العلاج الخارجي من الدرجة الأولى لفقدان الشهية العصبي

References

DOI: 10.1097/YCO.0000000000000360

• All guidelines which provided information on the treatment setting (n = 7) consistently recommended outpatient treatment as a first-line therapy setting for patients with AN.
• Although the extent to which information on artificial feeding was given differed among guidelines (e.g., concerning refeeding practice, duration, or indication), guidelines consistently favored oral enteral nutrition over parenteral nutrition which should only be used as a last option.
• All seven guidelines recommended family-based therapy, particularly for younger patients.
• For individual psychotherapy, most guidelines recommended cognitive-behavioral therapy (n = 6) which intervenes at the symptom level and centers on the modification of dysfunctional behaviors and cognitions that maintain the disorder.
• Two guidelines made the general recommendation that medication should not be used as the sole or primary treatment for patients with AN (Spain, the United Kingdom) or that there is no specific medication to treat AN (France).
• Weight gain per week in inpatient and outpatient settings, mostly ranging between 0.5–1.5 and 0.2–0.5 kg, respectively.