Differences amongst eating disorder diagnoses should be considered in effective management - 2 Minute Medicine

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1. Amongst adolescents with anorexia nervosa (AN) and bulimia nervosa (BN), interventions involving family-based therapy outperformed progressive power groups.

2. In binge-eating upset (BED), psychotherapy and lisdexamfetamine outperformed progressive control. 

Evidence Rating Level: 2 (Good)

Eating disorders typically highest during teen years and person important intelligence and carnal wellness impacts – which explains wherefore effectual attraction is of increasing objective interest. Currently, determination is nary umbrella reappraisal summarizing findings for eating disorders (ED) for each property groups. As a result, the nonsubjective of the contiguous systematic reappraisal and meta-analysis was to summarize the efficacy of assorted attraction options for eating disorders crossed respective property groups

Of 844 identified records, 59 were included successful the contiguous reappraisal from database inception to December 2020. Studies were included if they were randomized controlled trials (RCTs) which evaluated ED participants of immoderate property successful immoderate involution successful examination to an progressive oregon inactive power condition. Systematic reviews without meta-analysis were excluded. Quality of the grounds was assessed utilizing A Measurement Tool for the Assessment of Multiple Systematic Reviews (AMSTAR-PLUS). Data reporting was done by standardizing and harmonizing effect sizes from the studies.

Results demonstrated that successful adolescents with AN and BN, interventions involving family-based therapy outperformed progressive power groups. Furthermore, idiosyncratic CBT had the broadest efficacy versus power successful adults with BN. Additionally, successful BED, psychotherapy and lisdexamfetamine outperformed progressive control, though medications person been shown to person lone short-term efficacy. Despite these findings, the survey was constricted by not pooling idiosyncratic randomized controlled trials successful erstwhile meta-analyses. Nonetheless, the contiguous umbrella reappraisal supports the recommendations from astir guidelines and extends enactment particularly for cognitive behavioral therapy for EDs.

Click to work the survey successful Neuroscience & Biobehavioral Reviews

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