Evidence-based psychotherapy for treatment of anorexia nervosa in children and adolescents: systematic review
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Archives of Clinical Psychiatry |
Texto Completo: | https://www.revistas.usp.br/acp/article/view/148061 |
Resumo: | Background: Efficacy studies on the treatment of anorexia nervosa (AN) in childhood and adolescence are scarce and systematic reviews are almost non-existent. Objective: Systematic review of the literature regarding the modalities of psychological intervention based on evidence used in the treatment of AN in childhood and adolescence. Methods: The research was carried out in the databases: PubMed, PsycINFO and Cochrane, using the combined keywords: anorexia nervosa and evidence-based therapy. Articles published between 1990 and 2015 were assessed. Results: Of the 139 eligible articles, 14 were selected, of which 10 (71.4%) were conducted in the United States and England. The sample ranged from 9 to 167 participants. Randomized Clinical Trial represented the most frequent design (n = 9; 63.4%), with more than half of the interventions structured in 20 or more sessions (n = 9, 64.3%). Nine types of treatments were tested, with the most tested being Family-Based Treatment (FBT) (n = 7; 50%). Interventions involving the family seem to be more effective, however, the rates for complete remission are modest. Discussion: Although evidence of efficacy was verified in the treatments analyzed, the limited number of studies, the various methodological limitations and the methodological heterogeneity between studies make the findings inconclusive. |
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Archives of Clinical Psychiatry |
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Evidence-based psychotherapy for treatment of anorexia nervosa in children and adolescents: systematic reviewAnorexia nervosatreatmentadolescencesystematic reviewevidence-based psychotherapy Background: Efficacy studies on the treatment of anorexia nervosa (AN) in childhood and adolescence are scarce and systematic reviews are almost non-existent. Objective: Systematic review of the literature regarding the modalities of psychological intervention based on evidence used in the treatment of AN in childhood and adolescence. Methods: The research was carried out in the databases: PubMed, PsycINFO and Cochrane, using the combined keywords: anorexia nervosa and evidence-based therapy. Articles published between 1990 and 2015 were assessed. Results: Of the 139 eligible articles, 14 were selected, of which 10 (71.4%) were conducted in the United States and England. The sample ranged from 9 to 167 participants. Randomized Clinical Trial represented the most frequent design (n = 9; 63.4%), with more than half of the interventions structured in 20 or more sessions (n = 9, 64.3%). Nine types of treatments were tested, with the most tested being Family-Based Treatment (FBT) (n = 7; 50%). Interventions involving the family seem to be more effective, however, the rates for complete remission are modest. Discussion: Although evidence of efficacy was verified in the treatments analyzed, the limited number of studies, the various methodological limitations and the methodological heterogeneity between studies make the findings inconclusive.Universidade de São Paulo. Faculdade de Medicina. Instituto de Psiquiatria2018-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/acp/article/view/14806110.1590/0101-60830000000154Archives of Clinical Psychiatry; v. 45 n. 2 (2018); 41-48Archives of Clinical Psychiatry; Vol. 45 No. 2 (2018); 41-48Revista de Psiquiatria Clínica; Vol. 45 Núm. 2 (2018); 41-481806-938X0101-6083reponame:Archives of Clinical Psychiatryinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/acp/article/view/148061/141636Copyright (c) 2018 Archives of Clinical Psychiatryinfo:eu-repo/semantics/openAccessAlckmin-Carvalho, FelipeVega, Juliana BergamoCobelo, Alicia WeiszFabbri, Alessandra DonzelliPinzon, Vanessa DentzienMelo, Márcia Helena da Silva2018-07-12T13:43:42Zoai:revistas.usp.br:article/148061Revistahttp://www.hcnet.usp.br/ipq/revista/index.htmlPUBhttps://old.scielo.br/oai/scielo-oai.php||archives@usp.br1806-938X0101-6083opendoar:2018-07-12T13:43:42Archives of Clinical Psychiatry - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Evidence-based psychotherapy for treatment of anorexia nervosa in children and adolescents: systematic review |
