- Family therapy is effective for clients with
anorexia; cognitive-behavioral therapy is
most effective for clients with bulimia. - Interventions for clients with eating dis-
orders include establishing nutritional eat-
ing patterns, helping the client to identify
emotions and develop non–food-related cop-
ing strategies, helping the client to deal with
body image issues, and providing client and
family education. - Focus on healthy eating and pleasurable
physical exercise; avoid fad or stringent diet-
ing. Parents must become aware of their
own behavior and attitudes and the way
they influences children.
For further learning, visit http://connection.lww.com.
REFERENCES
American Psychiatric Association. (2000). DSM-IV-TR:
Diagnostic and statistical manual of mental dis-
orders-text revision(4th ed.). Washington, DC:
Author.
Anstine, D., & Grinenko, D. (2000). Rapid screening for
disordered eating in college-aged females in the pri-
mary care setting. Journal of Adolescent Health,
26 (5), 338–342.
Atlanta Center for Eating Disorders. (2002). How can you
help prevent eating disorders? Document available:
http://eatingdisorders.home.mindspring.com/
causes2.htm
Brewerton, T. D., Dansky, B. S., Kilpatrick, D. G., &
O’Neil, P. M. (2000). Which comes first in the patho-
genesis of bulimia: Dieting or binging? Charleston,
SC: Medical University of South Carolina, Depart-
ment of Psychiatry and Behavioral Sciences.
Carrasco, J. L., Diaz-Marsa, M., Hollander, E., Cesar, J.,
& Saiz-Ruiz, J. (2000). Decreased platelet monoamine
oxidase activity in female bulimia nervosa. European
Neuropsychopharmacology, 10,113–117.
Costin, C. (2002). An update on binge eating disorder.
Healthy Weight Journal, 16(2), 20–23.
Finelli, L. A. (2001). Revisiting the identity issue in
anorexia. Journal of Psychosocial Nursing, 39(8),
23–29.
Gardner, R. M., Friedman, B. N., & Jackson, N. A. (1999).
Body size estimations, body dissatisfaction, and ideal
size preferences in children six through thirteen.
Journal of Youth and Adolescence, 28(5), 603–618.
Gluck, M. E. (2002). Night eating syndrome. Healthy
Weight Journal, 16(2), 27–29.
Gowers, S., & North, C. (1999). Difficulties in family func-
tioning and adolescent anorexia nervosa. British
Journal of Psychiatry, 174(1), 63–66.
Grise, D. E., & Kaye, W. H. (2002). Chromosomal locus
identified for susceptibility to anorexia nervosa.
American Journal of Human Genetics, 70,787–792.
Grilo, C. M., & Masheb, R. M. (2000). Onset of dieting
vs. binge eating in outpatients with binge eating
disorder. International Journal of Obesity, 24(4),
404–409.
Halmi, K. A. (2000). Eating disorders. In B. J. Sadock
& V. A. Sadock (Eds.), Comprehensive textbook of
psychiatry,Vol. 2 (7th ed., pp. 1663–1676).
Philadelphia: Lippincott Williams & Wilkins.
Herzog, D. B., Dorer, D. J., & Keel, P. K. (1999). Recov-
ery and relapse in anorexia and bulimia nervosa: a
7.5-year follow-up study. Journal of the Academy of
Child and Adolescent Psychiatry, 38(7), 829–837.
Jacob, A. V. (2001). Body image distortion and eating
disorders: No longer a culture bound topic. Healthy
Weight Journal, 15(6), 93–95.
Johnson, J. G., Cohen, P., Kasen, S. & Brook, J. S. (2002).
Childhood adversities associated with risk for eating
disorders or weight problems during adolescence or
early adulthood. American Journal of Psychiatry,
159 (3), 394–400.
Kaye, W. H., Klump, K. L., Frank, G. K. W., & Strober,
M. (2000). Anorexia and bulimia nervosa. Annual
Review of Medicine, 51,299–313.
Matsunaga, H., Kaye, W. H., McConahan, C., Plotnicov,
K., Pollice, C., Rao, R., & Stein, D. (1999). Psycho-
pathological characteristics of recovered bulimics
who have a history of physical or sexual abuse. Jour-
nal of Nervous and Mental Diseases, 187(8), 472–476.
Mazzeo, S. E., & Espelage, D. L. (2002). Associations
between childhood physical and emotional abuse
and disordered eating behaviors. Journal of Coun-
seling Psychology, 49(1), 86–100.
McIntosh, V. V., Bulik, C. M., McKenzie, J. M., Luty,
S. E., & Jordan, J. (2000). Interpersonal psychother-
apy for anorexia nervosa. International Journal of
Eating Disorders, 27(2), 125–139.
Muscari, M. (2002). Effective management of adolescents
with anorexia and bulimia. Journal of Psychosocial
Nursing, 40(2), 23–31.
Patel, D. R., Phillips, E. L., & Pratt, H. D. (1998). Eating
disorders. Indian Journal of Pediatrics, 65(4),
487–494.
Redford, J. (2001). Are sexual abuse and bulimia linked?
Physician Assistant, 25(5), 2–31.
Schultz, J. M., & Videbeck, S. L. (2002). Lippincott’s
manual of psychiatric nursing care plans(6th ed.).
Philadelphia: Lippincott Williams, & Wilkins.
Serpell, L., Treasure, J., Teasdale, J., & Sullivan, V.
(1999). Anorexia nervosa: Friend or foe. 179–186.
Sherwood, N. E., Neumark-Sztainer, D., Story, M.,
Beuhring, T., & Resnick, M. D. (2002). Weight-
related sports involvement in girls: Who is at risk
for disordered eating? American Journal of Health
Promotion, 16(6), 341–349.
Sorgen, C. (2002). Overcoming eating disorders. Document
available: http://my.webmd.com/printing/article/
1674.52649
Turner, J., Batik, M., & Palmer, L. J. (2000). Detection
and importance of laxative abuse in adolescents with
anorexia nervosa. Journal of the American Academy
of Child and Adolescent Psychiatry, 39(3), 378–385.
Wade, T. D., Bulik, C. M., Neale, M., & Kendler, K. S.
(2000). Anorexia nervosa and major depression:
Shared genetic and environmental risk factors.
American Journal of Psychiatry, 157(3), 469–471.
Wang, G., & Dietz, W. G. (2002). Economic burden of
obesity in youths aged 6 to 17 years: 1979–1999.
Pediatrics, 109(5), E81–1.
Wilson, G. T., & Vitousek, K. M. (1999). Self-monitoring
in the assessment of eating disorders. Psychological
Assessment, 11(4), 480–489.
454 Unit 4 NURSINGPRACTICE FORPSYCHIATRICDISORDERS