Wonderlich Joseph A, Dodd Dorian R, Sondag Cindy, Jorgensen Michelle, Blumhardt Candice, Evanson Alexandra N, Bjoralt Casey, Wonderlich Stephen A
Sanford Research, Center for Biobehavioral Research, Fargo, ND, USA.
Eating Disorders Unit, Sanford Health, Fargo, ND, USA.
J Eat Disord. 2024 Sep 3;12(1):131. doi: 10.1186/s40337-024-01079-9.
Anorexia nervosa is a serious and potentially lethal psychiatric disorder. Furthermore, there is significant evidence that some individuals develop a very long-standing form of the illness that requires a variety of different treatment interventions over time.
The primary goal of this paper was to provide a review of treatment strategies for severe and enduring anorexia nervosa (SE-AN) with the particular focus on treatments involving hospital care. Additionally, we wish to highlight a contemporary approach to such care and provide qualitative reactions to this model from both staff and patients.
A selective and strategic review of the treatment literature for SE-AN was conducted for the current paper. Emphasis was placed on clinical or scientific papers related to hospital-based care. Additionally, staff who work on a specific inpatient eating disorder unit with a substantial treatment program for SE-AN, along with a number of SE-AN patients were surveyed regarding their experiences working on, or receiving treatment on the unit. Importantly, the staff of this unit created a specific treatment protocol for individuals receiving hospital care. The results of the highlight both advantages and challenges of a hospital-based protocol oriented toward emphasizing quality of life, medical stability, and a health-promoting meal plan.
While there is general inconsistency with the type of treatment that is best suited to individuals with SE-AN, this is particularly true for higher levels of care that rely on inpatient hospital units or residential treatment settings. This is a highly significant clinical topic in need of further clinical and scientific examination.
神经性厌食症是一种严重且可能致命的精神疾病。此外，有大量证据表明，一些患者会发展出一种病程极长的疾病形式，需要长期进行各种不同的治疗干预。
本文的主要目的是综述重度及持续性神经性厌食症（SE-AN）的治疗策略，特别关注涉及住院治疗的方法。此外，我们希望强调一种当代的治疗方法，并提供工作人员和患者对该模式的定性反馈。
本文对SE-AN的治疗文献进行了有选择性的策略性综述。重点关注与住院治疗相关的临床或科学论文。此外，对在一个专门的住院饮食失调病房工作的工作人员进行了调查，该病房有针对SE-AN的大量治疗项目，同时还调查了一些SE-AN患者在该病房工作或接受治疗的经历。重要的是，该病房的工作人员为接受住院治疗的患者制定了特定的治疗方案。结果突出了以强调生活质量、医疗稳定性和促进健康的饮食计划为导向的住院治疗方案的优点和挑战。
虽然对于最适合SE-AN患者的治疗类型普遍存在不一致的看法，但对于依赖住院病房或住院治疗环境的更高水平的护理来说尤其如此。这是一个非常重要的临床课题，需要进一步的临床和科学研究。
