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Canadian practice guidelines for the treatment of children and adolescents with eating disorders

机译:加拿大饮食障碍治疗儿童和青少年的实践指导方针

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Objectives:Eating disorders are common and serious conditions affecting up to 4% of the population. The mortality rate is high. Despite the seriousness and prevalence of eating disorders in children and adolescents, no Canadian practice guidelines exist to facilitate treatment decisions. This leaves clinicians without any guidance as to which treatment they should use. Our objective was to produce such a guideline.Methods:Using systematic review, the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system, and the assembly of a panel of diverse stakeholders from across the country, we developed high quality treatment guidelines that are focused on interventions for children and adolescents with eating disorders.Results:Strong recommendations were supported specifically in favour of Family-Based Treatment, and more generally in terms of least intensive treatment?environment. Weak recommendations in favour of Multi-Family Therapy, Cognitive Behavioural Therapy, Adolescent Focused Psychotherapy, adjunctive Yoga and atypical antipsychotics were confirmed.Conclusions:Several gaps for future work were identified including enhanced research efforts on new primary and adjunctive treatments in order to address severe eating disorders and complex co-morbidities.? The Author(s). 2020.
机译:目的:饮食障碍是常见和严重的条件,影响到4%的人口。死亡率很高。尽管儿童和青少年饮食障碍的严重性和患病率,但没有加拿大实践指导方针以促进治疗决策。这将留下临床医生,没有任何指导,以及他们应该使用的任何治疗。我们的目标是制作这样的指导。方法:使用系统审查,建议评估,发展和评估(等级)制度,以及来自全国各地的多元化利益攸关方小组的大会,我们开发了高质量的治疗指南这一点专注于儿童和青少年的干预患者饮食失调。结果:特别支持强烈的建议,专门支持基于家庭的待遇,更普遍在最不密集的治疗方面?环境。有利于多家庭治疗,认知行为治疗,青少年重点性心理治疗,辅助瑜伽和非典型抗精神病药的弱建议。结论:确定了几个工作差距,包括提高新的主要和辅助治疗的研究努力,以解决严重的吃疾病和复杂的共同生命。?作者。 2020。

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