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European Child and Adolescent Psychiatry

, Volume 24, Issue 10, pp 1153–1167

First Online: 31 July 2015Received: 21 March 2015Accepted: 15 July 2015

Abstract

Anorexia nervosa is a potentially life-threatening disorder with a typical onset in adolescence and high rates of medical complications and psychiatric comorbidity. This article summarizes issues relating to classification in DSM-5 and presents a narrative review of key evidence-based medical and behavioral interventions for adolescent AN and subthreshold restricting eating disorders, mainly, but not exclusively published between 2012 and 2014. In addition, it systematically compares the clinical guidelines of four European countries Germany, Spain, The Netherlands, and United Kingdom and outlines common clinical practice, in relation to treatment settings, nutritional rehabilitation, family-oriented and individual psychotherapy, and psychopharmacological treatment. With the exception of family-based treatment, which is mainly evaluated and practiced in Anglo-American countries, the evidence base is weak, especially for medical interventions such as refeeding and pharmacological intervention. There is a need for common European research efforts, to improve the available evidence base and resulting clinical guidance.

KeywordsAnorexia nervosa Adolescence Treatment European guidelines Review  Download fulltext PDF



Autor: Beate Herpertz-Dahlmann - Annemarie van Elburg - Josefina Castro-Fornieles - Ulrike Schmidt

Fuente: https://link.springer.com/







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