[Treatment of anorexia nervosa in young patients in a special care unit at Robert-Debré Hospital (Paris): guidelines and practical methods].
Identifieur interne : 000417 ( Main/Exploration ); précédent : 000416; suivant : 000418[Treatment of anorexia nervosa in young patients in a special care unit at Robert-Debré Hospital (Paris): guidelines and practical methods].
Auteurs : L. Yon [France] ; C. Doyen ; M. Asch ; S. Cook-Darzens ; M-C MourenSource :
- Archives de pediatrie : organe officiel de la Societe francaise de pediatrie [ 1769-664X ] ; 2009.
English descriptors
- KwdEn :
- Adolescent, Ambulatory Care, Anorexia Nervosa (therapy), Child, Combined Modality Therapy, Cooperative Behavior, Evidence-Based Medicine, Family Practice, Family Therapy, Hospitalization, Humans, Interdisciplinary Communication, Nutrition Assessment, Nutritional Support, Patient Care Team, Practice Guidelines as Topic, Psychiatric Department, Hospital, Psychoanalytic Therapy, Psychotherapy (methods), Psychotherapy, Group (methods), Weight Gain.
- MESH :
- methods : Psychotherapy, Psychotherapy, Group.
- therapy : Anorexia Nervosa.
- Adolescent, Ambulatory Care, Child, Combined Modality Therapy, Cooperative Behavior, Evidence-Based Medicine, Family Practice, Family Therapy, Hospitalization, Humans, Interdisciplinary Communication, Nutrition Assessment, Nutritional Support, Patient Care Team, Practice Guidelines as Topic, Psychiatric Department, Hospital, Psychoanalytic Therapy, Weight Gain.
Abstract
There are no official guidelines for the treatment of anorexia nervosa in young patients. Some recommendations have been proposed by a group of British experts (N.I.C.E., 2004), based on results from controlled studies. Our inpatient care unit takes into account the different dimensions of anorexia nervosa in this subgroup of young patients and proposes an integrated approach including medical care, nutritional care, and psychological care, as suggested by the N.I.C.E. recommendations. We attempt to take into account variables that are unique to these young patients. More specifically, we insist on weight restoration that will permit adequate growth and we do not systematically separate the patient from his or her family. In addition, family therapy or counseling is systematically provided. The aim of this approach is to support parents, to provide psychoeducational guidance, and to help the family acquire new behaviors and new ways of understanding the eating disorder. Most patients are treated on an outpatient basis, but inpatient care is offered when the patient displays severe medical conditions or a severe comorbid psychiatric illness. Anorexia nervosa is a protracted disorder that requires multidisciplinary outpatient medical follow-up, including the intervention of a general practitioner and a psychiatric team.
DOI: 10.1016/j.arcped.2009.07.022
PubMed: 19800205
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream PubMed, to step Corpus: 000053
- to stream PubMed, to step Curation: 000053
- to stream PubMed, to step Checkpoint: 000053
- to stream Ncbi, to step Merge: 000115
- to stream Ncbi, to step Curation: 000115
- to stream Ncbi, to step Checkpoint: 000115
- to stream Main, to step Merge: 000416
- to stream Main, to step Curation: 000417
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">[Treatment of anorexia nervosa in young patients in a special care unit at Robert-Debré Hospital (Paris): guidelines and practical methods].</title><author><name sortKey="Yon, L" sort="Yon, L" uniqKey="Yon L" first="L" last="Yon">L. Yon</name><affiliation wicri:level="3"><nlm:affiliation>Service de psychopathologie de l'enfant et de l'adolescent, hôpital Robert-Debré, AP-HP de Paris, 48 boulevard Sérurier, Paris, France. liova.yon@wanadoo.fr</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de psychopathologie de l'enfant et de l'adolescent, hôpital Robert-Debré, AP-HP de Paris, 48 boulevard Sérurier, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Doyen, C" sort="Doyen, C" uniqKey="Doyen C" first="C" last="Doyen">C. Doyen</name></author><author><name sortKey="Asch, M" sort="Asch, M" uniqKey="Asch M" first="M" last="Asch">M. Asch</name></author><author><name sortKey="Cook Darzens, S" sort="Cook Darzens, S" uniqKey="Cook Darzens S" first="S" last="Cook-Darzens">S. Cook-Darzens</name></author><author><name sortKey="Mouren, M C" sort="Mouren, M C" uniqKey="Mouren M" first="M-C" last="Mouren">M-C Mouren</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2009">2009</date><idno type="RBID">pubmed:19800205</idno><idno type="pmid">19800205</idno><idno type="doi">10.1016/j.arcped.2009.07.022</idno><idno type="wicri:Area/PubMed/Corpus">000053</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000053</idno><idno type="wicri:Area/PubMed/Curation">000053</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000053</idno><idno type="wicri:Area/PubMed/Checkpoint">000053</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000053</idno><idno type="wicri:Area/Ncbi/Merge">000115</idno><idno type="wicri:Area/Ncbi/Curation">000115</idno><idno type="wicri:Area/Ncbi/Checkpoint">000115</idno><idno type="wicri:Area/Main/Merge">000416</idno><idno type="wicri:Area/Main/Curation">000417</idno><idno type="wicri:Area/Main/Exploration">000417</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[Treatment of anorexia nervosa in young patients in a special care unit at Robert-Debré Hospital (Paris): guidelines and practical methods].