Kreipe R E
Semin Adolesc Med. 1986 Mar;2(1):27-36.
The principles guiding the inpatient treatment of adolescents with anorexia nervosa or bulimia are no different than those guiding the treatment of adolescents with cystic fibrosis, leukemia, or depression. The patient is treated first and foremost as an adolescent, avoiding reinforcement of the sick role. Biologic, psychologic, and social needs must all be considered. Further, the family must be included in the treatment, since the vast majority of patients will be returning to their families after discharge from the hospital. Hospitalization may be required for a number of reasons. Regardless of the indications for admission to the hospital, a consistent, individualized, positively reinforcing plan for evaluation and treatment needs to be developed and executed. By so doing, the hospital team is in a unique position to help the patient and the family develop more healthy patterns of acting and interacting.
指导神经性厌食症或贪食症青少年住院治疗的原则，与指导囊性纤维化、白血病或抑郁症青少年治疗的原则并无不同。首先，患者被视为青少年进行治疗，避免强化患者角色。必须综合考虑生物学、心理学和社会需求。此外，家庭必须纳入治疗，因为绝大多数患者出院后将回归家庭。住院可能有多种原因。无论入院指征如何，都需要制定并执行一个连贯、个性化且积极强化的评估和治疗计划。通过这样做，医院团队处于独特的位置，能够帮助患者及其家庭形成更健康的行为和互动模式。
