Sayaka Nishiura, Dai Miyawaki, Ayako Goto, Hirai Kaoru, Shoko Sakamoto, Hiroki Hama, Shin Kadono, Koki Inoue
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引用次数: 0
摘要
背景：家庭治疗（FBT）对治疗儿童和青少年厌食症（AN）非常有效。然而，由于该疗法需要遵守特定的指导原则、投入足够的时间进行频繁的门诊治疗以及整个家庭的参与，因此在日本的可用性有限。我们介绍了一例在住院期间接受改良FBT治疗的AN患者：我们的患者是一名患有自闭症的14岁女孩。她因营养不良和脱水住院，在此期间接受了FBT治疗。出院后，她继续在门诊接受 FBT 治疗，1 年后病情得到缓解：本病例表明，在住院期间开始 FBT 对身体严重缺氧的 AN 患者可能有用。要想广泛使用FBT，就必须灵活适应不同的医疗系统和文化差异。
Adoption of inpatient family-based treatment for anorexia nervosa: A case report.
Background: Family-based treatment (FBT) is effective for the treatment of anorexia nervosa (AN) in children and adolescents. However, its availability in Japan is limited because it requires adherence to specific guidelines, commitment of sufficient time for frequent outpatient treatment, as well as the entire family's participation. We present a case of a patient with AN who was treated with modified FBT during hospitalization.
Case presentation: Our patient was a 14-year-old girl with AN. She was hospitalized for malnutrition and dehydration, and was introduced to FBT during this period. After discharge, she continued FBT on an outpatient basis and was in remission 1 year later.
Conclusion: This case shows that initiation of FBT during hospitalization may be useful in patients with physically severe AN. Flexible adaptation to each of the diverse healthcare systems and cultural differences may be necessary for the widespread use of FBT.
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