Thinking outside the city: treating patients with disordered eating in rural West Virginia - Document - Gale OneFile: Health and Medicine
Across the nation, many patients with clinically significant disordered eating behaviors, thoughts, and attitudes do not receive the care they need. (1) Obesity's jump to the forefront of the West Virginia public health agenda has placed increased emphasis on disordered eating. Despite this focus and improvements in treatments and delivery, citizens of West Virginia continue to face significant challenges accessing adequate care. This article presents both barriers to implementing evidence-based treatment for patients with disordered eating and specific solutions to these problems for healthcare providers across the state. Disordered eating occurs across a spectrum of severity. Common factors include emotional and cognitive components (e.g., body image, values about one's shape/ weight) in addition to behavioral and medical components (e.g., body mass index, nutrition status, bingeing, purging, other compensatory behaviors). (2) Patients with eating disturbances may meet criteria for m
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