Current Treatments for Eating Disorders

Counselor / Addiction

4.00 - CE credit hours training

$24.00 - Cost of course

This page contains important information about the course, including training details, a comprehensive course description, learning objectives, and source references. We encourage you to review each section to gain a clear understanding of the course content, educational goals, and supporting materials before beginning your training and taking the POST TEST below.

Target audience and instructional level of this course: foundational
There is no known conflict of interest or commercial support related to this CE program.

Course Training

CLICK LINKS BELOW TO READ MATERIAL

8 Pages
Predictors and moderators of change during treatment of adolescent bulimia nervosa.

9 Pages
Retrospective study examining factors associated with recovery

7 Pages
FBT: Outline of the three phases, key tenets, and empirical support

10 Pages
Overview of a novel couple-based treatment for anorexia nervosa

Post Test

24 Questions

1. What is the relationship between individuals with bulimia nervosa (BN) and concurrent psychological symptoms?

a. Individuals with BN have lower levels of psychological symptoms compared to non-psychiatric controls. b. Individuals with BN experience more severe psychological symptoms than non-psychiatric controls. c. There is no relationship between BN and psychological symptoms. d. BN does not have any impact on psychological symptoms.

2. Which of the following statements is true about the treatment of bulimia nervosa (BN) in adolescents?

a. Family-based treatment (FBT) is more effective than supportive psychotherapy (SPT) in improving psychological outcomes. b. Supportive psychotherapy (SPT) is more effective than family-based treatment (FBT) in improving cognitive eating disorder pathology. c. There is no difference in the effectiveness of FBT and SPT in improving psychological outcomes. d. Cognitive eating disorder pathology improves regardless of treatment modality.

3. Which psychological outcome showed the fastest reduction among adolescents receiving family-based treatment (FBT) forimia nervosa (BN)?

a. Depressive symptoms b. Restraint c. Cognitive eating disorder pathology d. Self-esteem

4. Which variable predicted faster changes in eating concerns among adolescents with BN?

a. Age b. Psychotropic medication use c. Baseline bingeing frequency d. Presence of psychiatric comorbidity

5. What was the overall change in self-esteem among adolescents with BN?

a. No change in self-esteem b. Small improvement in self-esteem c. Moderate improvement in self-esteem d. Significant improvement in self-esteem

6. What was the effect of age on the rate of change in depressive symptoms among adolescents with BN?

a. Younger adolescents experienced faster reductions in depressive symptoms. b. Older adolescents experienced faster reductions in depressive symptoms. c. Age did not impact the rate of change in depressive symptoms. d. Adolescents of all ages showed similar reductions in depressive symptoms.

7. What is the relationship between change in bulimic symptoms and broader psychological recovery in the treatment of BN?

a. Improvement in bulimic symptoms significantly predicts broader psychological recovery. b. Improvement in bulimic symptoms has no impact on broader psychological recovery. c. Broader psychological recovery is dependent on improvement in bulimic symptoms. d. The relationship between bulimic symptom improvement and broader psychological recovery is unclear.

8. What were the overall improvements in cognitive eating disorder pathology, depressive symptoms, and self-esteem over the course of treatment and follow-up?

a. Small improvements in all three outcomes b. Moderate improvements in all three outcomes c. Large improvements in all three outcomes d. No improvements in any of the three outcomes

9. According to the study, which of the following factors had a negative impact on the probability of recovery from AN?

a. Trait anxiety b. Impulsivity c. Novelty seeking d. Persistence

10. Which personality trait was significantly associated with a probability of recovery at the onset of AN?

a. Harm b. Novel seeking c. Reward dependence d. Impulsivity

11. What comorbid psychiatric disorder is associated with a lower probability of recovery from AN, as found in the study?

a. Major depressive disorder (MDD) b. Obsessive-compulsive disorder (OCD) c. Post-traumatic stress disorder (PTSD) d. Borderline personality disorder

12. What is the main focus of family-based treatment (FBT) for adolescents with anorexia nervosa (AN)?

a. Medication management b. Individual therapy c. Inpatient treatment d. Restoration of physical health

13. According to FBT, who is responsible for deciding what the adolescent with AN eats?

a. The therapist b. The adolescent c. The nutritionist d. The parents

14. What is the purpose of the family meal in the second session of FBT?

a. To encourage the adolescent to eat more b. To teach the family about nutrition c. To provide a break for the therapist d. To assess the progress of the treatment

15. In which phase of FBT does the adolescent start to gain more control over their own eating?

a. Phase 1 b. Phase 2 c. Phase 3 d. Phase 4

16. What is one of the key tenets of FBT?

a. Blaming the adolescent for developing the illness b. Externalizing the eating disorder from the patient c. Giving explicit instructions on how to bring about recovery d. Focusing primarily on symptom reduction

17. Why is it important to implement FBT with fidelity to the treatment manual?

a. To ensure effective treatment outcomes b. To avoid additional stress for the therapist c. To save time during therapy sessions d. To allow for individualized treatment approaches

18. What are the main features of anorexia nervosa (AN)?

a. Low body weight, fear of weight gain, and distorted body image b. Excessive body weight, fear of weight loss, and distorted body image c. High body weight, fear of weight gain, and positive body image d. Normal body weight, fear of weight gain, and positive body image

19. How does AN affect families and partners?

a. It causes financial and emotional dependence on families and partners b. It leads to social isolation and employment loss for families and partners c. It increases caregiver stress and burden on families and partners d. All of the above

