The treatment of anorexia nervosa in a general hospital: a case vignette of a multi-disciplinary general hospital-based approach

Kronenberg, J; Nachshoni, Tali; Neumann, Merten; Gaoni, B

doi:10.1006/jado.1994.1016

Cited by 4 publications

(3 citation statements)

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“…Anorexia nervosa Only two reports of a total of six patients being treated as inpatients using a psychodynamic based approach were found [230,231] (Table 45). The length of stay for these patients varied between 1.5 months and 5 months.…”

Section: Psychodynamic Based Inpatient Carementioning

confidence: 99%

Canadian practice guidelines for the treatment of children and adolescents with eating disorders

et al. 2020

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Objectives: Eating disorders are common and serious conditions affecting up to 4% of the population. The mortality rate is high. Despite the seriousness and prevalence of eating disorders in children and adolescents, no Canadian practice guidelines exist to facilitate treatment decisions. This leaves clinicians without any guidance as to which treatment they should use. Our objective was to produce such a guideline. Methods: Using systematic review, the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system, and the assembly of a panel of diverse stakeholders from across the country, we developed high quality treatment guidelines that are focused on interventions for children and adolescents with eating disorders. Results: Strong recommendations were supported specifically in favour of Family-Based Treatment, and more generally in terms of least intensive treatment environment. Weak recommendations in favour of Multi-Family Therapy, Cognitive Behavioural Therapy, Adolescent Focused Psychotherapy, adjunctive Yoga and atypical antipsychotics were confirmed. Conclusions: Several gaps for future work were identified including enhanced research efforts on new primary and adjunctive treatments in order to address severe eating disorders and complex co-morbidities.

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Section: Psychodynamic Based Inpatient Carementioning

confidence: 99%

Canadian practice guidelines for the treatment of children and adolescents with eating disorders

et al. 2020

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“…Two reports (total n = 6) were included in which patients were treated within an inpatient program using a psychodynamic approach [58,59]. The LOS and weekly weight gain for these patients varied substantially (Table 1).…”

Section: Resultsmentioning

confidence: 99%

Outcomes of inpatient psychological treatments for children and adolescents with eating disorders at time of discharge: a systematic review

et al. 2020

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Background: Recommended first line treatment for children and adolescent eating disorders is outpatient therapy. However, a significant number of children and adolescents with eating disorders continue to require inpatient treatment during the course of their illness. The effect of psychological treatments in an inpatient setting on outcomes at the time of discharge remains unclear. This paper presents the results of a review of the literature on outcomes at the time of discharge following inpatient psychological treatment for children and adolescents with eating disorders. Main body: The majority of studies found were observational and of low quality. The most consistently reported positive outcome of inpatient treatment is weight gain. Results related to symptom change and motivation vary between studies. Within the inpatient setting, there is considerable heterogeneity in the types of treatments offered, goals of treatment, length of stay and outcomes measured. Conclusion: There remains a paucity of high-quality studies examining the effect of psychological treatments provided to children and adolescents in an inpatient setting. The significant heterogeneity between studies makes it not possible to compare across studies. Future research should aim to resolve these deficiencies in order to better determine the specific factors that contribute to positive outcomes of inpatient treatment for children and adolescents with eating disorders.

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“…It takes up a more interpretive tradition of presenting significant single cases to illustrate complex research findings. This tradition is quite lively in health care and nursing research (e.g., Baker & Wigram, 2004;Chan, 2014: Kronenberg, Nachshoni, Neumann, & Gaoni, 1994. However, it transgresses this illustrating use, elaborated as a distinct method of interpretative inquiry through writing.…”

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confidence: 99%

The Research Vignette

Langer

2016

Qualitative Inquiry

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The adequate presentation of empirical research findings poses an essential, yet often neglected challenge in qualitative methodology. This article contributes to the debate by proposing the research vignette as a mediating position between conventional and experimental forms of writing. On the basis of an illustrating example from an interview study on the psychosocial dynamics of HIV-related sexual risk behavior of gay men in Germany, the methodological foundations of the research vignette are outlined and practical applications for qualitative research are discussed. The research vignette provides the opportunity to conduct a psychoanalytically informed interpretation in which the presentation of findings is woven into a critical reflection of the interaction dynamic in the research encounter and substantiating theoretical considerations.

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The treatment of anorexia nervosa in a general hospital: a case vignette of a multi-disciplinary general hospital-based approach

Cited by 4 publications

References 0 publications

Canadian practice guidelines for the treatment of children and adolescents with eating disorders

Canadian practice guidelines for the treatment of children and adolescents with eating disorders

Outcomes of inpatient psychological treatments for children and adolescents with eating disorders at time of discharge: a systematic review

The Research Vignette

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