Traditional Treatment Methods Anorexia and Bulimia Family Individual therapy and Cognitive Behavioral therapy •Less than 50 recovery for Anorexics • about 50 recov
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Traditional Treatment Methods: Anorexia and Bulimia Family/Individual therapy and Cognitive Behavioral therapy •Less than 50% recovery- for Anorexics • about 50% recovery- Bulimia Family Therapy- 30-50% Anorexics relapse after 1 year. Although traditional treatment is less than 50% successful, many treatment facilities still use these methods and the patients have little chance of recovering. Mortality rates can be as high as 25% for anorexics. The usefulness of traditional theory and treatments?? The Karolinska Method Treatment Plan of Cecilia Bergh, Ph.D. and Per Sodersten, Ph.D. • Anorexic patients set individual weight gain goals • no less than 4.4 lb gain at a goal • once that weight was reached the patient set a new goal • Patients ate 3 meals per day- 1 meal with food weighed on a scale • The scale recorded weight of the food eaten from the plate so the researchers knew how much of the food each patient consumed. • patients were taught to eat slowly and trained to report their satiety level; in effect, re-learning how to eat properly and recognize proper fullness sensations Karolinska Method cont. every minute patients reported their level of satiety on scale from (0 –10). • 0 – none at all 10- extremely strong • gradually increased amount of food eaten After each meal patients rested for 1hr. in a warm room with a temperature that could be as high as 104 degrees Fahrenheit. Exercise was eliminated or limited to a slow walk around the clinic- increased exercise allowed once patient was in remission. K Method Cont. • Scheduled meals • Breakfast 7-8 am •Lunch 11:30 am- 12:30 pm •Dinner 4:30-5:30 pm • Snacks in between • Social goals- increase social activity • going to café with friends, school, jobs • school- 1hr a day prior to remission • No psychopharmacological drugs used for treatment Patient Groups The 32 patients were randomly assigned to either the control group or the treatment group. • 16- treatment group/ 16- control group • The control group received no treatment except for the initial evaluation and patients waited for treatment an average of 17.5 months. o Only 1 patient went into remission while waiting for treatment. • The treatment group began the program on average about 1.3 months after the initial evaluation. Remission of Symptoms Remission: a patient no longer meets the criteria for an eating disorder. Also included in the definition: • body weight, psychological profile, and lab tests all had to be normal, and food and dieting could no longer be a problem for the patient. • patients also had to be back in school or working and socially active. Remission rates • 14 out of 16 (88%) patients in the treatment group entered into remission after an average of 14.4 months. • A follow-up 22 months after the patient entered remission showed 76% of the patients still in remission. Second Study In a second study of 168 patients • 145 patients entered remission or approximately 90%: 83 within 12 months of treatment and 62 in just 7 months. • Of the 83 patients- approx. 90% (75/83) returned for the follow-up at 12 months post treatment • These results show that most of the patients who entered this treatment program recovered from their eating disorder.