Pervasive refusal syndrome or anorexia nervosa: a case report with a successful behavioural treatment

Abstract

Purpose Pervasive refusal syndrome (PRS) is a rare psychiatric disease that affects children. It was first described by Lask in 1991 (Arch Dis Child 66:866–869, 1991). Recently, Otasowie and Collaborators reported a systematic review about PRS. Despite this, PRS has not yet been classified in DSM-5 and ICD-11 and the lack of evidence-based treatment makes this syndrome a real challenge for clinicians. The aim of this paper is to present our experience through the description of a case report and its treatment. Methods and results The case reported is a girl aged 11 years that fits the clinical picture described in the literature of PRS. In previous reports, behavioural treatment was not used or appreciated; our case adds new knowledge regarding the PRS diagnosis and the successful behavioural treatment during hospitalization, which we describe in all its phases. Conclusion PRS is a rare, life-threatening syndrome; it would be extremely important to have an official and evidence-based treatment guide. Level of evidence Level V, case report.

Revisión teórica del Síndrome de Resignación presente en menores en proceso de asilo

“…Otra solución explorada ha sido la terapia de juego, aunque ocurre lo mismo que con la musicoterapia, existe poca investigación al respecto y los resultados son demasiado escasos, por lo que, a lo sumo, lo único que permiten es considerarlo como tratamiento incluido dentro de un abordaje global multidisciplinar (Otasowie et al, 2021;Perrone et al, 2021).…”

Specific Learning Disorders and Eating Disorders: an Italian Retrospective Comparative Study.

“…Following these neurodevelopmental models, scienti c research is trying to address the substantial comorbidities between ED and either mental or behavioural disorders, such as Mood Disorders, Anxiety Disorders, Obsessive-Compulsive Disorder, Personality Disorders, Autism Spectrum Disorder, Complex Refusal Syndromes [12,[18][19][20][21][22]. In 2019, Wentz and collaborators published a paper in which they presumed a common neurodevelopmental origin in ED and different psychiatric conditions [23].…”