to be less important at first than directly addressing eating pathology and overvalued ideas about eating, shape, and weight(51).

2. Psychodynamic therapy
In the reviews of the results of process research, outcome in psychodynamic psychotherapy is related to the competent delivery of therapeutic techniques and to the development of a therapeutic alliance. With regard to psychoanalytic therapy, controlled quasi-experimental effectiveness studies provide evidence that psychoanalytic therapy is (1) more effective than no treatment or treatment as usual, and (2) more effective than shorter forms of psychodynamic therapy. Conclusions are drawn for future research(52).

3. Interpersonal therapy 
The goals of the therapy are to improve interpersonal functioning and thereby decrease symptomatology. Factors identified as important in the development of anorexia nervosa are readily conceptualized within the interpersonal psychotherapy problem areas of grief, interpersonal disputes, interpersonal deficits, and role transitions(53).

4. Family therapy 
In six randomised controlled trials investigating the use of family therapy in the treatment of adolescents with anorexia nervosa, and these all had small sample sizes. Some, but not all, of these trials suggest that family therapy may be advantageous over individual psychotherapy in terms of physical improvement (weight gain and resumption of menstruation) and reduction of cognitive distortions, particularly in younger patients(54).

A.2. Medication
The aim of medical intervention is to treat physical problems associated with anorexia, but rarely changes behavior. There are no medications specifically approved to treat anorexia, but medical conditions caused by anorexia can be treated with certain medication depending to the condition.
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Sources
(51) http://www.ncbi.nlm.nih.gov/pubmed/22422613
(52) http://www.ncbi.nlm.nih.gov/pubmed/16096078
(53) http://www.ncbi.nlm.nih.gov/pubmed/10657886
(54) http://www.ncbi.nlm.nih.gov/pubmed/21894130

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