title: A practice guideline for treatment of eating disorders in children and adolescents.
abstract: Eating disorders are diseases of both the body and the psyche. Early treatment focuses on restoration of nutritional status and somatic health, including psycho-educational counselling and support offered to the patient and his/her family. Diagnosis and treatment require a multidisciplinary approach. Psychological factors related to the condition should be assessed. The most severe weight loss should be reversed before psychotherapeutic treatment. Nutritional counselling is recommended, and the benefits of individual and/or family therapy are considered in accordance with the patient's age, development, symptomatology and comorbid psychiatric disorders. Medication is useful in the treatment of bulimia nervosa and certain comorbid symptoms of anorexia nervosa. Early admission to treatment and active therapy are associated with a more favourable prognosis.
authors.affiliation: Unit for Child Psychiatry, University of Oulu, University Hospital of Oulu, PO Box 26, FIN-90029 OYS, Finland.
authors.forename: Hanna
authors.initials: H
authors.lastname: Ebeling
authors.forename: Paivi
authors.initials: P
authors.lastname: Tapanainen
authors.forename: Auli
authors.initials: A
authors.lastname: Joutsenoja
authors.forename: Minna
authors.initials: M
authors.lastname: Koskinen
authors.forename: Laure
authors.initials: L
authors.lastname: Morin-Papunen
authors.forename: Leea
authors.initials: L
authors.lastname: Järvi
authors.forename: Riitta
authors.initials: R
authors.lastname: Hassinen
authors.forename: Anna
authors.initials: A
authors.lastname: Keski-Rahkonen
authors.forename: Aila
authors.initials: A
authors.lastname: Rissanen
authors.forename: Kristian
authors.initials: K
authors.lastname: Wahlbeck
mesh_terms: D000293:Adolescent; D000856:Anorexia Nervosa / Q000188:drug therapy; D002032:Bulimia / Q000628:therapy; D002648:Child; D015897:Comorbidity; D012534:Dental Scaling; D001068:Feeding and Eating Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control / Q000628:therapy*; D006801:Humans; D044623:Nutrition Therapy; D011379:Prognosis; D011613:Psychotherapy