General aspects of the assessment and treatment of eating disorders

Detalhes bibliográficos
Autor(a) principal: Pedrosa, Maria Amália Accari
Data de Publicação: 2019
Outros Autores: Nunes, Fernanda Trombini, Menescal, Lívia Lopes, Rodrigues, Camila Herculano Soares, Appolinario, Jose Carlos
Tipo de documento: Artigo
Idioma: por
Título da fonte: Debates em Psiquiatria (Online)
Texto Completo: https://revistardp.org.br/revista/article/view/50
Resumo: Eating disorders are psychiatric conditions that present with intense psychological distress and severalclinical complications. The evaluation of patients with eating disorders usually requires a thorough history, detailed physical and psychiatric examination and complementary exams. This evaluation aims to establish a nosological diagnosis of the eating disorder and comorbidities and to stratify clinical and psychiatric risk, subsequently enabling therapeutic planning. Following this initial assessment, depending on case severity, the clinician will determine the recommended level of treatment, which may vary from hospitalization to regular outpatient treatment. Other decisions, such as the method of nutritional provision, initial calorie intake, and recovery goals, should also be previously defined. In this article we summarize some aspects related to assessment, comorbidities and general treatment instructions based on three international guidelines for the management and treatment of eating disorders, namely, two British guidelines, one from the National Institute for Health and Care Excellence (NICE) and the Management of Really Sick Patients with Anorexia Nervosa (MARSIPAN), and one Australian, prepared by the Royal Australian and New Zealand College of Psychiatrists (RANZ-CP).
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spelling General aspects of the assessment and treatment of eating disordersAspectos gerais da avaliação e tratamento dos transtornos alimentaresTratamentoanorexia nervosaavaliaçãotranstornos alimentaresTreatmentanorexia nervosaassessmenteating disordersEating disorders are psychiatric conditions that present with intense psychological distress and severalclinical complications. The evaluation of patients with eating disorders usually requires a thorough history, detailed physical and psychiatric examination and complementary exams. This evaluation aims to establish a nosological diagnosis of the eating disorder and comorbidities and to stratify clinical and psychiatric risk, subsequently enabling therapeutic planning. Following this initial assessment, depending on case severity, the clinician will determine the recommended level of treatment, which may vary from hospitalization to regular outpatient treatment. Other decisions, such as the method of nutritional provision, initial calorie intake, and recovery goals, should also be previously defined. In this article we summarize some aspects related to assessment, comorbidities and general treatment instructions based on three international guidelines for the management and treatment of eating disorders, namely, two British guidelines, one from the National Institute for Health and Care Excellence (NICE) and the Management of Really Sick Patients with Anorexia Nervosa (MARSIPAN), and one Australian, prepared by the Royal Australian and New Zealand College of Psychiatrists (RANZ-CP).Os transtornos alimentares são quadros psiquiátricos que cursam com intenso sofrimento psíquico e diversas complicações clínicas. A avaliação de pacientes com transtornos alimentares costuma exigir uma anamnese minuciosa, exame físico e psíquico detalhado e exames complementares. Nessa avaliação, objetiva-se estabelecer um diagnóstico nosológico do transtorno alimentar e das comorbidades, uma estratificação do risco clínico e psiquiátrico, para então estabelecer um planejamento terapêutico. Após essa avaliação inicial, de acordo com a gravidade do caso, o clínico deve decidir o nível de tratamento recomendado, que pode ser desde a hospitalização até o atendimento ambulatorial regular. Outras decisões, como a via de realimentação, o valor calórico planejado para a realimentação e as metas de recuperação, também devem ser pré-definidas. Sumarizamos, neste artigo, alguns aspectos relacionados à avaliação, comorbidades e orientações gerais de tratamento a partir de três diretrizes internacionais de manejo e tratamento de transtornos alimentares, a saber: duas  britânicas, a guideline de transtornos alimentares do National Institute for Health and Care Excellence (NICE) e o Management of Really Sick Patients with Anorexia Nervosa (MARSIPAN); e uma australiana, elaborada pelo Royal Australian and New Zealand College of Psychiatrists (RANZ-CP).Associação Brasileira de Psiquiatria2019-09-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionPeer-ReviewedRevisado por ParesAvaliado Pelos Paresapplication/pdfhttps://revistardp.org.br/revista/article/view/5010.25118/2763-9037.2019.v9.50Debates in Psychiatry; Vol. 9 No. 3 (2019): Transtornos Alimentares; 14-23Debates em Psiquiatria; Vol. 9 Núm. 3 (2019): Transtornos Alimentares; 14-23Debates em Psiquiatria; v. 9 n. 3 (2019): Transtornos Alimentares; 14-232763-90372236-918Xreponame:Debates em Psiquiatria (Online)instname:Associação Brasileira de Psiquiatria (ABP)instacron:ABPporhttps://revistardp.org.br/revista/article/view/50/37https://creativecommons.org/licenses/by-nc/4.0info:eu-repo/semantics/openAccessPedrosa, Maria Amália AccariNunes, Fernanda TrombiniMenescal, Lívia LopesRodrigues, Camila Herculano SoaresAppolinario, Jose Carlos2022-05-07T02:00:13Zoai:ojs.emnuvens.com.br:article/50Revistahttps://revistardp.org.br/revista/oaiPUBhttps://revistardp.org.br/revista/oairdp@abp.org.br2763-90372236-918Xopendoar:2022-05-07T02:00:13Debates em Psiquiatria (Online) - Associação Brasileira de Psiquiatria (ABP)false