20. What is the mortality rate of AN compared to other psychiatric disorders?

a. AN has the highest mortality rate among all psychiatric disorders b. AN has a relatively low mortality rate compared to other psychiatric disorders c. AN has a similar mortality rate to other psychiatric disorders d. Mortality rate of AN is not related to other psychiatric disorders

21. What are the challenges in treating AN in adults?

a. Limited evidence-based treatments for AN in adults b. High drop-out rates in clinical trials for adult AN c. Difficulty in engaging partners in treatment for adults with AN d. All of the above

22. Which form of family therapy has shown promise in treating younger AN patients?

a. Maudsley method b. Cognitive-behavioral couple therapy c. Family-based treatment d. Individual cognitive-behavior therapy

23. What is the goal of phase one in the UCAN intervention?

a. Building a supportive foundation for addressing AN as a team b. Resuming a healthy body weight and developing healthy eating behaviors c. Preventing relapse and termination of treatment d. Providing psychoeducation about AN and the recovery process

24. What is the potential benefit of including partners in the treatment of AN?

a. Lower drop-out rates in treatment b. Increased motivation and support for the patient c. Improved communication and problem-solving within the couple d. All the above

Course Description

INFORMATION
The studies in this course explore various aspects of treating eating disorders in adolescents and adults. They compare family-based treatment (FBT) and supportive psychotherapy (SPT) for bulimia nervosa, identify predictors of recovery from anorexia nervosa (AN), and discuss innovative approaches like multifamily therapy (MFT) and the cognitive-behavioral couple-based approach UCAN. Overall, these studies underscore the importance of tailored interventions, targeting factors like vomiting, anxiety, and impulsivity, to improve outcomes for individuals with eating disorders across different age groups.\

This 4 credit course is a public domain which consists of 4 PDFs

Learning Objectives

Summarize the findings of a study comparing family-based treatment (FBT) and supportive psychotherapy (SPT) for adolescent bulimia nervosa.
Identify and describe the significant predictors of recovery from anorexia nervosa and understand how these factors influence the likelihood of recovery over time, as discussed in the study.
Summarize the key tenets of family-based treatment (FBT) for adolescents with eating disorders.
Summarize the content of the Uniting Couples in the treatment of Anorexia Nervosa (UCAN) intervention, including its three phases.

Source

Predictors and Moderators of Psychological Changes During the Treatment of Adolescent Bulimia Nervosa

Anna C. Ciao, Ph.D.1,2, Erin C. Accurso, Ph.D.2, Ellen E. Fitzsimmons-Craft, Ph.D.3, and Daniel Le Grange, Ph.D.4
1Western Washington University, Department of Psychology, Bellingham, WA 2The University of Chicago, Department of Psychiatry and Behavioral Neuroscience, Chicago, IL 3Washington University School of Medicine, Department of Psychiatry, St. Louis, MO
University of California, San Francisco, Departments of Psychiatry and Pediatrics, San Francisco, CA

Factors Associated with Recovery from Anorexia Nervosa

Stephanie Zerwas, PhDa, Brian C. Lund, PharmDb, Ann Von Holle, M.Sa, Laura M. Thornton, PhDa, Wade H. Berrettini, MDc , Harry Brandt, MDd, Steven Crawford, MDd, Manfred M. Fichter, MDe, Katherine A. Halmi, MDf , Craig Johnson, PhDg, Allan S. Kaplan, MDh, Maria La Via, MDa, James Mitchell, MDi , Alessandro Rotondo, MDj , Michael Strober, PhDk , D. Blake Woodside, MDl , Walter H. Kaye, MDm, and Cynthia M. Bulik, PhDa,n
aDepartment of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC bCollege of Public Health Department of Epidemiology, University of Iowa, Iowa City, Iowa
cCenter of Neurobiology and Behavior, University of Pennsylvania, Philadelphia, PA dCenter for Eating Disorders, Sheppard Pratt Health System, Towson, MD
eKlinik Roseneck, Hospital for Behavioral Medicine and University of Munich (LMU), Munich, Germany
Weill Cornell Medical College, New York Presbyterian Hospital - Westchester Division, White Plains, NY
Eating Recovery Center, Denver, CO
Program for Eating Disorders, Toronto General Hospital and University Health Network, University of Toronto, Toronto, Canada
IUniversity of North Dakota School of Medicine and Health Sciences, Department of Clinical Neuroscience and Neuropsychiatric Research Institute, Fargo, ND
jDepartment of Psychiatry, Pharmacology and Biotechnologies, University of Pisa, Pisa, Italy kUCLA Semel Institute for Neuroscience and Human Behavior, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, CA
lDepartment of Psychiatry, University of Toronto, Toronto, Canada
mDepartment of Psychiatry, University of California San Diego, San Diego, CA
nDepartment of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill,

Family-Based Treatment of Eating Disorders in Adolescents: Current Insights

Renee D Rienecke
Department of Pediatrics, Department of Psychiatry and Behavioral Sciences, College of Medicine, Medical University of South Carolina, Charleston, SC,
Department of Psychiatry, University of Michigan Health System, Ann Arbor, MI, USA

Treating Anorexia Nervosa in the Couple Context

Cynthia M Bulik, Donald H. Baucom, and Jennifer S. Kirby
University of North Carolina at Chapel Hill
The "author " of the following courses is : Substance Abuse Mental Health Services Administration

Counselor / Addiction