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Stages of treatment of eating disorders in endogenous depressions

INTRODUCTION: The problem of eating disorders has become increasingly important in recent years, due to the increase in the number of cases among children and adolescents, as well as the insufficient effectiveness of therapeutic measures. An important role in the course of eating disorders is occupi...

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Autores principales: Barkhatova, A., Smolnikova, A., Bolgov, M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10661103/
http://dx.doi.org/10.1192/j.eurpsy.2023.1105
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author Barkhatova, A.
Smolnikova, A.
Bolgov, M.
author_facet Barkhatova, A.
Smolnikova, A.
Bolgov, M.
author_sort Barkhatova, A.
collection PubMed
description INTRODUCTION: The problem of eating disorders has become increasingly important in recent years, due to the increase in the number of cases among children and adolescents, as well as the insufficient effectiveness of therapeutic measures. An important role in the course of eating disorders is occupied by the depressive syndrome associated with it, which complicates the process of treatment and rehabilitation in this pathology. OBJECTIVES: Study of the stages of treatment of eating disorders in the structure of depressive states. METHODS: The sample consisted of 63 patients aged from 15 to 25 years old (all female, average age 16.2), who were on outpatient and inpatient observation in the clinic were studied. RESULTS: In the process of treatment, several stages of treatment of patients were carried out. The first stage was aimed at normalizing the body’s vital functions and management of somatoendocrine impairments (the duration of the stage is about 14 days). The next stage was aimed at the psychotropic treatment of eating disorders and concomitant mental pathologies (the duration of the stage is 3-4 weeks). The final stage included rehabilitation, which consisted of working with a psychotherapist (the duration of the stage was 8 weeks or more). It should be noted that in the process of rehabilitation, patients continued to receive psychopharmacotherapy and underwent a comprehensive examination to assess the dynamics of their condition. CONCLUSIONS: Eating disorders in the structure of endogenous depressions require an integrated approach to treatment, including both ensuring adequate vital activity of the organism and the selection of drug treatment depending on the nosological affiliation of the underlying syndrome. Rehabilitation work aimed at social adaptation and prevention of relapses of the disease also plays an important role. DISCLOSURE OF INTEREST: None Declared
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spelling pubmed-106611032023-07-19 Stages of treatment of eating disorders in endogenous depressions Barkhatova, A. Smolnikova, A. Bolgov, M. Eur Psychiatry Abstract INTRODUCTION: The problem of eating disorders has become increasingly important in recent years, due to the increase in the number of cases among children and adolescents, as well as the insufficient effectiveness of therapeutic measures. An important role in the course of eating disorders is occupied by the depressive syndrome associated with it, which complicates the process of treatment and rehabilitation in this pathology. OBJECTIVES: Study of the stages of treatment of eating disorders in the structure of depressive states. METHODS: The sample consisted of 63 patients aged from 15 to 25 years old (all female, average age 16.2), who were on outpatient and inpatient observation in the clinic were studied. RESULTS: In the process of treatment, several stages of treatment of patients were carried out. The first stage was aimed at normalizing the body’s vital functions and management of somatoendocrine impairments (the duration of the stage is about 14 days). The next stage was aimed at the psychotropic treatment of eating disorders and concomitant mental pathologies (the duration of the stage is 3-4 weeks). The final stage included rehabilitation, which consisted of working with a psychotherapist (the duration of the stage was 8 weeks or more). It should be noted that in the process of rehabilitation, patients continued to receive psychopharmacotherapy and underwent a comprehensive examination to assess the dynamics of their condition. CONCLUSIONS: Eating disorders in the structure of endogenous depressions require an integrated approach to treatment, including both ensuring adequate vital activity of the organism and the selection of drug treatment depending on the nosological affiliation of the underlying syndrome. Rehabilitation work aimed at social adaptation and prevention of relapses of the disease also plays an important role. DISCLOSURE OF INTEREST: None Declared Cambridge University Press 2023-07-19 /pmc/articles/PMC10661103/ http://dx.doi.org/10.1192/j.eurpsy.2023.1105 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstract
Barkhatova, A.
Smolnikova, A.
Bolgov, M.
Stages of treatment of eating disorders in endogenous depressions
title Stages of treatment of eating disorders in endogenous depressions
title_full Stages of treatment of eating disorders in endogenous depressions
title_fullStr Stages of treatment of eating disorders in endogenous depressions
title_full_unstemmed Stages of treatment of eating disorders in endogenous depressions
title_short Stages of treatment of eating disorders in endogenous depressions
title_sort stages of treatment of eating disorders in endogenous depressions
topic Abstract
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10661103/
http://dx.doi.org/10.1192/j.eurpsy.2023.1105
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