The Diagnosis and Treatment of Eating Disorders
This paper summarises and critiques the article ” The Diagnosis and Treatment of Eating Disorders. In the summary, the topic’s significance to mental health care is established based on statistics. The key points and evidence presented by the article are then provided. The paper then provides examples of how the key evidence can be utilized in nursing practice. A critique of the article starts by identifying the strengths and weaknesses of the article. The likelihood of recommending the article to a colleague is then discussed.
The three main eating disorders are anorexia nervosa, bulimia nervosa, and binge eating disorder. These disorders are significant clinically because they impair the mental health of the affected persons. It is approximated that the frequency of anorexia nervosa in females aged 14 to 20 years is 0.2 percent to 0.8 percent (Herpertz et al., 2011). Furthermore, anorexia nervosa is associated with a high mortality rate in females aged 14 to 20 years. The mortality rate is reported to be tenfold the mortality from other causes. Statistically, this is approximately 5% mortality over 10 years (Herpertz et al., 2011). Bulimia nervosa is prevalent in 2% of the population. Females account for 90 to 95% of the cases. Binge eating disorder is prevalent in approximately 0.7% to 4.3% of the population (Herpertz et al., 2011). Binge eating disorder manifests approximately 1.5 times higher in females than males. The proper diagnosis and treatment can mitigate the prevalence and mortalities associated with eating disorders. Therefore, this topic is significant to mental healthcare.
The first key point of the article is the identification of eating disorders. Three eating disorders include anorexia nervosa, bulimia nervosa, and binge eating disorder. Bulimia nervosa is more prevalent than anorexia nervosa. Binge eating disorder has the largest variation in prevalence. The prevalence of bulimia nervosa and anorexia nervosa are 2% and 0.2 to 0.8 percent respectively. Binge eating has an upper limit of 4.3% in prevalence, accounting units for most cases of eating disorders. The remission rates are higher in patients with bulimia nervosa after psychotherapy.
The cost implications of eating disorders are discussed in the article. It is approximated that annually, 5300 and 1300 EUR are spent on each patient with anorexia nervosa and bulimia nervosa, respectively (Herpertz et al., 2011). The criteria for the suspicion of eating disorders are provided in the article. The article provides diagnostic criteria for eating disorders. The diagnosis of anorexia nervosa and bulimia nervosa is guided by the International Classification of Diseases (ICD-10) (Herpertz et al., 2011). Binge eating disorder is diagnosed based on the provisions of the Diagnostic and Statistical Manual of Mental Disorders (DSM) (Herpertz et al., 2011). Recommendations for the treatment of the three eating disorders are provided in the article.
Evidence from the article indicates that psychotherapeutic methods are the treatment of choice for eating disorders. These methods achieve an improvement of about 70% in the ability to control eating habits. Evidence from three randomized controlled studies indicates that cognitive-behavioral therapy (CBT) effectively controls bulimia nervosa (Herpertz et al., 2011). Interpersonal psychotherapy and psychodynamic therapy are the alternatives to CBT for the three eating disorders. Well-designed quasi-experimental studies indicate that treatment of bulimia nervosa requires more than 25 sessions (Herpertz et al., 2011). Drugs such as selective serotonin inhibitors can be used in mitigating symptoms such as depression that occur in bulimia nervosa. Based on the evidence, pharmacotherapy is not beneficial for anorexia nervosa and binge eating disorders.
The diagnostic evidence provided by the article is based on ICD-10 and the DSM. Diagnostic criteria for anorexia nervosa: loss of weight is attributed to refraining from eating high-calorie foods, self-induced emesis, purging, and excessive exercise. For bulimia nervosa: binge eating followed by self-induced emesis and purging, use of appetite suppressants, and the fear of fattening (Herpertz et al., 2011). For binge eating: eating large quantities of food considered abnormal by other people, eating faster, depression, and disgust after binge eating.
The evidence on the use of psychotherapeutic methods will be helpful in my nursing practice. When dealing with inpatients with eating disorders, methods such as cognitive behavioral therapy will be used in the treatment of the patients (Vo et al., 2017). Furthermore, pharmacological therapy will be in conjunction with CBT when managing bulimia nervosa. Based on the evidence, the aim of therapy for anorexia nervosa will be to gain between 0.5 to 1 kilogram per week for the inpatients. The evidence on the diagnostic criteria will facilitate the effective diagnosis of the disorders in daily nursing practice. ICD-10 will be used when anorexia and bulimia nervosa are suspected, while DSM will be used for binge eating disorders (Gaebel et al., 2020). Therefore, the evidence will be beneficial in my nursing practice.
