Elzakkers Isis F F M, Danner Unna N, Hoek Hans W, Schmidt Ulrike, van Elburg Annemarie A
Altrecht Eating Disorders Rintveld, Altrecht Mental Health Institute, The Netherlands.
Int J Eat Disord. 2014 Dec;47(8):845-52. doi: 10.1002/eat.22330. Epub 2014 Jul 3.
Compulsory in-patient refeeding of patients with severe anorexia nervosa (AN) has caused considerable controversy. The effects of such treatment on longer-term outcome are not well known. The objective of this article is to review the evidence on the outcome of compulsory treatment for AN.
Three large databases were searched for studies regarding compulsory treatment in AN.
Detained patients have more severe symptoms and comorbidity and a longer duration of inpatient stay. In the short term compulsory refeeding in AN appears to be beneficial, but the longer term effects remain uncertain. Clinicians report no worsening of the therapeutic relationship after compulsory treatment.
In severe cases of AN where the patient refuses life-saving treatment compulsory treatment needs to be considered. Future research should focus on the longer term effects of compulsory treatment and also on questions related to mental capacity in AN.
对重度神经性厌食症（AN）患者进行强制住院重新喂养引发了相当大的争议。这种治疗对长期预后的影响尚不清楚。本文的目的是综述关于AN强制治疗预后的证据。
检索三个大型数据库中有关AN强制治疗的研究。
被拘留的患者症状更严重、合并症更多且住院时间更长。短期内，AN的强制重新喂养似乎有益，但长期影响仍不确定。临床医生报告强制治疗后治疗关系没有恶化。
在AN的严重病例中，若患者拒绝挽救生命的治疗，则需要考虑强制治疗。未来的研究应关注强制治疗的长期影响以及与AN患者心理能力相关的问题。
Zotero 插件