Treatment of eating disorders in children and adolescents

This article summarizes the outcome findings of psychotherapy with adolescents through an examination of the research literature. In this problem-focused review of the research literature, we consider adolescent treatment of anxiety disorders, depression, eating disorders, disruptive behavior disorders, multiple problems of adolescence, and health risk behaviors. The evidence base for the effectiveness of various psychotherapies for adolescents is mixed. Psychotherapy in general has been a ripe field in which unsupported approaches have grown, and this is certainly true for psychotherapeutic interventions with adolescents. Nonetheless, there is a growing body of evidence to support various types of interventions as effective for different presenting problems. Researchers and clinicians need to recognize the complexity of the diverse characteristics of adolescents, including variations of culture, race, ethnicity, gender, class, physical disability, family definitions and constellation, and sexual orientation. These require sensitivity, responsiveness, and competence by the therapist, but clinical research has not fully examined these considerations.

show abstract

“…Purging appears to be more common among younger adolescents than binge eating (Robin, Gilroy, & Baker Dennis, 1998).…”

Section: Outcomes Of Psychotherapy With Adolescentsmentioning

confidence: 92%

The outcomes of psychotherapy with adolescents: A practitioner‐friendly research review

et al. 2003

View full text Add to dashboard Cite

show abstract

“…Behavioral interventions are often required to encourage reluctant (and often resistant) patients to meet necessary caloric intake and weight-gain goals. [96][97][98][99] Ranges for treatment goal weight should be individualized and based on age, height, pubertal stage, premorbid weight, and previous growth trajectory. Furthermore, for growing children or adolescents, the goal weight range should be reevaluated at regular intervals (eg, every 3 to 6 months) on the basis of changing age and height.…”

Section: Treatment Continuum For Children and Adolescents With Eatingmentioning

confidence: 99%

Identification and Management of Eating Disorders in Children and Adolescents

Rosen¹

2010

Pediatrics

299

171

View full text Add to dashboard Cite

The incidence and prevalence of eating disorders in children and adolescents has increased significantly in recent decades, making it essential for pediatricians to consider these disorders in appropriate clinical settings, to evaluate patients suspected of having these disorders, and to manage (or refer) patients in whom eating disorders are diagnosed. This clinical report includes a discussion of diagnostic criteria and outlines the initial evaluation of the patient with disordered eating. Medical complications of eating disorders may affect any organ system, and careful monitoring for these complications is required. The range of treatment options, including pharmacotherapy, is described in this report. Pediatricians are encouraged to advocate for legislation and policies that ensure appropriate services for patients with eating disorders, including medical care, nutritional intervention, mental health treatment, and care coordination.

show abstract

“…AAP. The AAP guidelines similarly underscore the importance of the pediatrician collaborating closely with mental health experts to provide the necessary psychological, social, and psychiatric care (Powers, 1996;A. L. Robin, Gilroy, & Dennis, 1998;Yager, 1994).…”

Section: Family-based Therapy Consensus Panel Recommendationsmentioning

confidence: 99%