Adolescent anorexia nervosa treated in primary care with a family-based method – long-term outcomes.
AbstractBackgroundMethodsResultsConclusionAnorexia nervosa is a potentially lethal psychiatric disorder characterised by restrictive eating and weight loss. Adolescent patients were treated as outpatients using a novel method which involved coaching the parents to take full responsibility for their...
| Publicado en: | Scandinavian Journal of Primary Health Care pp. 1 - 11 |
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| Autores principales: | , , , , |
| Formato: | Journal Article |
| Publicado: |
Taylor & Francis Ltd
Sep2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=188340954&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 188340954 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02813432 BDB jtl: Scandinavian Journal of Primary Health Care issn: 02813432 maglogo: Y pubinfo: dt: Sep2025 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 188340954 10.1080/02813432.2025.2564795 188340954 ppf: 1 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Adolescent anorexia nervosa treated in primary care with a family-based method – long-term outcomes. aug: au: Ronkainen, Jaana Jääskeläinen, Erika Tossavainen, Päivi Nordström, Tanja Ronkainen, Jukka affil: Research Unit of Population Health, Faculty of Medicine, University of Oulu sug: ab: AbstractBackgroundMethodsResultsConclusionAnorexia nervosa is a potentially lethal psychiatric disorder characterised by restrictive eating and weight loss. Adolescent patients were treated as outpatients using a novel method which involved coaching the parents to take full responsibility for their child’s nutrition. In this follow-up cohort study, we compared the long-term outcomes of patients treated in primary care using the family-based coaching method (FBcM-PC) with those treated in tertiary care using traditional treatment.The cohort included all adolescent patients with a restrictive eating disorder treated initially in Oulu University Hospital and/or Oulu Primary Health Care centre between 2013 and 2019. Patients (<italic>n</italic> = 168) were contacted and asked to fill out a health questionnaire. Altogether 73 (43%) responded (30 from the FBcM-PC and 43 from the traditional treatment group). The outcome variables – depression, anxiety, eating disorder symptoms and need for medical appointments – were compared between the treatment groups.Upon follow-up after a mean of 6.6 years, 77% of the FBcM-PC and 54% of the traditional treatment groups did not need medical appointments (<italic>p</italic> = 0.052). No differences were found in self-reported health, depression or anxiety between the study groups. Concerns about weight and shape were reported by 40% of both groups. 87% of the FBcM-PC and 9% of the traditional treatment group received outpatient treatment only (<italic>p</italic> < 0.001).Adolescent anorexia nervosa patients treated mainly in primary care had at least as favourable long-term outcomes as those treated in tertiary care. The results of this study encourage further development of outpatient treatment methods in primary care. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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