Anorexia nervosa, paternalism and clinical practice

Medeiros, Gustavo C.; Sampaio, Daniela G.; Corchs, Felipe

doi:10.1590/0101-60830000000028

Cited by 1 publication

(2 citation statements)

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“…A large variation in sample size was observed, and most of the studies used non-probabilistic samples, possibly justified by the difficulties inherent in the treatment of AN 34 and by the low prevalence compared to other psychiatric disorders, such as major depression and anxiety disorders 1 ; In addition to the negation of the disease, avoidance of treatment and the patients' ambivalence towards the desire to improve, since recovery involves weight gain 10 . All these factors imply low adherence to treatment and a high number of participants being lost after treatment and during follow-up.…”

Section: Participantsmentioning

confidence: 99%

“…The use of proven effective treatments by the respective health care professionals, is therefore fundamental. However, due to the complex interaction of clinical and psychiatric problems, with emphasis on the ambivalent attitudes of patients and their families towards treatment 8,10 , there are significant obstacles that moderate the effectiveness of psychotherapeutic interventions and contribute to a limited number of studies in the area 11,12 .…”

Section: Introductionmentioning

confidence: 99%

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Evidence-based psychotherapy for treatment of anorexia nervosa in children and adolescents: systematic review

Alckmin-Carvalho

Vega

Cobelo

et al. 2018

Arch. Clin. Psychiatry (São Paulo)

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Background: Efficacy studies on the treatment of anorexia nervosa (AN) in childhood and adolescence are scarce and systematic reviews are almost non-existent. Objective: Systematic review of the literature regarding the modalities of psychological intervention based on evidence used in the treatment of AN in childhood and adolescence. Methods: The research was carried out in the databases: PubMed, PsycINFO and Cochrane, using the combined keywords: anorexia nervosa and evidence-based therapy. Articles published between 1990 and 2015 were assessed. Results: Of the 139 eligible articles, 14 were selected, of which 10 (71.4%) were conducted in the United States and England. The sample ranged from 9 to 167 participants. Randomized Clinical Trial represented the most frequent design (n = 9; 63.4%), with more than half of the interventions structured in 20 or more sessions (n = 9, 64.3%). Nine types of treatments were tested, with the most tested being Family-Based Treatment (FBT) (n = 7; 50%). Interventions involving the family seem to be more effective, however, the rates for complete remission are modest. Discussion: Although evidence of efficacy was verified in the treatments analyzed, the limited number of studies, the various methodological limitations and the methodological heterogeneity between studies make the findings inconclusive.

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Section: Participantsmentioning

confidence: 99%