November 14, 2012
Section 3- Recommendations: What works to reduce negative health impacts?
After determining the risk factors that can generate eating disorders in young females, the next crucial step is to develop a plan of action. The key ingredient to halting these vial diseases is recommendations. A recommendation is a summary of the evidence of which interventions work to reduce the health impacts and indicate whether actions should be taken (Riegelman, 27). There have been numerous past studies done on eating disorders that prove that recommendations do reduce negative health impacts. From looking at past studies, the most successful interventions for eating disorders have been cognitive-behavioral therapy, collaborative interventions, and internet-based programs. These previous studies have proven that implementing interventions will decrease the negative impact of eating disorders in adolescent women.
One of the most well known interventions for eating disorders is cognitive-behavioral therapy. Cognitive-behavioral therapy is a form of psychotherapy that emphasizes the important role of thinking in how we feel and what we do (“Cognitive-Behavioral Therapy”). According to a study from 2007, this type of therapy is currently the treatment of choice for bulimia nervosa and binge-eating disorders in young girls (Wilson, 199). Mainly, this therapy assumes that maladaptive, or faulty, thinking patterns cause maladaptive behavior and negative emotions (Wilson, 200). The treatment focuses on changing an individual’s thoughts (cognitive patterns) in order to change his or her behavior and emotional state (Wilson, 201). Therefore, this type of intervention would be tertiary because prevention would occur after recognizing that someone has become victim to an eating disorder. The role of the tertiary level would be to reverse the course of the eating disorder, prevent further complications, and return the patient to a healthy weight (Riegelman, 31). In addition, cognitive-behavioral therapy should target the entire at-risk population of young teenage females. The best way to spread the word about cognitive-behavioral therapy is by educating the public and putting information out about the harmful affects of eating disorders. By getting the word out about eating disorders, this may promote a change in behavior or a change in opinion in a victim about their condition (Riegelman, 31). While cognitive-behavioral therapy is a fantastic way to help those with eating disorders in need, the quality of evidence is only fair. Primarily, this stems from the fact that individuals with eating disorders must decide on their own terms whether or not they will receive help from others (Wilson, 200). With this in mind, it is important to remember that cognitive-behavioral therapy still has a positive life-changing impact on those who choose to seek help with their eating disorder.
Besides cognitive-behavioral therapy, another significant recommendation is collaborative intervention. A collaborative intervention, also known as an interdependent intervention, is carried out in cooperation with other health team members (“Collaborative Intervention”). These team members may include doctors, dieticians, or physicians (“Collaborative Intervention”). In 2003, a study was done to test whether clients with eating disorders preferred collaborative interventions or directive interventions (Geller, 406). All participants rated collaborative interventions as more acceptable and more likely to produce positive clinical outcomes than directive interventions (Geller, 406). Given that individuals with eating disorders are typically ambivalent about changing their eating patterns, it is most helpful to converse and work with multiple experts instead of just one person (Geller, 410). Talking with others about their eating disorder normally occurs for victims at the secondary and tertiary levels of...