TY - JOUR
T1 - ESCAP Expert Paper
T2 - New developments in the diagnosis and treatment of adolescent anorexia nervosa—a European perspective
AU - Herpertz-Dahlmann, Beate
AU - van Elburg, Annemarie
AU - Castro-Fornieles, Josefina
AU - Schmidt, Ulrike
PY - 2015/7/31
Y1 - 2015/7/31
N2 - Anorexia nervosa is a potentially life-threatening disorder with a typical onset in adolescence and high rates of medical complications and psychiatric comorbidity. This article summarizes issues relating to classification in DSM-5 and presents a narrative review of key evidence-based medical and behavioral interventions for adolescent AN and subthreshold restricting eating disorders, mainly, but not exclusively published between 2012 and 2014. In addition, it systematically compares the clinical guidelines of four European countries (Germany, Spain, The Netherlands, and United Kingdom) and outlines common clinical practice, in relation to treatment settings, nutritional rehabilitation, family-oriented and individual psychotherapy, and psychopharmacological treatment. With the exception of family-based treatment, which is mainly evaluated and practiced in Anglo-American countries, the evidence base is weak, especially for medical interventions such as refeeding and pharmacological intervention. There is a need for common European research efforts, to improve the available evidence base and resulting clinical guidance.
AB - Anorexia nervosa is a potentially life-threatening disorder with a typical onset in adolescence and high rates of medical complications and psychiatric comorbidity. This article summarizes issues relating to classification in DSM-5 and presents a narrative review of key evidence-based medical and behavioral interventions for adolescent AN and subthreshold restricting eating disorders, mainly, but not exclusively published between 2012 and 2014. In addition, it systematically compares the clinical guidelines of four European countries (Germany, Spain, The Netherlands, and United Kingdom) and outlines common clinical practice, in relation to treatment settings, nutritional rehabilitation, family-oriented and individual psychotherapy, and psychopharmacological treatment. With the exception of family-based treatment, which is mainly evaluated and practiced in Anglo-American countries, the evidence base is weak, especially for medical interventions such as refeeding and pharmacological intervention. There is a need for common European research efforts, to improve the available evidence base and resulting clinical guidance.
KW - Adolescence
KW - Anorexia nervosa
KW - European guidelines
KW - Review
KW - Treatment
UR - http://www.scopus.com/inward/record.url?scp=84943201290&partnerID=8YFLogxK
U2 - 10.1007/s00787-015-0748-7
DO - 10.1007/s00787-015-0748-7
M3 - Literature review
AN - SCOPUS:84943201290
SN - 1018-8827
VL - 24
SP - 1153
EP - 1167
JO - European child & adolescent psychiatry
JF - European child & adolescent psychiatry
IS - 10
ER -
