Rossi G, Balottin U, Rossi M, Chiappedi M, Fazzi E, Lanzi G
Department of Child Neurology and Psychiatry, IRCCS C. Mondino Foundation, University of Pavia, Pavia, Italy.
Clin Pediatr (Phila). 2007 Nov;46(9):806-11. doi: 10.1177/0009922807303929. Epub 2007 Jul 19.
To date, studies addressing the role of pharmacotherapy in the treatment of anorexia nervosa are limited, especially in childhood and adolescence. The aim of this retrospective naturalistic study was to evaluate the efficacy and safety of pharmacotherapy in 19 anorexic preadolescents and adolescents referred, for the first time, to a specialist psychiatry unit. Almost all the patients showed an improvement both in their eating behaviors, and in their mood and obsessive symptoms. No evidence was found of dangerous adverse events. Combined with a multidisciplinary approach that includes nutritional rehabilitation and psychotherapy, adjunctive pharmacotherapy may be useful in addressing both eating disorder psychopathology and comorbid psychiatric disorders.
迄今为止,针对药物治疗在神经性厌食症治疗中作用的研究有限,尤其是在儿童和青少年群体中。这项回顾性自然主义研究的目的是评估药物治疗对首次转诊至专科精神科的19名青春期前和青春期厌食症患者的疗效和安全性。几乎所有患者在饮食行为、情绪和强迫症状方面均有改善。未发现危险不良事件的证据。结合包括营养康复和心理治疗在内的多学科方法,辅助药物治疗可能有助于解决饮食失调的精神病理学问题和共病的精神障碍。