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
Revue: Archives of clinical psychiatry
Base de datos: PERIÓDICA
Número de sistema: 000419362
Autores: 1
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Instituciones: 1Universidade de Sao Paulo, Instituto de Psicologia, Sao Paulo. Brasil
Año:
Periodo: Mar-Abr
Volumen: 45
Número: 2
Paginación: 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
Disciplinas: Medicina
Palabras clave: 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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