Navigation Links
Parental Involvement Key to Battling Bulimia
Date:9/4/2007

Study found twice the success rate when parents took part in therapy

TUESDAY, Sept. 4 (HealthDay News) -- Parents can play a significant role in the treatment of teens with bulimia, a new study has found.

When parents were involved in a treatment program, the percentage of teens able to abstain from the eating disorder's binge-purge pattern after six months doubled.

"Families have often been seen as part of the problem, rather than part of the solution. Families have been getting a bad rap, so traditional treatment often excludes parents," said study author Daniel le Grange, director of the University of Chicago's eating disorders program. "That's why this study is so important. It builds on work [that shows] no one cares or loves adolescents more than their parents. Parents' instinct is to take care of their kids, so why keep them at bay. We need to channel their energies."

The study, published in the September issue of Archives of General Psychiatry, is the first randomized, controlled trial in the United States to look at treatment for teens with bulimia, le Grange said.

Some 1 percent to 2 percent of adolescents suffer from bulimia nervosa, characterized by a disabling pattern of gorging on food, then forcing oneself to vomit. Another 2 percent to 3 percent of teens have symptoms of bulimia, but fall short of a full diagnosis.

Health complications of the disorder can include electrolyte imbalances, gland swelling and loss of tooth enamel. Sufferers also often have other psychiatric conditions, including mood and anxiety disorders and substance abuse problems.

Treatment for teens with bulimia lags that for adults, and there's no established clinical practice for adolescents with the disorder, said le Grange, co-author of the book Help Your Teenager Beat an Eating Disorder.

Family-based therapy has shown promise in treating teens with the eating disorder anorexia. Anorexics often experience some of the same symptoms, raising the possibility that this type of therapy might also work for bulimics.

In general, however, we're "not very successful with eating disorders," said Andrea Vazzana, a clinical assistant professor of child and adolescent psychiatry at the New York University Child Study Center. "Post-treatment, the success rates are still pretty low."

More options are needed, she added.

The new trial involved 80 teens -- aged 12 to 19 -- with a diagnosis of bulimia nervosa or partial bulimia nervosa. They were randomly assigned to receive family-based treatment or supportive psychotherapy, both involving 20 visits to a clinic over a six-month period.

"Individuals in the two groups received the same dose and duration of treatment, but the content of the treatment was different," le Grange explained.

In the family-based treatment group, parents and even siblings attended sessions with the patient and also played an active role at home. In the control group, which was intended to replicate what typically would happen in actual practice, the parents were not involved and the treatment did not address the eating disorder as directly, le Grange said.

At the end of the treatment, almost 40 percent of the teens in family-based treatment had stopped binging and purging, compared to only 18 percent of those in the control group.

Six months after treatment had ended, almost 30 percent of those in family-based treatment still were not binging and purging, compared to only 10 percent of those in supportive psychotherapy.

It's unclear if it was the family's involvement or the focus on eating behavior that led to the better results, le Grange said.

Vazzana said: "I do think it [the family-based therapy] looks promising, mostly based on the good results they've had with patients with anorexia. It follows the same model. It makes sense that it would apply to individuals with bulimia."

In terms of research, however, a better control group comparison would have been cognitive behavioral therapy, Vazzana said.

"Supportive therapy isn't really a well-established treatment for bulimia, so it's not surprising that [the family-based therapy] was superior," she said. "A more stringent study would be to compare family-based therapy with cognitive behavioral therapy, which is probably in progress."

A second study, this one published in the September issue of Archives of Pediatrics & Adolescent Medicine, found that a school-based obesity prevention program helped prevent behaviors such as self-induced vomiting or taking laxatives and diet pills.

In this study, conducted by researchers at the Harvard School of Public Health, about 4 percent of middle-school girls who received regular health education began vomiting or abusing laxatives or diet pills compared with only 1 percent in the obesity prevention program, called 5-2-1-Go! The program apparently had no effect in middle-school boys.

More information

Visit the U.S. National Institute of Mental Health for more on eating disorders.



SOURCES: Daniel le Grange, Ph.D., associate professor, psychiatry, and director, eating disorders program, University of Chicago; Andrea Vazzana, Ph.D., clinical assistant professor, child and adolescent psychiatry, New York University Child Study Center, New York City; September 2007 Archives of General Psychiatry; September 2007 Archives of Pediatrics & Adolescent Medicine


'/>"/>
Copyright©2007 ScoutNews,LLC.
All rights reserved

Related medicine news :

1. Parental Behavior And Movies Can Alter Perceptions About Smoking
2. Children With Facial Anomalies Are Affected By Parental Tensions
3. Parental Knowledge Of RSV Infections Is Vital
4. Parental Conflict Can Lead to Sleep Disorders in Children
5. Parental Conflicts Lead To Emotional Insecurity In Children
6. Parental Supervision Reduces Likelihood of Teenagers Having Sex in the Afternoon
7. Poland: Parental warning systems are likely to be adopted in video games.
8. Parental Domestic Violence Contributes To Adolescent Depression
9. Parental Role In Embryo-Selection Urged
10. Parental Time Influences Children’s Nutritio
11. Laws That Make Parental Consent Mandatory Reduce Risky Sexual Behavior
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... ... 27, 2016 , ... Quality metrics are proliferating in cancer care, and are ... the eye of the beholder, according to experts who offered insights and commentary in ... Managed Care. For the full issue, click here . , For the American ...
(Date:6/26/2016)... ... June 26, 2016 , ... Many women are confused ... endometriosis. These women need a treatment plan to not only alleviate symptoms and ... help for preservation of fertility and ultimately achieving a pregnancy. The specialists at ...
(Date:6/25/2016)... TX (PRWEB) , ... June 25, 2016 , ... ... the United States, named Dr. Sesan Ogunleye, as the Medical Director of its new ... the facility Medical Director of our new Mesquite location,” said Dr. James M. Muzzarelli, ...
(Date:6/24/2016)... , ... June 24, 2016 , ... A recent ... most people are unfamiliar with. The article goes on to state that individuals are ... many of these less common operations such as calf and cheek reduction. The Los ...
(Date:6/24/2016)... Fla. (PRWEB) , ... June 24, 2016 , ... Global ... Trend magazine’s 2016 Legal Elite. The attorneys chosen by their peers for this recognition ... Florida. , Seven Greenberg Traurig Shareholders received special honors as members of this year’s ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... INDIANAPOLIS , June 23, 2016 ... Tomorrow,s Leaders Scholarship is any indication, the future is ... online at www.diabetesscholars.org by the Diabetes Scholars ... in the way of academic and community service excellence. ... program since 2012, and continues to advocate for people ...
(Date:6/23/2016)... LONDON , June 23, 2016 ... environments  Oticon , industry leaders in ... the launch of Oticon Opn ™, the world,s ... world of possibilities for IoT devices.      ... Opn, Oticon introduces a number of ,world firsts,: ...
(Date:6/23/2016)... June 23, 2016 The vast majority of ... dialysis facility.  Treatments are usually 3 times a week, ... visit, including travel time, equipment preparation and wait time. ... especially grueling for patients who are elderly and frail.  ... nursing and rehabilitation centers for some duration of time. ...
Breaking Medicine Technology: