Anorexia nervosa in adults: The urgent need for novel outpatient treatments that work
- PMID: 27267511
- PMCID: PMC4902162
- DOI: 10.1037/pst0000057
Anorexia nervosa in adults: The urgent need for novel outpatient treatments that work
Abstract
Anorexia nervosa (AN) is a serious psychiatric disorder that often follows a protracted course, and continues to confound those who attempt treatment once the patient has reached adulthood. Several randomized clinical trials for adults with AN have tested well-known therapies such as cognitive behavior therapy, supportive psychotherapies, or focal psychodynamic therapy, all of which have delivered frustratingly few helpful treatment strategies. Perhaps a different path could be pursued where we do not aim to cure all patients with 1 or 2 of these well-trodden therapies. Instead, a more targeted alternative, testing several novel approaches, could collectively reach a larger cohort of patients suffering from AN, the most lethal of all psychiatric disorders. (PsycINFO Database Record
(c) 2016 APA, all rights reserved).
Comment on
-
Eating disorders and antecedent anxiety disorders: a controlled study.Acta Psychiatr Scand. 1997 Aug;96(2):101-7. doi: 10.1111/j.1600-0447.1997.tb09913.x. Acta Psychiatr Scand. 1997. PMID: 9272193
-
Cognitive remediation therapy for patients with anorexia nervosa: preliminary findings.Ann Gen Psychiatry. 2007 Jun 5;6:14. doi: 10.1186/1744-859X-6-14. Ann Gen Psychiatry. 2007. PMID: 17550611 Free PMC article.
-
Uniting Couples (in the treatment of) Anorexia Nervosa (UCAN).Int J Eat Disord. 2011 Jan;44(1):19-28. doi: 10.1002/eat.20790. Int J Eat Disord. 2011. PMID: 20063308 Free PMC article.
References
-
- Bulik C, Sullivan P, Fear J, Joyce P. Eating disorders and antecedent anxiety disorders: a controlled study. Acta Psychiatrica Scandinavica. 1997;96:101–107. - PubMed
-
- Halmi KA, Agras WS, Crow S, Mitchell J, Wilson GT, Bryson SW, Kraemer HC. Predictors of treatment acceptance and completion in anorexia nervosa: implications for future study designs. Archives of General Psychiatry. 2005;62:776–781. - PubMed
-
- Le Grange D, Crosby RD, Rathouz PJ, Leventhal BL. A randomized controlled comparison of family-based treatment and supportive psychotherapy for adolescent bulimia nervosa. Archives of General Psychiatry. 2007;64:1049–1056. - PubMed