Journal article : Review
ological treatments for people with severe and enduring anorexia nervosa: a mini review
- Abstract:
- This Mini-Review presents recent research into evidence for psychological treatments for people with severe and enduring anorexia nervosa (SEAN). Two psychological therapies, specialist supportive clinical management (SSCM), and cognitive behavior therapy for anorexia nervosa (CBT-AN) have limited (one randomized controlled study) evidence of efficacy. Both have had adaptations for SEAN, notably with revision of the primary treatment goal of improved quality of life and full weight recovery a secondary goal. A major issue with existing studies is poor definition of SEAN, and the large deficit in research that has used an agreed definition of SEAN. In particular, it may be problematic to extrapolate from studies of people with either severe and/or enduring but not intractable or "resistant" illness. People with longstanding AN who have not received evidence based care should be offered this with an expectation of recovery. Similarly, people with SEAN may be offered care with judicious mitigation of expectations. In the future, trials should include people with SEAN clearly defined. Trials with a subsample of participants likely to have SEAN, if identified at randomisation, are an opportunity for secondary analyses of such participants. This would widen the evidence base for psychological treatments providing hope for people with this devastating illness. Finally, there is an urgent need not only to strengthen our existing knowledge with studies of sufficient power, but also, fundamentally, to derive novel conceptualizations of what "treatment" involves.
- Publication status:
- Published
- Peer review status:
- Peer reviewed
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(Preview, Version of record, pdf, 288.9KB, Terms of use)
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- Publisher copy:
- 10.3389/fpsyt.2020.00206
Authors
- Publisher:
- Frontiers Media
- Journal:
- Frontiers in Psychiatry More from this journal
- Volume:
- 11
- Article number:
- 206
- Publication date:
- 2020-03-24
- Acceptance date:
- 2020-03-03
- DOI:
- EISSN:
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1664-0640
- Pmid:
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32265758
- Language:
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English
- Keywords:
- Subtype:
-
Review
- Pubs id:
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1099851
- Local pid:
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pubs:1099851
- Deposit date:
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2021-05-13
- ARK identifier:
Terms of use
- Copyright holder:
- Zhu et al.
- Copyright date:
- 2020
- Rights statement:
- Copyright © 2020 Zhu, Yang, Touyz, Park and Hay. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
- Licence:
- CC Attribution (CC BY)
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