Top

Optie A:

Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
Optie B:

Deel de link per e-mail
Link delen

vorige artikel Connections between Family Centered Care and Me...

volgende artikel The Effects of Helicopter Parenting on Academic...

Tip

Swipe om te navigeren naar een ander artikel

14-02-2017 | Original Paper | Uitgave 5/2017

Day-Hospital Multifocal Integrated Treatment for Anorexia Nervosa in Adolescents: A One-Year Follow-Up

Tijdschrift:: Journal of Child and Family Studies > Uitgave 5/2017

Auteurs:: Valeria Zanna, Maria Chiara Castiglioni, Michela Criscuolo, Ilenia Chianello, Maria Elisei, Giulia Cinelli, Fiorenzo Laghi, Silvia Mazzoni, Stefano Vicari

» Toegang tot de volledige tekst krijgen

Abstract

The current guidelines for treatment of Anorexia Nervosa (AN) in children and adolescents recommend an integrated multidisciplinary approach as the elective intervention for this disorder. Nevertheless, there is insufficient evidence on the results of an integrated approach for the treatment of AN adolescent patients, especially in a Hospital setting. This study aims to analyze clinical and psychological changes occurring in adolescent patients after completion of a Day-Hospital Multifocal Integrated Treatment (MIT) for Anorexia Nervosa. The sample consisted of 60 adolescents with AN or Eating Disorder Not Otherwise Specified (EDNOS) restrictive type, aged 11 to 18 years, and their parents. Clinical course was evaluated at 3, 6 and 12-month follow-up periods. Our results showed clinical remission in a good percentage of patients. In general, we found a significant reduction of the eating psychopathology, whereas we did not detect any significant improvement in body dissatisfaction, perfectionism, and relational difficulties. This positive trend was confirmed at 3, 6, and 12-month follow-up, despite the increase of drop-outs. These results suggest that the proposed treatment is reasonably effective, because it aims to contain and reduce the acute phase of the disease in a limited time and in a hospital setting, but it is necessary to continue the treatment with targeted psychotherapeutic interventions to address the deeper psychological discomfort underlying the eating disorder.

Log in om toegang te krijgen

Hier inloggen

Met onderstaand(e) abonnement(en) heeft u direct toegang:

BSL Psychologie Totaal

Met BSL Psychologie Totaal blijft u als professional steeds op de hoogte van de nieuwste ontwikkelingen binnen uw vak. Met het online abonnement heeft u toegang tot een groot aantal boeken, protocollen, vaktijdschriften en e-learnings op het gebied van psychologie en psychiatrie. Zo kunt u op uw gemak en wanneer het u het beste uitkomt verdiepen in uw vakgebied.

Meer informatie

Abbate Daga, G., Quaranta, M., Notaro, C., & Urani, F., et al. (2011). Terapia familiare e disturbi del comportamento alimentare nelle giovani pazienti: Stato dell’arte. Giornale Italiano di Psicopatologia, 17, 40–47.

Achenbach, T. M., & Rescorla, L. A. (2001). Manual for ASEBA school-age forms & profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth, & Families.

American Psychiatric Association. (2006). Treatment of patients with eating disorders, 3rd edition. American Journal of Psychiatry, 163(7), 4–54.

American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Dotti A., & Lazzari R. (1998). Validation and reliability of the Italian EAT-26. Eating and Weight Disorders – Studies on Anorexia, Bulimia and Obesity, 3, 188–194 CrossRef

Barkowski, S., Schwartze, D., Strauss, B., Burlingame, G. M., Barth, J., & Rosendahl, J. (2016). Efficacy of group psychotherapy for social anxiety disorder: A meta-analysis of randomized-controlled trials. Journal of Anxiety Disorders, 39, 44–64. doi: 10.1016/j.janxdis.2016.02.005. CrossRefPubMed

Bearman, S. K., Presnell, K., Martinez, E., & Stice, E. (2006). The skinny on body dissatisfaction: A longitudinal study of adolescent girls and boys. Journal of Youth and Adolescence, 35(2), 229–241. doi: 10.1007/s10964-005-9010-9. CrossRef

