Evidence-based psychotherapy for treatment of anorexia nervosa in children and adolescents: systematic review



Título del documento: Evidence-based psychotherapy for treatment of anorexia nervosa in children and adolescents: systematic review
Revista: Archives of clinical psychiatry
Base de datos: PERIÓDICA
Número de sistema: 000419362
Autors: 1
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Institucions: 1Universidade de Sao Paulo, Instituto de Psicologia, Sao Paulo. Brasil
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Període: Mar-Abr
Volum: 45
Número: 2
Paginació: 41-48
País: Brasil
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Analítico, descriptivo
Resumen en inglés Efficacy studies on the treatment of anorexia nervosa (AN) in childhood and adolescence are scarce and systematic reviews are almost non-existent. Objective: Systematic review of the literature regarding the modalities of psychological intervention based on evidence used in the treatment of AN in childhood and adolescence. Methods: The research was carried out in the databases: PubMed, PsycINFO and Cochrane, using the combined keywords: anorexia nervosa and evidence-based therapy. Articles published between 1990 and 2015 were assessed. Results: Of the 139 eligible articles, 14 were selected, of which 10 (71.4%) were conducted in the United States and England. The sample ranged from 9 to 167 participants. Randomized Clinical Trial represented the most frequent design (n = 9; 63.4%), with more than half of the interventions structured in 20 or more sessions (n = 9, 64.3%). Nine types of treatments were tested, with the most tested being Family-Based Treatment (FBT) (n = 7; 50%). Interventions involving the family seem to be more effective, however, the rates for complete remission are modest. Discussion: Although evidence of efficacy was verified in the treatments analyzed, the limited number of studies, the various methodological limitations and the methodological heterogeneity between studies make the findings inconclusive
Disciplines Medicina
Paraules clau: Psiquiatría,
Metabolismo y nutrición,
Trastornos de la alimentación,
Anorexia nerviosa,
Adolescentes,
Psicoterapia
Keyword: Psychiatry,
Metabolism and nutrition,
Eating disorders,
Anorexia nervosa,
Adolescents,
Psychotherapy
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