Early intervention in anorexia nervosa.

نویسنده

  • Gethin Morgan
چکیده

It is indeed rewarding to see that Treasure & Russell, in their editorial on early intervention in anorexia nervosa, offer much in support of it. Over many years our therapeutic approach in Bristol placed great emphasis on getting patients into treatment as soon as possible after the onset of anorexia. This was supported by evidence from a study which compared outcome in Bristol with two other treatment centres. In line with this we emphasised the importance of developing local, easily accessible treatment facilities. Given their welcome support for close involvement of relatives in the treatment process, Treasure & Russell might well have also included family processes along with the several brain mechanisms that they evaluate as possible reasons why early intervention may be important. If the illness continues for any length of time, such factors as loss of heart by relatives and increased blame for failure to respond to help can lead to the progressive alienation of the relative with anorexia and impairment of the family’s ability to contribute constructively to treatment. Although negative attitudes have long been recognised, they remain a serious obstacle to the development of effective treatments of anorexia nervosa. Surely further research is still required into understanding them more fully as well as into their prevention and management, especially when the illness is at risk of becoming chronic.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Cancer and Anorexia Nervosa in the Adolescence: A Family-Based Systemic Intervention

Objective. Anorexia nervosa is difficult to diagnose in cancer patients since weight loss, aversion for food, and eating disturbances are frequent in patients undergoing chemotherapy and radiotherapy. Nevertheless, efforts are mandatory to recognize and manage this condition which may occur also in cancer patients with a special regard to adolescents. Methods. Through the clinical history of An...

متن کامل

Unusual Presentation of Uncommon Disease: Anorexia Nervosa Presenting as Wernicke-Korsakoff Syndrome—A Case Report from Southeast Asia

Anorexia nervosa presenting as Wernicke-Korsakoff syndrome is rare. The causes of Wernicke-Korsakoff syndrome are multiple like alcohol abuse, thyrotoxicosis, haemodialysis, severe malnutrition because of gastric carcinoma and pyloric obstruction, hyperemesis gravidarum, and prolonged parenteral feeding. We report a case of anorexia nervosa, who presented with Wernicke's encephalopathy and prog...

متن کامل

Early identification and treatment of eating disorders: prodrome to syndrome.

The onset of eating disorder psychopathology is most common in the adolescent age group. Acute psychopathology or subsyndromal eating disorders are perhaps less intractable in these young patients. Subsyndromal eating disorders in children and adolescents are not only clinically significant in their present state, but may represent legitimate candidates for preventive efforts in light of: (i) a...

متن کامل

Inpatient treatment has no impact on the core thoughts and perceptions in adolescents with anorexia nervosa.

AIM Examine changes in core perceptions and thoughts during the weight restoration phase of inpatient treatment for adolescents with anorexia nervosa. METHOD Forty-four adolescents with anorexia nervosa consecutively admitted (2009-2012) to an inpatient paediatric-psychiatric unit specializing in eating disorders. The programme consisted of a complete inpatient intervention combining weight r...

متن کامل

Early pretend play: a novel approach to understanding the development of anorexia nervosa

Similarities between anorexia nervosa (AN) and autism spectrum disorders (ASD) such as poor cognitive flexibility, difficulties with set shifting, and impaired interpersonal functioning and social interactions have been identified in the literature. Evidence concerning persons with ASD established that these characteristics can be linked to poor pretend play in childhood and that improved prete...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:
  • The British journal of psychiatry : the journal of mental science

دوره 199 5  شماره 

صفحات  -

تاریخ انتشار 2011