Bruch, H. (1978). Obesity and anorexia nervosa. Psychosomatics, 19(4), 208–212. doi: 10.1016/S0033-3182(78)70990-4. CrossRefPubMed

Bruch, H. (1982). Anorexia nervosa: Therapy and theory. American Journal of Psychiatry, 139, 1531–1538. doi: 10.1176/ajp.139.12.1531. CrossRefPubMed

Bühren, K., Schwarte, R., & Fluck, F., et al. (2014). Comorbid psychiatric disorders in female adolescents with first-onset anorexia nervosa. European Eating Disorders Review, 22(1), 39–44. doi: 10.1002/erv.2254. CrossRefPubMed

Camuffo, M., Cerutti, R., Lucarelli, L., & Mayer, R. (1988). CDI Children Depression Inventory. Firenze: Organizzazioni Speciali.

Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Earlbaum Associates.

Cottee-Lane, D., Pistrang, N., & Bryant-Waugh, R. (2004). Childhood onset anorexia nervosa: the experience of parents. European Eating Disorders Review, 12, 169–177. doi: 10.1002/erv.560. CrossRef

Crisp, A. H., Norton, K., Gowers, S., Halek, C., Bowyer, C., Yeldham, D., Levett, G., & Bhat, A. (1991). A controlled study of the effect of therapies aimed at adolescent and family psychopathology in anorexia nervosa. The British Journal of Psychiatry, 159, 325–333. doi: 10.1192/bjp.159.3.325. CrossRefPubMed

Cuzzolaro, M., Vetrone, G., & Marano, G., et al. (1999). BUT: una nuova scala per la valutazione del disagio relativo all’immagine del corpo. Psichiatria dell’Infanzia e dell’Adolescenza, 66, 417–28.

D’Onofrio, E., Pace, C. S., & Cavanna, D. (2015). Qualitative research in adolescent psychotherapy: Attachment and reflective functioning as psychotherapy’s outcomes of an adolescent with anorexia nervosa. Research in Psychotherapy: Psychopathology, Process and Outcome, 18(2), 93–101. doi: 10.4081/ripppo.2015.181.

Dalla Ragione, L. (2005). La casa delle bambine che non mangiano. Identità e nuovi DCA. Roma: Il Pensiero Scientifico Editore.

Dalla Ragione, L. (2012). I disturbi del comportamento alimentare: un’epidemia della modernità. In Presidenza del Consiglio dei Ministri, Dipartimento della Gioventù. Il Coraggio di guardare: Prospettive e incontri per la prevenzione dei disturbi del comportamento alimentare, 1, 19–34.

Dalle Grave, R. (2011). Eating disorders: progress and challenges. European Journal of Internal Medicine, 22, 153–160. doi: 10.1016/j.ejim.2010.12.010. CrossRefPubMed

Dare, C. (1985). The family therapy of anorexia nervosa. Journal of Psychiatric Research, 19, 435–443. doi: 10.1016/0022-3956(85)90050-0. CrossRefPubMed

Di Pietro, G., Valoroso, L., Fichele, M., Bruno, C., & Sorge, F. (2002). What happens to eating disorder outpatients who withdrew from therapy? Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 7(4), 298–303. doi: 10.1007/BF03324976. CrossRef

Doyle, P. M., le Grange, D., & Loeb, K., et al. (2010). Early response to family-based treatment for adolescent anorexia nervosa. International Journal of Eating Disorder, 43(7), 659–662. doi: 10.1002/eat.20764. CrossRef

Eisler, I., Dare, C., Russell, G. F. M., Szmukler, M. D., Le Grange, D., & Dodge, E. (1997). Family and individual therapy in anorexia nervosa: A 5-year follow-up. Archives of General Psychiatry, 54, 1025–1030. doi: 10.1001/archpsyc.1997.01830230063008. CrossRefPubMed

