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Anorexia nervosa, Psychotherapy, Cognitive Behavioural Therapy, Family Therapy, Management

作者:Alexandra Pittoc

关键词:Anorexia nervosa, Psychotherapy, Cognitive Behavioural Therapy, Family Therapy, Management

发表时间:2010

发表期刊:Journal of Indian Association for Child and Adolescent Mental Health

证据类型:系统评价/Meta分析

Anorexia Nervosa (AN) is a lethal psychiatric disorder and the most common cause ofpsychiatric hospital admission amongst adolescents in the West. This paper is a systematicreview to assess the clinical effectiveness of psychotherapies in the management of AN. Fourspecific online databases - EMBASE, PubMed, MEDLINE and the Cochrane Database weresearched and selected articles were reviewed. Reviewed studies demonstrated clinical effectiveness of various types of interventions includingpsychotherapy in terms of Body Mass Index (BMI), weight gain, psychological functioning,social adjustment and ‘recovery at follow-up’.The best recovery rates were with Family Therapy(FT). Effectiveness of Cognitive Behavioral Therapy (CBT) was not established by the review.Other types of psychotherapies and non-psychotherapeutic management strategies likeBehavioural Family Therapy (BFT) or interpersonal therapy (IPT), cognitive analytical therapyor dietary advice (TAU) or non-specific supportive clinical management (NSSCM) were equallyeffective.