Anorexia nervosa treatment: a systematic review of randomized controlled trials.

@article{Bulik2007AnorexiaNT,
  title={Anorexia nervosa treatment: a systematic review of randomized controlled trials.},
  author={Cynthia M. Bulik and Nancy D. Berkman and Kimberly A. Brownley and Jan A. Sedway and Kathleen N. Lohr},
  journal={The International journal of eating disorders},
  year={2007},
  volume={40 4},
  pages={
          310-20
        }
}
OBJECTIVE The RTI International-University of North Carolina at Chapel Hill Evidence-based Practice Center (RTI-UNC EPC) systematically reviewed evidence on efficacy of treatment for anorexia nervosa (AN), harms associated with treatments, factors associated with treatment efficacy, and differential outcome by sociodemographic characteristics. METHOD We searched six major databases for studies on the treatment of AN from 1980 to September 2005, in all languages against a priori inclusion… 
Individual psychological therapy in the outpatient treatment of adults with anorexia nervosa.
TLDR
The results suggest that treatment as usual (TAU) when delivered by a non-eating-disorder specialist or similar may be less efficacious than focal psychodynamic therapy.
Comparison of 2 family therapies for adolescent anorexia nervosa: a randomized parallel trial.
TLDR
The findings of this study suggest that FBT is the preferred treatment for adolescent AN because it is not significantly different from SyFT and leads to similar outcomes at a lower cost than SyFT.
Update on the treatment of anorexia nervosa: review of clinical trials, practice guidelines and emerging interventions
TLDR
An overview of best practices in anorexia nervosa treatment across the age spectrum is provided and a triangulated analysis including controlled research, practice guidelines, and emerging treatments to inform and support clinical decision making is presented.
Treatment for severe and enduring anorexia nervosa: A review
  • P. Hay, S. Touyz, R. Sud
  • Psychology, Medicine
    The Australian and New Zealand journal of psychiatry
  • 2012
TLDR
Treatment trials need to move beyond targeting core eating disorder pathology (primarily weight restoration) and examine efficacy and effectiveness in minimising harm and reducing personal and social costs of chronic illness.
Family therapy for anorexia nervosa.
TLDR
There is some evidence to suggest that family therapy may be effective compared to treatment as usual in the short term, however, this is based on few trials that included only a small number of participants, all of which had issues regarding potential bias.
Pharmacological treatment of acute-phase anorexia nervosa: Evidence from randomized controlled trials
TLDR
No evidence has been demonstrated for the use of any psychotropic drug in acute-phase Anorexia nervosa neither for weight recovery, nor for comorbid psychiatric symptoms, according to an updated systematic review and meta-analysis of published randomized controlled trials investigating psychopharmacological treatment in acutely-phase AN.
A Randomized Controlled Trial of Adjunctive Family Therapy and Treatment as Usual Following Inpatient Treatment for Anorexia Nervosa Adolescents
TLDR
Adding family therapy sessions, focusing on intra-familial dynamics rather than eating symptomatology, to a multidimensional program improves treatment effectiveness in girls with severe AN.
Psychological Treatment for Anorexia Nervosa: A Meta-Analysis of Standardized Mean Change
TLDR
If treatment time is taken into account, inpatient treatment produced a faster weight gain than outpatient treatment, and treatment guidelines for psychological treatment of AN still have to rely on lower level evidence.
Medication management of pediatric eating disorders
TLDR
An overview of psychopharmacological treatments for pediatric eating disorders (EDs) suggests that some children and adolescents may benefit from thoughtful use of psychotropic medications on an individual basis in the context of a multimodal treatment plan.
A systematic review of dropout from treatment in outpatients with anorexia nervosa.
TLDR
High rates of dropout from outpatient treatment for anorexia nervosa have serious implications for recovery, research, and the development of new treatments, and a suggested reporting structure is proposed with the aim of increasing the consistency of drop out reporting and facilitating greater understanding of this phenomenon.
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