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ESCAP Expert Paper: New developments in the diagnosis and treatment of adolescent anorexia nervosa—a European perspective

Anorexia nervosa is a potentially life-threatening disorder with a typical onset in adolescence and high rates of medical complications and psychiatric comorbidity. This article summarizes issues relating to classification in DSM-5 and presents a narrative review of key evidence-based medical and be...

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Autores principales: Herpertz-Dahlmann, Beate, van Elburg, Annemarie, Castro-Fornieles, Josefina, Schmidt, Ulrike
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4592492/
https://www.ncbi.nlm.nih.gov/pubmed/26226918
http://dx.doi.org/10.1007/s00787-015-0748-7
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author Herpertz-Dahlmann, Beate
van Elburg, Annemarie
Castro-Fornieles, Josefina
Schmidt, Ulrike
author_facet Herpertz-Dahlmann, Beate
van Elburg, Annemarie
Castro-Fornieles, Josefina
Schmidt, Ulrike
author_sort Herpertz-Dahlmann, Beate
collection PubMed
description Anorexia nervosa is a potentially life-threatening disorder with a typical onset in adolescence and high rates of medical complications and psychiatric comorbidity. This article summarizes issues relating to classification in DSM-5 and presents a narrative review of key evidence-based medical and behavioral interventions for adolescent AN and subthreshold restricting eating disorders, mainly, but not exclusively published between 2012 and 2014. In addition, it systematically compares the clinical guidelines of four European countries (Germany, Spain, The Netherlands, and United Kingdom) and outlines common clinical practice, in relation to treatment settings, nutritional rehabilitation, family-oriented and individual psychotherapy, and psychopharmacological treatment. With the exception of family-based treatment, which is mainly evaluated and practiced in Anglo-American countries, the evidence base is weak, especially for medical interventions such as refeeding and pharmacological intervention. There is a need for common European research efforts, to improve the available evidence base and resulting clinical guidance.
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spelling pubmed-45924922015-10-07 ESCAP Expert Paper: New developments in the diagnosis and treatment of adolescent anorexia nervosa—a European perspective Herpertz-Dahlmann, Beate van Elburg, Annemarie Castro-Fornieles, Josefina Schmidt, Ulrike Eur Child Adolesc Psychiatry Review Anorexia nervosa is a potentially life-threatening disorder with a typical onset in adolescence and high rates of medical complications and psychiatric comorbidity. This article summarizes issues relating to classification in DSM-5 and presents a narrative review of key evidence-based medical and behavioral interventions for adolescent AN and subthreshold restricting eating disorders, mainly, but not exclusively published between 2012 and 2014. In addition, it systematically compares the clinical guidelines of four European countries (Germany, Spain, The Netherlands, and United Kingdom) and outlines common clinical practice, in relation to treatment settings, nutritional rehabilitation, family-oriented and individual psychotherapy, and psychopharmacological treatment. With the exception of family-based treatment, which is mainly evaluated and practiced in Anglo-American countries, the evidence base is weak, especially for medical interventions such as refeeding and pharmacological intervention. There is a need for common European research efforts, to improve the available evidence base and resulting clinical guidance. Springer Berlin Heidelberg 2015-07-31 2015 /pmc/articles/PMC4592492/ /pubmed/26226918 http://dx.doi.org/10.1007/s00787-015-0748-7 Text en © The Author(s) 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Review
Herpertz-Dahlmann, Beate
van Elburg, Annemarie
Castro-Fornieles, Josefina
Schmidt, Ulrike
ESCAP Expert Paper: New developments in the diagnosis and treatment of adolescent anorexia nervosa—a European perspective
title ESCAP Expert Paper: New developments in the diagnosis and treatment of adolescent anorexia nervosa—a European perspective
title_full ESCAP Expert Paper: New developments in the diagnosis and treatment of adolescent anorexia nervosa—a European perspective
title_fullStr ESCAP Expert Paper: New developments in the diagnosis and treatment of adolescent anorexia nervosa—a European perspective
title_full_unstemmed ESCAP Expert Paper: New developments in the diagnosis and treatment of adolescent anorexia nervosa—a European perspective
title_short ESCAP Expert Paper: New developments in the diagnosis and treatment of adolescent anorexia nervosa—a European perspective
title_sort escap expert paper: new developments in the diagnosis and treatment of adolescent anorexia nervosa—a european perspective
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4592492/
https://www.ncbi.nlm.nih.gov/pubmed/26226918
http://dx.doi.org/10.1007/s00787-015-0748-7
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