dc.title.none.fl_str_mv General aspects of the assessment and treatment of eating disorders
Aspectos gerais da avaliação e tratamento dos transtornos alimentares
title General aspects of the assessment and treatment of eating disorders
spellingShingle General aspects of the assessment and treatment of eating disorders
Pedrosa, Maria Amália Accari
Tratamento
anorexia nervosa
avaliação
transtornos alimentares
Treatment
anorexia nervosa
assessment
eating disorders
title_short General aspects of the assessment and treatment of eating disorders
title_full General aspects of the assessment and treatment of eating disorders
title_fullStr General aspects of the assessment and treatment of eating disorders
title_full_unstemmed General aspects of the assessment and treatment of eating disorders
title_sort General aspects of the assessment and treatment of eating disorders
author Pedrosa, Maria Amália Accari
author_facet Pedrosa, Maria Amália Accari
Nunes, Fernanda Trombini
Menescal, Lívia Lopes
Rodrigues, Camila Herculano Soares
Appolinario, Jose Carlos
author_role author
author2 Nunes, Fernanda Trombini
Menescal, Lívia Lopes
Rodrigues, Camila Herculano Soares
Appolinario, Jose Carlos
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Pedrosa, Maria Amália Accari
Nunes, Fernanda Trombini
Menescal, Lívia Lopes
Rodrigues, Camila Herculano Soares
Appolinario, Jose Carlos
dc.subject.por.fl_str_mv Tratamento
anorexia nervosa
avaliação
transtornos alimentares
Treatment
anorexia nervosa
assessment
eating disorders
topic Tratamento
anorexia nervosa
avaliação
transtornos alimentares
Treatment
anorexia nervosa
assessment
eating disorders
description Eating disorders are psychiatric conditions that present with intense psychological distress and severalclinical complications. The evaluation of patients with eating disorders usually requires a thorough history, detailed physical and psychiatric examination and complementary exams. This evaluation aims to establish a nosological diagnosis of the eating disorder and comorbidities and to stratify clinical and psychiatric risk, subsequently enabling therapeutic planning. Following this initial assessment, depending on case severity, the clinician will determine the recommended level of treatment, which may vary from hospitalization to regular outpatient treatment. Other decisions, such as the method of nutritional provision, initial calorie intake, and recovery goals, should also be previously defined. In this article we summarize some aspects related to assessment, comorbidities and general treatment instructions based on three international guidelines for the management and treatment of eating disorders, namely, two British guidelines, one from the National Institute for Health and Care Excellence (NICE) and the Management of Really Sick Patients with Anorexia Nervosa (MARSIPAN), and one Australian, prepared by the Royal Australian and New Zealand College of Psychiatrists (RANZ-CP).
publishDate 2019
dc.date.none.fl_str_mv 2019-09-30
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-Reviewed
Revisado por Pares
Avaliado Pelos Pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://revistardp.org.br/revista/article/view/50
10.25118/2763-9037.2019.v9.50
url https://revistardp.org.br/revista/article/view/50
identifier_str_mv 10.25118/2763-9037.2019.v9.50
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://revistardp.org.br/revista/article/view/50/37
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by-nc/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Associação Brasileira de Psiquiatria
publisher.none.fl_str_mv Associação Brasileira de Psiquiatria
dc.source.none.fl_str_mv Debates in Psychiatry; Vol. 9 No. 3 (2019): Transtornos Alimentares; 14-23
Debates em Psiquiatria; Vol. 9 Núm. 3 (2019): Transtornos Alimentares; 14-23
Debates em Psiquiatria; v. 9 n. 3 (2019): Transtornos Alimentares; 14-23
2763-9037
2236-918X
reponame:Debates em Psiquiatria (Online)
instname:Associação Brasileira de Psiquiatria (ABP)
instacron:ABP
instname_str Associação Brasileira de Psiquiatria (ABP)
instacron_str ABP
institution ABP
reponame_str Debates em Psiquiatria (Online)
collection Debates em Psiquiatria (Online)
repository.name.fl_str_mv Debates em Psiquiatria (Online) - Associação Brasileira de Psiquiatria (ABP)
repository.mail.fl_str_mv rdp@abp.org.br
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