World Digestive Health Day WDHD – May 29, 2016 EATING DISORDERS AND THE GI TRACT: DEFINITION, RECOGNITION, THE ROLE OF THE PSYCHOLOGIST IN CARE, continued the focus is not related to losing weight or reducing energy intake. The exclusion of foods that are categorized as less healthy or pure can lead to malnutrition and have a significant impact on psychosocial wellbeing. In a recent review, Varga and colleagues14 identify that the average prevalence of ON in a general population is 6.9% and up to 57.8% in highrisk groups such as healthcare professionals and artists. No research has tested the efficacy of a treatment for ON.15 Koven and Abry15 suggest that a combination of CBT and psychotropic medication may be efficacious due to the success in treating AN and Obsessive-Compulsive Disorder. However, recent research suggests that 30% of outpatients with AN or BN can go on to develop ON after treatment.16 As such, it is also important to notice whether a previous restriction or compensation becomes a preoccupation with food that is categorized as healthy or impure. CONCLUSION Individuals with EDs often have GI symptoms for which they may seek treatment with a gastroenterologist before seeking treatment for the symptoms of their ED. This can result in unnecessary tests, hospitalizations, and missed opportunity to address their underlying distress. It is an ongoing challenge for gastroenterologists to identify and support patients with EDs. However, screening for EDs and establishing a team approach can help effectively treat EDs and any physical complications effectively, and work toward the best outcome for ED patients. Acknowledgements: The authors would like to thank Ms. Sarina Cook for her work in reviewing the material and integration of content. We also thank Janine Lemon, Psychologist based at the Eating Disorders Unit, Royal Melbourne Hospital, and Dr. Naomi Crafti, Psychologist and Senior Research Fellow, Monash University, for their valuable feedback and advice regarding the article. REFERENCES 1. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders (DSM-5®). In., 5. edn. Washington, D.C.: American Psychiatric Publishing,; 2013: 1 online resource (992 p.). 2. Winstead NS, Willard SG: Gastrointestinal complaints in patients with eating disorders. Journal of Clinical Gastroenterology 2006, 40(8):678-682. 3. Emmanuel AV, Stern J, Treasure J, Forbes A, Kamm MA: Anorexia nervosa in gastrointestinal practice. European Journal of Gastroenterology & Hepatology 2004; 16(11):1135-1142. 4. Porcelli P, Leandro G, De Carne M: Functional gastrointestinal disorders and eating disorders. Relevance of the association in clinical management. Scand J Gastroenterol 1998; 33(6):577-582. 5. Satherley R, Howard R, Higgs S: Disordered eating practices in gastrointestinal disorders. Appetite 2014; 84:240- 250. 6. American Psychiatric Association: Practice guideline for the treatment of patients with eating disorders. Arlington, VA: American Psychiatric Association; 2006. 7. National Institute for Clinical Excellence: Eating disorders: Core interventions in the treatment and management of anorexia nervosa, bulimia nervosa and related eating disorders. London: British Psychological Society; 2004. 8. Australian Psychological Society: Evidence Based Psychological Interventions in the Treatment of Mental Disorders: A Literature Review; 2011. 9. Shapiro JR, Berkman ND, Brownley KA, Sedway JA, Lohr KN, Bulik CM: Bulimia nervosa treatment: a systematic review of randomized controlled trials. International Journal of Eating Disorders 2007; 40(4):321-336. 10. Brownley KA, Berkman ND, Sedway JA, Lohr KN, Bulik CM: Binge eating disorder treatment: a systematic review of randomized controlled trials. International Journal of Eating Disorders 2007; 40(4):337-348. 11. Bulik C, Berkman N, Brownley K, Sedway J, Lohr K: Anorexia nervosa treatment: a systematic review of randomized controlled trials. The International journal of eating disorders 2007; 40(4):310-320. 12. Hay P, Chinn D, Forbes D, Madden S, Newton R, Sugenor L, Touyz S, Ward W: Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for the treatment of eating disorders. Australian and New Zealand Journal of Psychiatry 2014; 48(11):977-1008. 44 WGO Handbook on DIET AND THE GUT World Digestive Health Day WDHD May 29, 2016
WGO Handbook on Diet and the Gut_2016_Final
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