Eisler, I., Dare, C., Hodes, M., Russel, G. F., Dodge, E., & Le Grange, D. (2000). Family therapy for adolescent anorexia nervosa: the results of a controlled comparison of two family interventions. Journal of Child Psychology and Psychiatry, 41, 727–736. doi: 10.1111/1469-7610.00660. CrossRefPubMed

Engel, G. L. (1977). The need for a new medical model: a challenge for biomedicine. Science, 196(4286), 129–136. doi: 10.1126/science.847460. CrossRefPubMed

Friederich, H. C., Brooks, S., Uher, R., Campbell, I. C., Giampietro, V., & Brammer, M., et al. (2010). Neural correlates of body dissatisfaction in anorexia nervosa. Neuropsychologia, 48(10), 2878–2885. doi: 10.1016/j.neuropsychologia.2010.04.036. CrossRefPubMed

Frigerio, A., & Monterosso, R. (2002). La valutazione su base empirica dei problemi emotivo-comportamentali in età evolutiva. Infanzia e Adolescenza, 1(1), 38–48.

Garner, D. M. (2004). Eating Disorder Inventory-3. Professional Manual. Lutz, FL: Psychological Assessment Resources.

Garner, D. M., & Garfinkel, P. E. (1979). The Eating Attitudes Test: an index of the symptoms of anorexia nervosa. Psychological Medicine, 9(2), 273–279. doi: 10.1017/S0033291700030762. CrossRefPubMed

Geist, R., Heinmaa, M., & Sthephens, D., et al. (2000). Comparison of family therapy and family group psychoeducation in adolescents with anorexia nervosa. Canadian Journal of Psychiatry, 45, 173–178. PubMed

Giannini, M., Pannocchia, L., Dalle Grave, R., & Muratori, F. (2008). Adattamento italiano dell’EDI-3. [Eating Disorder Inventory-3]. Firenze: Giunti O.S. Organizzazioni Speciali.

Godart, N., Berthoz, S., Curt, F., Perdereau, F., & Rein, Z., et al. (2012). A randomized controlled trial of adjunctive family therapy and treatment as usual following inpatient treatment for anorexia nervosa adolescents. PLoS ONE, 7(1), 282–349. doi: 10.1371/journal.pone.0028249. CrossRef

Gowers, S. G., Clark, A., Roberts, C., Griffiths, A., & Edwards, V., et al. (2007). Clinical effectiveness of treatments for anorexia nervosa in adolescents: randomized controlled trial. British Journal of Psychiatry, 191, 427–435. doi: 10.1192/bjp.bp.107.036764. CrossRefPubMed

Grange, D. L., Lock, J., Accurso, E. C., Agras, W. S., Darcy, A., Forsberg, S., & Bryson, S. W. (2014). Relapse from remission at two- to four-year follow-up in two treatments for adolescent anorexia nervosa. Journal of the American Academy of Child and Adolescent Psychiatry, 53(11), 1162–1167. doi: 10.1016/j.jaac.2014.07.014. CrossRefPubMedPubMedCentral

Hoek, H. W., & Van Hoeken, D. (2003). Review of the prevalence and incidence of eating disorders. International Journal of Eating Disorder, 34(4), 383–96. doi: 10.1002/eat.10222. CrossRef

Hrabosky, J. I., Masheb, R. M., White, M. A., & Grilo, C. M. (2007). Overvaluation of shape and weight in binge eating disorder. Journal of Consulting and Clinical Psychology, 75(1), 175–180. doi: 10.1037/0022-006X.75.1.175. CrossRefPubMed

Jeammet, P. H., Brechon, G., Payan, C., Gorge, A., & Fermanian, J. (1991). Le devenir de l’anorexie mentale: une étude prospective de 129 patients évalués au moins 4 ans après leur première admission. Psychiatrie de l’Enfant XXXIV, 2, 381–442.

