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Review
. 2022 Dec 7;10(12):3167.
doi: 10.3390/biomedicines10123167.

Antipsychotics in the Treatment of Children and Adolescents with Anorexia Nervosa: A Systematic Review

Affiliations
Review

Antipsychotics in the Treatment of Children and Adolescents with Anorexia Nervosa: A Systematic Review

Jacopo Pruccoli et al. Biomedicines. .

Abstract

Evidence about the use of pharmacologic agents in the treatment of Anorexia Nervosa (AN) is lacking, especially in childhood and adolescence. A systematic scoping review was conducted to outline current literature evidence about the use of antipsychotics in this population. A total of 499 studies were identified with the initial search, and 28 of these studies were selected regarding the use of olanzapine (n = 13), risperidone (n = 4), aripiprazole (n = 3), chlorpromazine (n = 3), pimozide (n = 1) clotiapine (n = 1) and multiple antipsychotics (n = 3) in these patients. Overall, major side effects were reported infrequently; improvements in psychopathology and weight measures have been suggested in the majority of the considered studies. Nonetheless, the lack of RCT or good-quality studies strongly limits the generalizability of results in clinical practice.

Keywords: anorexia nervosa; antipsychotics; children and adolescents; feeding and eating disorders.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
PRISMA diagram.

References

    1. American Psychiatric Association . In: Diagnostic and Statistical Manual of Mental Disorders: DMS-5. 5th ed. Cortina R., editor. American Psychiatric Association; Arlington, VA, USA: 2013.
    1. van Eeden A.E., van Hoeken D., Hoek H.W. Incidence, prevalence and mortality of anorexia nervosa and bulimia nervosa. Curr. Opin. Psychiatry. 2021;34:515–524. doi: 10.1097/YCO.0000000000000739. - DOI - PMC - PubMed
    1. Nechita D.M., Bud S., David D. Shame and eating disorders symptoms: A meta-analysis. Int. J. Eat Disord. 2021;54:1899–1945. doi: 10.1002/eat.23583. - DOI - PubMed
    1. Chung A., Vieira D., Donley T., Tan N., Jean-Louis G., Gouley K.K., Seixas A. Adolescent Peer Influence on Eating Behaviors via Social Media: Scoping Review. J. Med. Internet Res. 2021;23:e19697. doi: 10.2196/19697. - DOI - PMC - PubMed
    1. Pruccoli J., De Rosa M., Chiasso L., Perrone A., Parmeggiani A. The use of TikTok among children and adolescents with Eating Disorders: Experience in a third-level public Italian center during the SARS-CoV-2 pandemic. Ital. J. Pediatr. 2022;48:138. doi: 10.1186/s13052-022-01308-4. - DOI - PMC - PubMed

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