Adolescent Anorexia Nervosa: Disentangling Inpatient Therapeutic Interventions

IF 3.4 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review Pub Date : 2025-04-08 DOI:10.1002/erv.3198

Amit Goldstein, Ofer Hugeri, Orly Lavan, Adi Rotenberg, Silvana Fennig

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引用次数: 0

Abstract

Objective

Anorexia Nervosa (AN) is a complex eating disorder that presents significant challenges in adolescent treatment. This study examined the impact of targeted therapeutic interventions on weight trajectories and patient engagement among female adolescents receiving inpatient treatment.

Methods

A sample of 42 female adolescents (aged 12–18) undergoing inpatient treatment for AN was studied. The study investigated weight gain patterns in response to six specific therapeutic interventions and analysed the relationship between intervention strategies and patient weight progression.

Results

Significant variations in weight gain were observed across different therapeutic interventions. Interventions involving treatment contract renewal, conversations with a senior clinician, and treatment pauses demonstrated notable impacts on patient weight trajectories. Particularly intriguing were instances in which potential treatment termination triggered substantial weight gain within the following week, suggesting complex psychological mechanisms underlying patient motivation.

Conclusion

The study provides critical insights into the nuanced dynamics of inpatient AN treatment for adolescents. The findings emphasize the importance of individualized, motivational therapeutic strategies that go beyond traditional weight-focused interventions. While acknowledging limitations such as a small sample size, this study offers preliminary evidence supporting the development of phase-specific treatment protocols to optimize patient outcomes and therapeutic engagement.

查看原文本刊更多论文

青少年神经性厌食症：解开住院治疗干预。

目的：神经性厌食症（AN）是一种复杂的进食障碍，给青少年治疗带来了巨大挑战。本研究探讨了有针对性的治疗干预对接受住院治疗的女性青少年的体重轨迹和患者参与度的影响：方法：本研究抽样调查了 42 名接受 AN 住院治疗的女性青少年（12-18 岁）。研究调查了六种特定治疗干预措施的体重增加模式，并分析了干预策略与患者体重增加之间的关系：结果：不同的治疗干预措施对体重增加的影响存在显著差异。涉及治疗合同续签、与资深临床医生对话以及暂停治疗的干预措施对患者体重轨迹产生了显著影响。尤其有趣的是，潜在的治疗终止会在接下来的一周内引发体重大幅增加，这表明患者动机背后存在复杂的心理机制：本研究为青少年厌食症住院治疗的微妙动态提供了重要见解。研究结果强调了超越传统体重干预的个性化动机治疗策略的重要性。虽然承认样本量较小等局限性，但这项研究提供了初步证据，支持制定特定阶段的治疗方案，以优化患者的疗效和治疗参与度。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Eating Disorders Review PSYCHOLOGY, CLINICAL-

CiteScore

8.90

自引率

7.50%

发文量

期刊介绍： European Eating Disorders Review publishes authoritative and accessible articles, from all over the world, which review or report original research that has implications for the treatment and care of people with eating disorders, and articles which report innovations and experience in the clinical management of eating disorders. The journal focuses on implications for best practice in diagnosis and treatment. The journal also provides a forum for discussion of the causes and prevention of eating disorders, and related health policy. The aims of the journal are to offer a channel of communication between researchers, practitioners, administrators and policymakers who need to report and understand developments in the field of eating disorders.