Kaufman, J., Birmaher, B., Brent, D., Rao, U., Flynn, C., Moreci, P., Williamson, D., & Ryan, N. (1997). Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL): Initial Reliability and Validity Data. Journal of the American Academy of Child & Adolescent Psychiatry, 36(7), 980–988 CrossRef

Keel, P. K., & Haedt, A. (2008). Evidence-based psychological treatments for eating problems and eating disorders. Journal of Child and Adolescent Psychology, 37, 39–61. doi: 10.1080/15374410701817832. CrossRef

Knijnik, D. Z., Kapczinski, F., Chachamovich, E., Margis, R., & Eizirik, C. L. (2004). Psychodynamic group treatment for generalized social phobia. Revista Brasileira de Psiquiatria, 26(2), 77–81. CrossRefPubMed

Kovacs, M. (1983). The Children’s Depression Inventory: a self-rated depression scale of school-aged youngsters. Pittsburgh, PA: University of Pittsburgh School of Medicine.

Krug, I., Villarejo, C., & Jiménez-Murcia, S., et al. (2013). Eating-related environmental factors in underweight eating disorders and obesity: are there common vulnerabilities during childhood and early adolescence? European Eating Disorders Review, 21(3), 202–208. doi: 10.1002/erv.2204. CrossRefPubMed

Laghi, F., Baiocco, R., D’Alessio, M., & Gurrieri, G. (2009). Suicidal ideation and time perspective in high school students. European Psychiatry, 24, 41–46. doi: 10.1016/j.eurpsy.2008.08.006. CrossRefPubMed

Laghi, F., Pompili, S., Zanna, V., Castiglioni, M. C., Criscuolo, M., Chianello, I., Baumgartner, E., & Baiocco, R. (2015a). Are adolescents with anorexia nervosa better at reading minds?. Cognitive Neuropsychiatry, 20(6), 489–501. doi: 10.1080/13546805.2015.1091766. CrossRefPubMed

Laghi, F., Pompili, S., Zanna, V., Castiglioni, M.C., Criscuolo, M., Chianello, I., et al. (2015b). How adolescents with anorexia nervosa and their parents perceive family functioning? Journal of Health Psychology , 10.1177/1359105315597055

Laghi, F., McPhie, L. M., Baumgartner, E., Rawana, J. S., Pompili, S., & Baiocco, R. (2016). Family functioning and dysfunctional eating among Italian adolescents: The moderating role of gender. Child Psychiatry and Human Development, 47, 43–52. doi: 10.1007/s10578-015-0543-1. CrossRefPubMed

Lock, J., & Le Grange, D. (2005). Family-based treatment of eating disorders. International Journal of Eating Disorders, 37(1), 64–67. doi: 10.1002/eat.20122. CrossRef

Lock, J., & Le Grange, D. (2015). Treatment manual for anorexia nervosa. A family-based approach. 2nd edn. London: The Guilford Press.

Lock, J., Couturier, J., Bryson, S., & Agras, S. (2006a). Predictors of dropout and remission in family therapy for adolescent anorexia nervosa in a randomized clinical trial. International Journal of Eating Disorders, 39, 639–647. doi: 10.1002/eat.20328. CrossRefPubMed

Lock, J., Couturier, J., & Agras, W. S. (2006b). Comparison of long term outcomes in adolescents with anorexia nervosa treated with family therapy. American Journal of Child & Adolescent Psychiatry, 45, 666–672. doi: 10.1097/01.chi.0000215152.61400.ca. CrossRef

March, J. S. (1998). Manual for the multidimensional anxiety scale for children (MASC). Toronto, ON: Multi-Health Systems.

Mohr, H., Zimmerman, J., Roder, C., Lenz, C., Overbeck, G., & Grabhon, R. (2010). Separating two components of body image in anorexia nervosa using fMRI. Psychological Medicine, 40, 1519–1529. doi: 10.1017/S0033291709991826. CrossRefPubMed

Morgan, H. G., & Hayward, A. E. (1988). Clinical assessment of anorexia nervosa. The Morgan-Russel ooutcome assessment schedule. The British Journal of Psychiatry, 152(3), 367–371. doi: 10.1192/bjp.152.3.367. CrossRefPubMed

National Institute for Clinical Excellence (2004). Eating disorders. Core interventions in the treatment and management of anorexia nervosa, bulimia nervosa and related eating disorders. Clinical Guidelines, 9, 1–36.

