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Two studies that are to take a deeper look into Anorexia Nervosa: The Loughborough Eating disorders Activity theraPy (LEAP) study which looks at the role of extreme exercise in the maintenance of Anorexia Nervosa combining cognitive techniques and behavioural experiments. And the Strong Without Anorexia Nervosa (SWAN) study which aims at determining which three psychological treatments: Cognitive Behavioral Therapy (CBT), Maudsley Cognitive Motivation Therapy, and Supportive Clinical Management have the best outcome for Anorexia Nervosa.
With such a great need for continued research in the area of Eating Disorders, it’s always inspiring to see the dedication and commitment of the individuals and clinicians driving these studies- Kudos!
Kicking off today is NEDAwareness Week Feb 21-27. NEDA has created a daily calendar of ideas to help spark the conversation and theme: It’s Time To Talk About It. Find ways to get involved within your community and help the continuation of support, research, edcuation and improved treatment resources for those who suffer with Eating Disorders!
The mission of NEDAwareness Week
Our aim of NEDAwareness Week is to ultimately prevent eating disorders and body image issues while reducing the stigma surrounding eating disorders and improving access to treatment. Eating disorders are serious, life-threatening illnesses — not choices — and it’s important to recognize the pressures, attitudes and behaviors that shape the disorder.
What is NEDAwareness Week?
NEDAwareness Week is a collective effort of primarily volunteers, eating disorder professionals, health care providers, educators, social workers, and individuals committed to raising awareness of the dangers surrounding eating disorders and the need for early intervention and treatment.
How NEDAwareness Week Works
This year, NEDA is calling for everyone to do just one thing to help raise awareness and provide accurate information about eating disorders. NEDAwareness Week participants can choose from a huge range of ways to contribute: Distribute info pamphlets and put up posters, write one letter for Media Watchdogs, register as a Volunteer Speaker or host a Volunteer Speaker, coordinate a NEDA Walk, or arrange interactive and educational activities such as panel discussions, fashion shows, body fairs, movie screenings, art exhibits and more. As an official NEDAwareness Week participant you can be involved in any way that works with your schedule, resources, community, and interests. These events and activities attract public media attention – on local, national and international levels.
… where are we?
Objective: The present review addresses the outcome of bulimia nervosa, effect variables, and prognostic factors. Method: A total of 79 study series covering 5,653 patients suffering from bulimia nervosa were analyzed with regard to recovery, improvement, chronicity, crossover to another eating disorder, mortality, and comorbid psychiatric disorders at outcome. Forty-nine studies dealt with prognosis only. Final analyses on prognostic factors were based on 4,639 patients. Results: Joint analyses of data were hampered by a lack of standardized outcome criteria. There were large variations in the outcome parameters across studies. Based on 27 studies with three outcome criteria (recovery, improvement, chronicity), close to 45% of the patients on average showed full recovery of bulimia nervosa, whereas 27% on average improved considerably and nearly 23% on average had a chronic protracted course. Crossover to another eating disorder at the follow-up evaluation in 23 studies amounted to a mean of 22.5%. The crude mortality rate was 0.32%, and other psychiatric disorders at outcome were very common. Among various variables of effect, duration of follow-up had the largest effect size. The data suggest a curvilinear course, with highest recovery rates between 4 and 9 years of follow-up evaluation and reverse peaks for both improvement and chronicity, including rates of crossover to another eating disorder, before 4 years and after 10 years of follow-up evaluation. For most prognostic factors, there was only conflicting evidence. Conclusions: One-quarter of a century of specific research in bulimia nervosa shows that the disorder still has an unsatisfactory outcome in many patients. More refined interventions may contribute to more favorable outcomes in the future.
http://ajp.psychiatryonline.org/cgi/content/short/appi.ajp.2009.09040582v1?rss=1
When you begin to touch your heart or let your heart be touched, you begin to discover that it’s bottomless, that it doesn’t have any resolution, that this heart is huge, vast, and limitless. You begin to discover how much warmth and gentleness is there, as well as how much space.
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