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首页> 外文期刊>Journal of the American Academy of Child and Adolescent Psychiatry >Manualized family-based treatment for anorexia nervosa: a case series.
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Manualized family-based treatment for anorexia nervosa: a case series.

机译:基于家庭的手动治疗神经性厌食症:一个病例系列。

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OBJECTIVE:: The purpose of this study was to describe a case series of children and adolescents (mean age = 14.5 years, SD = 2.3; range 9-18) with anorexia nervosa who received manualized family-based treatment for their eating disorder. METHOD:: Forty-five patients with anorexia nervosa were compared pre- and post-treatment on weight and menstrual status. RESULTS:: After an average of 17 treatment sessions, patients were significantly improved on primary measures of outcome (body mass index and percentage of ideal body weight). Defining outcome categorically (Morgan-Russell outcome criteria), 56% (n = 25) had a good outcome (>85% ideal body weight and menses), 33% (n = 15) an intermediate outcome (>85% IBW and menses intermittent), and 11% (n = 5) responded poorly (<85% ideal body weight and no menses). CONCLUSIONS:: Findings provide preliminary support for the feasibility of an outpatient approach with active parental involvement in the treatment of children and adolescents with anorexia nervosa. However, randomized, controlled studies are needed to establish the relative efficacy of this family-based treatment approach.
机译:目的:本研究的目的是描述一系列神经性厌食症的儿童和青少年(平均年龄= 14.5岁,SD = 2.3;范围9-18),他们因饮食失调而接受了家庭式手工治疗。方法:比较了45例神经性厌食症患者治疗前后体重和月经状况。结果:在平均17次治疗后,患者的主要结局指标(体重指数和理想体重百分比)显着改善。明确定义结局(Morgan-Russell结局标准),有56%(n = 25)有良好的结局(> 85%理想体重和月经),有33%(n = 15)有中等结局(> 85%IBW和月经间歇性)和11%(n = 5)的反应较差(<85%理想体重且没有月经)。结论:研究结果为积极的父母参与门诊治疗神经性厌食症儿童和青少年提供了初步的支持。但是,需要进行随机对照研究来确定这种基于家庭的治疗方法的相对疗效。

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