Eating Disorders-Prognosis

Treatment

Treatment varies according to type and severity of eating disorder, and usually more than one treatment option is utilized. However, there is lack of evidence regarding treatment and management, which means that current views about treatment are based mainly on clinical experience. Therefore, before treatment takes place, family doctors will play an important role in early treatment of those with eating disorders and a lot will depend on trying to establish a good relationship with the person and family in primary care. Some of the treatment methods include:

There are few studies on the cost-effectiveness of the various treatments. Treatment can be expensive due to limitations in health care coverage, and people hospitalized with anorexia nervosa may be discharged while still underweight, resulting in relapse and rehospitalization.

Outcomes

Outcome estimates are complicated by non-uniform criteria used by various studies, but for anorexia nervosa, bulimia nervosa, and binge eating disorder, there seems to be general agreement that full recovery rates are in the 50% to 85% range, with larger proportions of people experiencing at least partial remission.

Epidemiology

Eating disorders result in about 7,000 deaths a year as of 2010, making them the mental illnesses with the highest mortality rate.

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