Onnis, L., Barbara, E., Bernardini, M., & Caggese, A., et al. (2012). Family relations and eating disorders. The effectiveness of an integrated approach in the treatment of anorexia and bulimia in teenagers: Results of a case-control systemic research. Eating Weight Disorder, 17(1), 36–48. doi: 10.1007/BF03325326. CrossRef

Pace, C. S., Cavanna, D., Guiducci, V., & Bizzi, F. (2015). When parenting fails: Alexithymia and attachment states of mind in mothers of female patients with eating disorders. Frontiers in Psychology, 6, 1145 doi: 10.3389/fpsyg.2015.01145. PubMedPubMedCentral

Pace, C. S., Guiducci, V., & Cavanna, D. (2016). Attachment in eating-disordered outpatients with and without borderline personality disorder. Journal of Health Psychology. doi: 10.1177/1359105316636951.

Paulson-Karlsson, G., Engström, I., & Nevonen, L. (2009). A pilot study of a family-based treatment for adolescent anorexia nervosa: 18- and 36-month follow-up. Eating Disorders, 17, 72–88. doi: 10.1080/10640260802570130. CrossRefPubMed

Pasold, T. L., Boateng, B. A., & Portilla, M. A. (2010). The use of a parent support group in the outpatient treatment of children and adolescents with eating disorders. Eating Disorders, 18(3), 18–332. doi: 10.1080/10640266.2010.490121.

Plath, D., Lauren, T.W., Wood, C. (2016). Clinicians’ views on parental involvement in the treatment of adolescent anorexia nervosa. Eating Disorders, first published online . 10.1080/10640266.2016.1189796

Prestano, C., Lo Coco, G., Gullo, S., & Lo Verso, G. (2008). Group Analytic Therapy for Eating Disorders: Preliminary Results in a Single-Group Study. European. Eating Disorders Review, 16, 302–310. doi: 10.1002/erv.871. CrossRefPubMed

Preti, A., de Girolamo, G., & Vilagut, G., et al. (2009). The epidemiology of eating disorders in six European countries: Results of the ESEMeD-WMH project. Journal of Psychiatric Research, 43(14), 1125–1132. doi: 10.1016/j.jpsychires.2009.04.003. CrossRefPubMed

Robin, A. L., Siegel, P. T., & Moye, A. W., et al. (1999). A controlled comparison of family versus individual therapy for adolescents with anorexia nervosa. Journal of American Academy of Child and Adolescent Psychiatry, 38, 1482–9. doi: 10.1097/00004583-199912000-00008. CrossRef

Russell, G. F., Szmukler, G. I., Dare, C., & Eisler, I. (1987). An evaluation of family therapy in anorexia nervosa and bulimia nervosa. Archives General Psychiatry, 44(12), 1047–1056. doi: 10.1001/archpsyc.1987.01800240021004. CrossRef

Schneider, N., Frieler, K., Pfeiffer, E., Lehmkuhl, U., & Salbach-Andrae, H. (2009). Comparison of body size estimation in adolescents with different types of eating disorders. European Eating Disorder Review, 17, 468–474. doi: 10.1002/erv.956. CrossRef

Selvini Palazzoli, M., Cirillo, S., Selvini, M., & Sorrentino, A. M. (1998). Ragazze anoressiche e bulimiche. La terapia familiare. Milano: Raffaello Cortina.

