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Anorexia Nervosa. Treatment Review.

Published online by Cambridge University Press:  15 April 2020

M. Reche
Affiliation:
Unidad de Gestion Clinica de Salud Mental, Hospital Regional Universitario Carlos Haya, Malaga, Spain
D. Ivars
Affiliation:
Unidad de Salud Mental, Complejo Universitario deAlbacete, Albacete, Spain

Abstract

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Introduction

Anorexia nervosa (AN) is a complex and severe psychiatricdisorder. Currently, treatment has limited effecttiveness.

Method

Articles in Pubmed and TripDatabase, using 'anorexia nervosaand therapeutics'. Also activated filters: publication date from2013/09/01 to 2014/09/31.

Objetive

The update of the lastest publications on treatment of anorexia nervosa.

Results

We select six studies (two reviews and five clinical trial)because of the topic relation and the high leve of evidence.

One review is about Neuromodulation effects and the other aboutDeep-brain stimulation on AN. Two of the clinical trials are about psycotherapyand two about pharmacological treatment.

Conclusion

Psycotherapy is the treatment of choice, although in that momentwe can found studies about alternative treatment for specific cases.

Neuromodulation tools havepotencial for reducing eating disorderssymtomatology and realted behaviours. Preliminary results about Deep-brainstimulation showed that may be is a option for weight restoration inotherwise-refractory and life-threatening cases. Both reviews required morereserch to evaluated the long-term outcomes in eating disorders.

Focal Psychodynamic therapy proved advantages in terms of recovery at 12-month follow up, and enhanced Cognitivebehaviour therapy was more effective with respect to speed of weighgain and improvements in eating disorders psychppathology.

Cognitive Remediation therapy study confirms the feasibility for anorexia nervosa.

Relative to pharmacological treatment, Dronabinol insevere AN induce a smal but signoficant weight gain. And Lamotrigina studyshow that maybe is useful in patients who binge eat and purge.

Type
Article: 1355
Copyright
Copyright © European Psychiatric Association 2015
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