Both diseases clearly suffer from commonalities, but how the patients deal with their weight is very different, and it is clear that some familial characteristics are present in both diseases. For example, reports and studies indicate "eating-disordered families to be enmeshed, intrusive, hostile, and negating of the patient's emotional needs or overly concerned with parenting (Polivy and Herman)
Bulimia can also involve purging by taking laxatives, enemas, diuretics, and other medications to reduce weight. Binging involves also involves a feeling of lack of control during the eating episodes, and often includes fasting or excessive exercise after the event (Smolak, Levine, and Striegel-Moore xvi)
). Recent evidence suggests fluoxetine as the only USFDA-approved selective serotonin-reuptake inhibitor or SSRI for BN in adolescents and pre-adolescent persons (Blake & Rich, 2008)
The combination, therefore, was found to produce limited advantage due to the varied sampling and methodology. Future research should focus on predictors of response and clinical components (Dubicka et al
Results yielded no evidence of efficacy of combined CBT and SSRIs with routine clinical care on short-term as contributing to improvement by 28 weeks for the respondents. This was in comparison with routine clinical care and SSRI alone (Goodyer et al
Other drugs are citalopram or escitalopram, sertraline, paroxetine, and venlafaxine (Blake & Rich). Relevance to Clinical Care and Nursing The increase of BN incidence and prevalence among adolescents and pre-menarchial adolescents are specifically alarming to the health care profession (Grange et al
The combination is even more effective when psychotherapy is added. Remission rates were low but long-term follow-up data were limited (Hall et al
The team found 17 interventions for BN. Summary of results showed that up to 1% of young women, who are body conscious, develop BN; they were of normal weight; half of them would have fully recover in 10 years' time; CBT alone could produce improvement compared with no treatment; CBT is comparably effective as other treatment in reducing symptoms; the efficacy of other psychological therapies remained unknown; and some SSRIs can work against symptoms better than can placebos (Hay et al
Of the 7 who confirm the benefits of CBT, 5 agree that the combination of CBT and SSRIs is the best treatment for BN. Recommendation CBT has been described as a talking therapy, which endeavors to solve emotional or behavioral problems and behaviors through a systematic approach (Osterhout, 2012)
The results showed that fluoxetine with CBT appeared to be similarly safe and effective for depression in participants with substance use disorder and those depressed but not into substance use. The researchers surmised that CBT may have produced the higher-then-expected response and thus blur the efficacy result (Riggs et al
Results showed that CBT-guided self-care had a slight advantage over family therapy. It induced faster reduction of bingeing, cost less and was more acceptable to adolescents with BN (Schmidt et al
Data drawn from the meta-analyses of randomized controlled trials offered the best evidence for CBT in treating children and adolescents with generalized mental disorders, such as generalized anxiety disorder, depression, obsessive-compulsive disorder and post-traumatic disorder. There is limited evidence in efficacy for ADHD and other antisocial behavior, psychotic and related disorders, substance misuse, self-harm behavior and eating disorders (Solomando et al
The combination appeared superior to either in treating depression, which frequently accompanies BN. This is level-1 evidence, which can be generalized for depression (TADS Team)
The Pediatric Anxiety Rating Scale yielded a similarly high pattern of response, particularly for the combination therapy. Other symptoms associated with CBT, such as insomnia, fatigue, sedation and restlessness, were also reduced (Walkup et al
People around them may not realize they have a problem or that they suffer from disordered eating of any kind. Those who have bulimia are characterized by a cycle of binging on food and then purging through vomiting or the use of laxatives (Hay & Claudino, 2010; Palmer, 2004)
That can cause the issue to go unnoticed by friends and family. However, even if the bulimic person appears normal from a weight standpoint, he or she will be doing a lot of damage to esophagus and teeth, along with organs and bodily systems (Palmer, 2004)
C., when there was recorded information about purging done by the ancient Greeks (Patton, et al
Depending on the reasons behind the eating disorder, he or she may not be able to stop the behavior without serious help and intervention from outside sources (Hay & Claudino, 2010; Russell, 2009). While the majority of bulimics are women, there are also men who have the disorder (Russell, 2009)
The results indicated that the combination approach to treatment was significantly more effective in the treatment of bulimia than psychotherapy alone. The results involving antidepressants alone were inconclusive, possibly due to an insufficient number of treatment trials (Bacaltchuk et al
Bulimia Nervosa: Diagnosis, Treatments, And Prevention Bulimia is a serious, multifaceted psychiatric illness that entails physiological, psychological, cultural, and developmental components (McGilley & Pryor, 1998). Over two million adolescent girls and young women in the United States alone are affected by this disorder (Lamb, 1999)