title |
Evidence-based psychotherapy for treatment of anorexia nervosa in children and adolescents: systematic review |
spellingShingle |
Evidence-based psychotherapy for treatment of anorexia nervosa in children and adolescents: systematic review Alckmin-Carvalho, Felipe Anorexia nervosa treatment adolescence systematic review evidence-based psychotherapy |
title_short |
Evidence-based psychotherapy for treatment of anorexia nervosa in children and adolescents: systematic review |
title_full |
Evidence-based psychotherapy for treatment of anorexia nervosa in children and adolescents: systematic review |
title_fullStr |
Evidence-based psychotherapy for treatment of anorexia nervosa in children and adolescents: systematic review |
title_full_unstemmed |
Evidence-based psychotherapy for treatment of anorexia nervosa in children and adolescents: systematic review |
title_sort |
Evidence-based psychotherapy for treatment of anorexia nervosa in children and adolescents: systematic review |
author |
Alckmin-Carvalho, Felipe |
author_facet |
Alckmin-Carvalho, Felipe Vega, Juliana Bergamo Cobelo, Alicia Weisz Fabbri, Alessandra Donzelli Pinzon, Vanessa Dentzien Melo, Márcia Helena da Silva |
author_role |
author |
author2 |
Vega, Juliana Bergamo Cobelo, Alicia Weisz Fabbri, Alessandra Donzelli Pinzon, Vanessa Dentzien Melo, Márcia Helena da Silva |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Alckmin-Carvalho, Felipe Vega, Juliana Bergamo Cobelo, Alicia Weisz Fabbri, Alessandra Donzelli Pinzon, Vanessa Dentzien Melo, Márcia Helena da Silva |
dc.subject.por.fl_str_mv |
Anorexia nervosa treatment adolescence systematic review evidence-based psychotherapy |
topic |
Anorexia nervosa treatment adolescence systematic review evidence-based psychotherapy |
description |
Background: Efficacy studies on the treatment of anorexia nervosa (AN) in childhood and adolescence are scarce and systematic reviews are almost non-existent. Objective: Systematic review of the literature regarding the modalities of psychological intervention based on evidence used in the treatment of AN in childhood and adolescence. Methods: The research was carried out in the databases: PubMed, PsycINFO and Cochrane, using the combined keywords: anorexia nervosa and evidence-based therapy. Articles published between 1990 and 2015 were assessed. Results: Of the 139 eligible articles, 14 were selected, of which 10 (71.4%) were conducted in the United States and England. The sample ranged from 9 to 167 participants. Randomized Clinical Trial represented the most frequent design (n = 9; 63.4%), with more than half of the interventions structured in 20 or more sessions (n = 9, 64.3%). Nine types of treatments were tested, with the most tested being Family-Based Treatment (FBT) (n = 7; 50%). Interventions involving the family seem to be more effective, however, the rates for complete remission are modest. Discussion: Although evidence of efficacy was verified in the treatments analyzed, the limited number of studies, the various methodological limitations and the methodological heterogeneity between studies make the findings inconclusive. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-04-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/acp/article/view/148061 10.1590/0101-60830000000154 |
url |
https://www.revistas.usp.br/acp/article/view/148061 |
identifier_str_mv |
10.1590/0101-60830000000154 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/acp/article/view/148061/141636 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2018 Archives of Clinical Psychiatry info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2018 Archives of Clinical Psychiatry |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Medicina. Instituto de Psiquiatria |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Medicina. Instituto de Psiquiatria |
dc.source.none.fl_str_mv |
Archives of Clinical Psychiatry; v. 45 n. 2 (2018); 41-48 Archives of Clinical Psychiatry; Vol. 45 No. 2 (2018); 41-48 Revista de Psiquiatria Clínica; Vol. 45 Núm. 2 (2018); 41-48 1806-938X 0101-6083 reponame:Archives of Clinical Psychiatry instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Archives of Clinical Psychiatry |
collection |
Archives of Clinical Psychiatry |
repository.name.fl_str_mv |
Archives of Clinical Psychiatry - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||archives@usp.br |
_version_ |
1800237624182439936 |