Smink, F. R. E., van Hoeken, D., & Hoek, H. W. (2012). Epidemiology of eating disorders: Incidence, prevalence and mortality rates. Current Psychiatry Reports, 14(4), 406–414. doi: 10.1007/s11920-012-0282-y. CrossRefPubMedPubMedCentral

Swanson, S. A., Crow, S. J., Le Grange, D., Swendsen, J., & Merikangas, K. R. (2011). Prevalence and correlates of eating disorders in adolescents. Results from the national comorbidity survey replication adolescent supplement. Archives of General Psychiatry, 68(7), 714–723. doi: 10.1001/archgenpsychiatry.2011.22. CrossRefPubMed

Tambelli, R., Laghi, F., Odorisio, F., & Notari, V. (2012). Attachment relationships and internalizing and externalizing problems among Italian adolescents. Children and Youth Service Review, 34, 1465–1471. doi: 10.1016/j.childyouth.2012.04.004. CrossRef

Thornton, L. M., Welch, E., Munn-Chernoff, M. A., Lichtenstein, P., & Bulik, C. M. (2016). anorexia nervosa, major depression, and suicide attempts: Shared genetic factors. Suicide and Life-Threatening Behavior. doi: 10.1111/sltb.12235.

Uehara, T., Kawashima, Y., Goto, M., Tasaki, S., & Someya, T. (2001). Psychoeducation for the families of patients with eating disorders and changes in expressed emotion: A preliminary study. Comprehensive Psychiatry, 42, 132–138. doi: 10.1053/comp.2001.21215. CrossRefPubMed

Vicari, S., Zanna, V., & Castiglioni, M. C. (2014). I disturbi del comportamento alimentare nell’infanzia e nell’adolescenza: Nuove classificazioni. In (a cura di) L. Dalla Ragione, & L. Giombini (Eds.), Solitudini Imperfette. Le buone pratiche di cura nei Disturbi del Comportamento Alimentare (pp. 37–50). Ministero della Salute, Presidenza del Consiglio dei Ministri, Dipartimento della Gioventù, Rome, Italy.

Wersebe, H., Sijbrandij, M., & Cuijpers, P. (2013). Psychological group-treatments of social anxiety disorder: A meta-analysis. PLoS One, 8(11), e79034. doi: 10.1371/journal.pone.0079034. CrossRefPubMedPubMedCentral

Zanna, V., & Castiglioni, M. C. (2014). Il modello dell’Ospedale Pediatrico Bambino Gesù. In (a cura di) Bancheri, L. Implicazioni della terapia familiare e della coppia genitoriale in alcuni modelli teorico-clinici istituzionali italiani che adottano il trattamento integrato dell’anoressia. Interazioni, 2, 114–115.

Zappa, L. E. (2009). Alice in fuga dallo specchio. Il disturbo dell’immagine corporea nell’anoressia nervosa e nei DCA. Un modello integrato di trattamento. Franco Angeli Editore, Milano.

Titel: Day-Hospital Multifocal Integrated Treatment for Anorexia Nervosa in Adolescents: A One-Year Follow-Up
Auteurs:: Valeria Zanna
Maria Chiara Castiglioni
Michela Criscuolo
Ilenia Chianello
Maria Elisei
Giulia Cinelli
Fiorenzo Laghi
Silvia Mazzoni
Stefano Vicari
Publicatiedatum: 14-02-2017
DOI: https://doi.org/10.1007/s10826-017-0666-z
Uitgeverij: Springer US
Tijdschrift: Journal of Child and Family Studies
Uitgave 5/2017
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Tip

Swipe om te navigeren naar een ander artikel

Abstract

Log in om toegang te krijgen

Met onderstaand(e) abonnement(en) heeft u direct toegang:

BSL Psychologie Totaal

Andere artikelen Uitgave 5/2017

Life With a Partner with ADHD: The Moderating Role of Intimacy

The Role of Metacognitions in the Association between Children’s Perceptions of Maternal Control and Anxiety

Association Between Socio-Ecological Risk Factor Clustering and Mental, Emotional, and Behavioral Problems in Hispanic Adolescents

Overparenting and Young Adults’ Interpersonal Sensitivity: Cultural and Parental Gender-Related Diversity

Assessment and Diagnosis of Autism Spectrum Disorder in Hanoi, Vietnam

Financial Capabilities Among Youth with Autism Spectrum Disorder