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Case Reports
. 2023 Apr 28;2(2):e89.
doi: 10.1002/pcn5.89. eCollection 2023 Jun.

Adoption of inpatient family-based treatment for anorexia nervosa: A case report

Sayaka Nishiura  1 , Dai Miyawaki  1   2 , Ayako Goto  1 , Hirai Kaoru  3 , Shoko Sakamoto  1 , Hiroki Hama  1 , Shin Kadono  1 , Koki Inoue  1
Affiliations
Case Reports

Adoption of inpatient family-based treatment for anorexia nervosa: A case report

Sayaka Nishiura et al. PCN Rep. .

Abstract

Background: Family-based treatment (FBT) is effective for the treatment of anorexia nervosa (AN) in children and adolescents. However, its availability in Japan is limited because it requires adherence to specific guidelines, commitment of sufficient time for frequent outpatient treatment, as well as the entire family's participation. We present a case of a patient with AN who was treated with modified FBT during hospitalization.

Case presentation: Our patient was a 14-year-old girl with AN. She was hospitalized for malnutrition and dehydration, and was introduced to FBT during this period. After discharge, she continued FBT on an outpatient basis and was in remission 1 year later.

Conclusion: This case shows that initiation of FBT during hospitalization may be useful in patients with physically severe AN. Flexible adaptation to each of the diverse healthcare systems and cultural differences may be necessary for the widespread use of FBT.

Keywords: anorexia nervosa; eating disorder; family‐based treatment; inpatient treatment; psychotherapy.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
The patient's weight and Eating Disorder Inventory‐2 (EDI‐2) scores.
See this image and copyright information in PMC

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