The article is written concisely, and it is jargon-free. Its title is clear, and the abstract provides an overview of the study. The study and literature review have been presented logically. The three eating disorders have been discussed extensively. The correctness of the contents of the article has been assured by comprehensive metanalysis studies done on bulimia nervosa and binge eating. The article is resourceful because it provides forty-four evidence-based recommendations on the diagnosis and treatment of eating disorders. The recommendations are based on ICD-10 and DSM, both of which can be used to verify the accuracy of the article’s contents. The article contains in-text citations and is referenced appropriately.
Weaknesses of the article: it fails to indicate the sampling method and sample size. It did not identify a theoretical framework for the study. I would recommend the article to a colleague. The article is resourceful because it extensively describes the three eating disorders. The disorders’ prevalence, cost implications, diagnosis, and treatment are identified. Diagnosis and treatment will be beneficial in the daily nursing practice of my colleague.
Bulimia nervosa, anorexia nervosa, and binge eating are the three eating disorders. Their prevalence is higher in females than males. The diagnosis of these disorders is important because it enables prompt treatment to be initiated. ICD-10 is used in the diagnosis of bulimia nervosa and anorexia nervosa. DSM is used in the diagnosis of binge eating disorder. Psychotherapeutic management is the treatment of choice for eating disorders. The strengths of the article are demonstrated by the correctness evidenced by citations and references. The logical arrangement of contents also reflects its strength. One of the article’s weaknesses is the failure to provide a sample-size theoretical framework.
References.
Gaebel, W., Stricker, J., & Kerst, A. (2020). Changes from ICD-10 to ICD-11 and future directions in psychiatric classification. Dialogues in Clinical Neuroscience, 22(1), 7–15. https://doi.org/10.31887/DCNS.2020.22.1/wgaebel
Herpertz, S., Hagenah, U., Vocks, S., Von Wietersheim, J., Cuntz, U., & Zeeck, A. (2011). The Diagnosis and Treatment of Eating Disorders. Deutsches Arzteblatt, 108(40), 678–685. https://doi.org/10.3238/arztebl.2011.0678
Vo, M., Accurso, E. C., Goldschmidt, A. B., & Le Grange, D. (2017). The Impact of DSM-5 on Eating Disorder Diagnoses. International Journal of Eating Disorders, 50(5), 578–581. https://doi.org/10.1002/eat.22628
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Question 
The Diagnosis and Treatment of Eating Disorders
Purpose
The student will review, summarize, and critique a scholarly article related to a mental health topic.
Course outcomes: This assignment enables the student to meet the following course outcomes.
(CO 4) Utilize critical thinking skills in clinical decision-making and implementation of the nursing process for
psychiatric/mental health clients. (PO 4)
(CO 5) Utilize available resources to meet self-identified goals for personal, professional, and educational
development appropriate to the mental health setting. (PO 5)
(CO 7) Examine moral, ethical, legal, and professional standards and principles as a basis for clinical decision-making.
(PO 6)
(CO 9) Utilize research findings as a basis for the development of a group leadership experience. (PO 8)
Due date: Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to
this assignment.
Total points possible: 100 points
Preparing the assignment
1) Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.
a. Select a scholarly nursing or research article, published within the last five years, related to mental health
nursing. The content of the article must relate to evidence-based practice.
• You may need to evaluate several articles to find one that is appropriate.
b. Ensure that no other member of your clinical group chooses the same article, then submit your choice for
faculty approval.
c. The submitted assignment should be 2-3 pages in length, excluding the title and reference pages.
2) Include the following sections (detailed criteria listed below and in the Grading Rubric must match exactly).
a. Introduction (10 points/10%)
The Diagnosis and Treatment of Eating Disorders
• Establishes purpose of the paper
• Captures attention of the reader
b. Article Summary (30 points/30%)
• Statistics to support significance of the topic to mental health care
• Key points of the article
• Key evidence presented
• Examples of how the evidence can be incorporated into your nursing practice
c. Article Critique (30 points/30%)
• Present strengths of the article
• Present weaknesses of the article
• Discuss if you would/would not recommend this article to a colleague
d. Conclusion (15 points/15%)
• Provides analysis or synthesis of information within the body of the text
• Supported by ides presented in the body of the paper
• Is clearly written
e. Article Selection and Approval (5 points/5%)
• Current (published in last 5 years)
• Relevant to mental health care
• Not used by another student within the clinical group
• Submitted and approved as directed by instructor
f. APA format and Writing Mechanics (10 points/10%)
• Correct use of standard English grammar and sentence structure
• No spelling or typographical errors
• Document includes title and reference pages
• Citations in the text and reference page
For writing assistance (APA, formatting, or grammar) visit the APA Citation and Writing page in the online library.
Please note that your instructor may provide you with additional assessments in any form to determine that you fully
understand the concepts learned in the review module.