Top

Published in:

01-04-2012 | CHILD AND ADOLESCENT DISORDERS (TD BENTON, SECTION EDITOR)

Treatment of Anorexia Nervosa in Children and Adolescents

Authors: Laurel Weaver, Lydia Sit, Ronald Liebman

Published in: Current Psychiatry Reports | Issue 2/2012

Abstract

In this review, we discuss the treatment of anorexia nervosa (AN) in children and adolescents, highlighting inpatient and outpatient psychiatric treatment. AN is an illness that involves medical and psychological issues; hence, treatment often requires the seamless integration of several medical professionals. It is important that the treatment model be unified and consistent as patients transition from inpatient to outpatient treatment. We briefly describe the therapeutic principles involved in treatment of AN and then give examples of how we employ these principles across treatment settings and with multiple medical professionals.

Minuchin S, Baker L, Rosman BL, Liebman R, Milman L, Todd TC. A conceptual model of psychosomatic illness in children. Family organization and family therapy. Arch Gen Psychiatry. 1975;32(8):1031–8.PubMedCrossRef

Liebman R, Minuchin S, Baker L. An integrated treatment program for anorexia nervosa. Am J Psychiatry. 1974;131(4):432–6.PubMed

Lock J. Evaluation of family treatment models for eating disorders. Curr Opin Psychiatry. 2011;24(4):274–9.PubMedCrossRef

Lock J, Le Grange DW, Agras WS, Dare C. Treatment manual for anorexia nervosa. A family-based approach. New York: The Guilford Press; 2001.

• Lock J, Le Grange D, Agras WS, Moye A, Bryson SW, Jo B. Randomized clinical trial comparing family-based treatment with adolescent-focused individual therapy for adolescents with anorexia nervosa. Arch Neurol Psychiatr. 2010;67(10):1025–32. This randomized clinical trial showed improvement in outcomes for family-based treatment compared with more individually focused treatment.

Eisler I. The empirical and theoretical base of family therapy and multiple family day therapy for adolescent anorexia nervosa. J Fam Ther. 2005;27:104–31.CrossRef

Committee on Adolescence. Identifying and treating eating disorders. Pediatrics. 2003;111(1):204–11.CrossRef

Kohn MR, Madden S, Clarke SD. Refeeding in anorexia nervosa: increased safety and efficiency through understanding the pathophysiology of protein calorie malnutrition. Curr Opin Pediatr. 2011;23(4):390–4.PubMedCrossRef

Katzman DK, Christensen B, Young AR, Zipursky RB. Starving the brain: structural abnormalities and cognitive impairment in adolescents with anorexia nervosa. Semin Clin Neuropsychiatry. 2001;6(2):146–52.PubMedCrossRef

10.

Roy M, Meilleur D. Body image distortion change during inpatient treatment of adolescent girls with restrictive anorexia nervosa. Eat Weight Disord. 2010;15(1-2):e108–15.PubMed

11.

Hildebrandt T, Bacow T, Markella M, Loeb KL. Anxiety in anorexia nervosa and its management using family-based treatment. European Eating Disorders Review: The Journal of the Eating Disorders Association 2010 Dec 28.

12.

Schneider N, Salbach-Andrae H, Merle JV, et al. Psychopathology in underweight and weight-recovered females with anorexia nervosa. Eat Weight Disord. 2009;14(4):e205–11.PubMed

13.

• Hagman J, Gralla J, Sigel E, et al. A double-blind, placebo-controlled study of risperidone for the treatment of adolescents and young adults with anorexia nervosa: a pilot study. J Am Acad Child Adolesc Psychiatr. 2011;50(9):915–24. This recent trial showed a lack of benefit for antipsychotic treatment of AN.CrossRef

14.

• Kafantaris V, Leigh E, Hertz S, et al. A placebo-controlled pilot study of adjunctive olanzapine for adolescents with anorexia nervosa. J Child Adolesc Psychopharmacol. 2011;21(3):207–12. This recent trial also showed a lack of benefit for antipsychotic treatment of AN.PubMedCrossRef

15.

Claudino A, Silva de Lima M, Hay P, Bacaltchuk J, Schmidt U, Treasure J. Antidepressants for anorexia nervosa. Cochrane Database Syst Rev 2006(1).

Title: Treatment of Anorexia Nervosa in Children and Adolescents
Authors: Laurel Weaver
Lydia Sit
Ronald Liebman
Publication date: 01-04-2012
Publisher: Current Science Inc.
Published in: Current Psychiatry Reports / Issue 2/2012
Print ISSN: 1523-3812
Electronic ISSN: 1535-1645
DOI: https://doi.org/10.1007/s11920-012-0257-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Treatment of Anorexia Nervosa in Children and Adolescents

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 2/2012

Gene–Environment Interaction in Major Depression and Antidepressant Treatment Response

Genetic Variation in the Epigenetic Machinery and Mental Health

Evidence-Based Psychotherapies for Preschool Children With Psychiatric Disorders

Evaluation and Treatment of Children and Adolescents With Psychotic Symptoms

The Influence of Gene–Environment Interactions on the Development of Alcoholism and Drug Dependence

Animal Models of Stress Vulnerability and Resilience in Translational Research