Refeeding is not a treatment for the underlying symptoms of anorexia nervosa

Phillipou, Andrea; Musić, Selma; Rossell, Susan L.

doi:10.1177/0004867420924474

Cited by 4 publications

(5 citation statements)

References 4 publications

(4 reference statements)

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“…traumatic experiences from refeeding, etc. 16 ), intervening early makes sense. Treatments with an evidence base to be delivered in this early intervention window are few, except for AN.…”

Section: Eating Disorders Stages and Early Interventionmentioning

confidence: 99%

Eating disorders in young people

Phillipou

McGorry

Killackey

et al. 2023

Australas Psychiatry

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Objective Eating disorders (EDs) have their onset most frequently in adolescence and young adulthood. Treatment for EDs lack efficacy, and we have made little progress in improving outcomes for patients over the course of the last several decades. As with other mental health conditions, early intervention may greatly improve outcomes, yet, little research exists in this area. Conclusions More effective evidence-based treatments are sorely needed for EDs, particularly for early stages of the illness to minimise the potential harms of treatment and long-standing illness. Treatment service models would also benefit from taking an approach that ensures continuation of care from adolescence to young adulthood.

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“…traumatic experiences from refeeding, etc. 16 ), intervening early makes sense. Treatments with an evidence base to be delivered in this early intervention window are few, except for AN.…”

Section: Eating Disorders Stages and Early Interventionmentioning

confidence: 99%

Eating disorders in young people

Phillipou

McGorry

Killackey

et al. 2023

Australas Psychiatry

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“…3 Given that the majority of patients receive a diagnosis of AN, they are seeking help for a disorder that is driving them to lose weight; therefore, placing so much focus on weight restoration is potentially harmful as the underlying psychological issues driving weight loss may not be adequately addressed. Greater focus is desperately needed on psychological recovery to ensure long-term improvements, 4 but it is incredibly difficult to attain with current treatments, particularly in the short term.…”

Section: Presentations and Treatment At Betrsmentioning

confidence: 99%

Over a decade of an eating disorders treatment program: Where to from here?

Phillipou

Jenkins

Newton

et al. 2023

Australas Psychiatry

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Objective Currently available treatments for eating disorders lack efficacy resulting in poor outcomes for patients. In this paper, we describe a number of issues that we have identified in our clinical service, which are not unique to our treatment program. Conclusions The issues described are common among eating disorder services worldwide and need to be addressed in order to move the field forward. We provide a number of solutions and research areas that need greater focus so that we are able to improve the efficacy of eating disorder treatment services.

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“…Being open about my family history in my professional life means that since the Gaudiani et al [ 1 ] paper was first published, I have been asked on countless occasions where I stand on the issue of defining ‘terminal AN’. As someone who tends to be vocal about various issues in our field (and likes to stir the pot to encourage scientific debate; see [ 6 – 9 ]), I find myself unable to form a strong opinion favouring either side of this argument. What I do feel strongly about though, is that we need to be having these discussions—and we need to do so in a respectful and considered way.…”

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confidence: 99%

The importance of terminology, lived experience inclusion and scientific discussion regarding end-of-life care in anorexia nervosa: a response to Gaudiani et al.

Phillipou

2023

J Eat Disord

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Whether or not to define ‘terminal anorexia nervosa’ has been a hotly debated topic in the eating disorders field recently. Being able to have open scientific debate on important topics such as this is essential for the progress of our field—but needs to be undertaken respectfully, allowing all perspectives to be heard. My personal perspective on this topic comes from being a researcher who sees individuals with anorexia nervosa (AN) across all stages of illness and recovery, as well as having had a loved one die from AN. Although I disagree with the terminology of ‘terminal AN’ and believe that establishing criteria has the potential to cause harm, I strongly believe in showing compassion to individuals with AN across all illness stages, including those who may wish to seek end-of-life care. This is a complex issue that our field requires guidance on, and we need to work in genuine collaboration with individuals with lived experience of AN to figure out how to appropriately approach end-of-life care when it is warranted.

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Refeeding is not a treatment for the underlying symptoms of anorexia nervosa

Cited by 4 publications

References 4 publications

Eating disorders in young people

Eating disorders in young people

Over a decade of an eating disorders treatment program: Where to from here?

The importance of terminology, lived experience inclusion and scientific discussion regarding end-of-life care in anorexia nervosa: a response to Gaudiani et al.

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