Treatment of eating disorders in children and adolescents.
Treatment of eating disorders in children and adolescents.
复制标题
儿童和青少年饮食失调的治疗。
DOI：
10.1016/s0272-7358(98)00013-0
复制
发表时间：
1998
期刊：
影响因子：
--
通讯作者：
Dennis,AB
中科院分区：
文献类型：
--
作者：
Robin,AL;Gilroy,M;Dennis,AB
神经性厌食症和神经性贪食症在儿童和青少年中的表现与成人不同。因此，诊断程序和多学科治疗需要根据患有饮食失调的儿童和青少年独特的发育、医疗、营养和心理需求进行定制。本文回顾了当前的研究，概述了儿童、青少年和成人饮食失调之间的差异。然后回顾了关于住院治疗、部分住院治疗、个体动态治疗、认知行为治疗、人际关系治疗、家庭治疗以及治疗儿童和青少年神经性厌食症、神经性贪食症和相关饮食失调的药物治疗的有效性的研究。针对饮食失调的儿童和青少年患者，我们提出了具体建议，遵循阶梯式护理、决策树干预模式，考虑干预措施的有效性、成本和侵入性。
Anorexia nervosa and bulimia nervosa are expressed differently in children and adolescents than in adults. Consequently, diagnostic procedures and multidisciplinary treatments need to be tailored to the unique developmental, medical, nutritional, and psychological needs of children and adolescents with eating disorders. This paper reviews current research outlining the differences between child, adolescent, and adult eating disorders. Research is then reviewed concerning the effectiveness of hospitalization, partial hospitalization, individual dynamic therapy, cognitive-behavioral therapy, interpersonal therapy, family therapy, and medication for treating anorexia nervosa, bulimia nervosa, and related eating disorders in children and adolescents. Specific recommendations are made for practitioners to tailor these treatments to their eating-disordered child and adolescent patients, following a stepped-care, decision-tree model of intervention that takes into account the effectiveness, cost, and intrusiveness of the interventions.