Hospitalization of patients with anorexia nervosa: A therapeutic proposal

Abstract

Anorexia nervosa is an eating disorder that primarily affects young women and has a high morbidity and mortality rate. Hospitalization effectively overcomes the acute phase, prevents progression to chronicity and promotes lasting changes. Our aim is to establish a prior therapeutic contract and systematize hospitalization in three stages comprising: clinical and nutritional approaches, individual and group psychotherapy, family therapy, occupational therapy, body therapy and pharmacotherapy. Because of the multiple determination of anorexia nervosa and the risk involved, treatment must be carried out by a multidisciplinary team.

Terapia Ocupacional Na Abordagem De Pessoas Em Tratamento Por Anorexia Nervosa

“…1619,25 O estágio de negação e aceitação da AN é descrito por alguns autores como um fator observado no discurso do paciente, apresentados pela dificuldade de compreender e responder as mensagens que recebem do corpo, em que a dificuldade de aceitação da AN reflete na não adesão ao tratamento e o anoréxico é levado ao serviço de saúde contrariado e pouco motivado para mudança de seu comportamento. 1617,19,22 Alguns anoréxicos entram no estágio de aceitação a partir do momento que entram em contato com o serviço de saúde.…”

A manualised in-patient programme for young people with anorexia based on NICE guidance

“…Structured programmes for anorexia have been discussed by several authors (Kaczynski et al, 2000;Anzai et al, 2002;Matsuvich et al, 2002;Halvorsen et al, 2004). These papers focused on describing the care provided or measuring outcome, but there is little in the literature on evaluation of the process of care.…”

The St George's Eating Disorders Service Meal Preparation Group for Inpatients and Day Patients Pursuing Full Recovery: A Pilot Study

“…Meal preparation training is an experiential intervention aimed at improving skills and motivation related to eating and meal preparation (Cockell, Zaitsoff, & Geller, 2004;Gogarty & Brangan, 2004;Henderson, 1998;Matuscvich, Garcia, Gutt, de la Parra, & Finkelstein, 2002). It is asserted by clients and occupational therapists (OTs) as essential for eating disordered clients pursuing symptom abstention (i.e.…”