Fundudis T
J Child Psychol Psychiatry. 1986 Mar;27(2):261-73. doi: 10.1111/j.1469-7610.1986.tb02335.x.
A multimodal method of behavioural therapy was used in the case of a pre-adolescent girl with anorexia nervosa. This followed two previous admissions to a paediatric department. Three main conclusions emerged from pre and post therapy objective evaluations. Weight gain in anorexia is a necessary but insufficient basis for sustained improvement. Important interactive psychosocial factors have to be adequately addressed to improve the chances of effective therapy. A focused approach relevant to each of a number of important different, but overlapping, areas is likely to facilitate better potential for treatment effectiveness than a general ('non-specific') management approach.
对于一名患有神经性厌食症的青春期前女孩,采用了多模式行为疗法。在此之前,她曾两次入住儿科。治疗前后的客观评估得出了三个主要结论。神经性厌食症患者体重增加是持续改善的必要但不充分条件。必须充分解决重要的互动心理社会因素,以提高有效治疗的几率。与多个重要但不同且相互重叠的领域中的每一个领域相关的针对性方法,可能比一般的(“非特异性”)管理方法更有助于提高治疗效果的潜力。