</title><author><name sortKey="Yon, L" sort="Yon, L" uniqKey="Yon L" first="L" last="Yon">L. Yon</name><affiliation wicri:level="3"><nlm:affiliation>Service de psychopathologie de l'enfant et de l'adolescent, hôpital Robert-Debré, AP-HP de Paris, 48 boulevard Sérurier, Paris, France. liova.yon@wanadoo.fr</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de psychopathologie de l'enfant et de l'adolescent, hôpital Robert-Debré, AP-HP de Paris, 48 boulevard Sérurier, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Doyen, C" sort="Doyen, C" uniqKey="Doyen C" first="C" last="Doyen">C. Doyen</name></author><author><name sortKey="Asch, M" sort="Asch, M" uniqKey="Asch M" first="M" last="Asch">M. Asch</name></author><author><name sortKey="Cook Darzens, S" sort="Cook Darzens, S" uniqKey="Cook Darzens S" first="S" last="Cook-Darzens">S. Cook-Darzens</name></author><author><name sortKey="Mouren, M C" sort="Mouren, M C" uniqKey="Mouren M" first="M-C" last="Mouren">M-C Mouren</name></author></analytic><series><title level="j">Archives de pediatrie : organe officiel de la Societe francaise de pediatrie</title><idno type="eISSN">1769-664X</idno><imprint><date when="2009" type="published">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Ambulatory Care</term><term>Anorexia Nervosa (therapy)</term><term>Child</term><term>Combined Modality Therapy</term><term>Cooperative Behavior</term><term>Evidence-Based Medicine</term><term>Family Practice</term><term>Family Therapy</term><term>Hospitalization</term><term>Humans</term><term>Interdisciplinary Communication</term><term>Nutrition Assessment</term><term>Nutritional Support</term><term>Patient Care Team</term><term>Practice Guidelines as Topic</term><term>Psychiatric Department, Hospital</term><term>Psychoanalytic Therapy</term><term>Psychotherapy (methods)</term><term>Psychotherapy, Group (methods)</term><term>Weight Gain</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Psychotherapy</term><term>Psychotherapy, Group</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Anorexia Nervosa</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Ambulatory Care</term><term>Child</term><term>Combined Modality Therapy</term><term>Cooperative Behavior</term><term>Evidence-Based Medicine</term><term>Family Practice</term><term>Family Therapy</term><term>Hospitalization</term><term>Humans</term><term>Interdisciplinary Communication</term><term>Nutrition Assessment</term><term>Nutritional Support</term><term>Patient Care Team</term><term>Practice Guidelines as Topic</term><term>Psychiatric Department, Hospital</term><term>Psychoanalytic Therapy</term><term>Weight Gain</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">There are no official guidelines for the treatment of anorexia nervosa in young patients. Some recommendations have been proposed by a group of British experts (N.I.C.E., 2004), based on results from controlled studies. Our inpatient care unit takes into account the different dimensions of anorexia nervosa in this subgroup of young patients and proposes an integrated approach including medical care, nutritional care, and psychological care, as suggested by the N.I.C.E. recommendations. We attempt to take into account variables that are unique to these young patients. More specifically, we insist on weight restoration that will permit adequate growth and we do not systematically separate the patient from his or her family. In addition, family therapy or counseling is systematically provided. The aim of this approach is to support parents, to provide psychoeducational guidance, and to help the family acquire new behaviors and new ways of understanding the eating disorder. Most patients are treated on an outpatient basis, but inpatient care is offered when the patient displays severe medical conditions or a severe comorbid psychiatric illness. Anorexia nervosa is a protracted disorder that requires multidisciplinary outpatient medical follow-up, including the intervention of a general practitioner and a psychiatric team.</div></front></TEI><affiliations><list><country><li>France</li></country><region><li>Île-de-France</li></region><settlement><li>Paris</li></settlement></list><tree><noCountry><name sortKey="Asch, M" sort="Asch, M" uniqKey="Asch M" first="M" last="Asch">M. Asch</name><name sortKey="Cook Darzens, S" sort="Cook Darzens, S" uniqKey="Cook Darzens S" first="S" last="Cook-Darzens">S. Cook-Darzens</name><name sortKey="Doyen, C" sort="Doyen, C" uniqKey="Doyen C" first="C" last="Doyen">C. Doyen</name><name sortKey="Mouren, M C" sort="Mouren, M C" uniqKey="Mouren M" first="M-C" last="Mouren">M-C Mouren</name></noCountry><country name="France"><region name="Île-de-France"><name sortKey="Yon, L" sort="Yon, L" uniqKey="Yon L" first="L" last="Yon">L. Yon</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Psychologie/explor/TherFamFrancoV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000417 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 000417 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Psychologie
|area= TherFamFrancoV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= pubmed:19800205
|texte= [Treatment of anorexia nervosa in young patients in a special care unit at Robert-Debré Hospital (Paris): guidelines and practical methods].
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:19800205" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a TherFamFrancoV1
| This area was generated with Dilib version V0.6.29. |  |