采用基于家庭的住院治疗神经性厌食症：一例报告。
Adoption of inpatient family-based treatment for anorexia nervosa: A case report.
作者信息
Nishiura Sayaka, Miyawaki Dai, Goto Ayako, Kaoru Hirai, Sakamoto Shoko, Hama Hiroki, Kadono Shin, Inoue Koki
机构信息
Department of Neuropsychiatry, Graduate School of Medicine Osaka Metropolitan University (Osaka City University) Osaka Japan.
Department of Child and Adolescent Psychiatry Osaka City General Hospital Osaka Japan.
出版信息
PCN Rep. 2023 Apr 28;2(2):e89. doi: 10.1002/pcn5.89. eCollection 2023 Jun.
BACKGROUND
Family-based treatment (FBT) is effective for the treatment of anorexia nervosa (AN) in children and adolescents. However, its availability in Japan is limited because it requires adherence to specific guidelines, commitment of sufficient time for frequent outpatient treatment, as well as the entire family's participation. We present a case of a patient with AN who was treated with modified FBT during hospitalization.
CASE PRESENTATION
Our patient was a 14-year-old girl with AN. She was hospitalized for malnutrition and dehydration, and was introduced to FBT during this period. After discharge, she continued FBT on an outpatient basis and was in remission 1 year later.
CONCLUSION
This case shows that initiation of FBT during hospitalization may be useful in patients with physically severe AN. Flexible adaptation to each of the diverse healthcare systems and cultural differences may be necessary for the widespread use of FBT.
背景
基于家庭的治疗（FBT）对儿童和青少年神经性厌食症（AN）的治疗有效。然而，它在日本的可及性有限，因为它需要遵循特定的指导方针，为频繁的门诊治疗投入足够的时间，以及整个家庭的参与。我们介绍一例在住院期间接受改良FBT治疗的AN患者。
病例介绍
我们的患者是一名患有AN的14岁女孩。她因营养不良和脱水住院，在此期间接受了FBT治疗。出院后，她继续接受门诊FBT治疗，1年后病情缓解。
结论
该病例表明，在住院期间开始FBT治疗可能对身体状况严重的AN患者有用。为使FBT得到广泛应用，可能需要灵活适应不同的医疗系统和文化差异。
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