[A therapy of eating disorders in children and adolescents].
Eighty patients with anorexia nervosa, 66 girls and 14 boys, aged 6-16 years, illness duration 6-44 months, were examined and treated. Sixty-seven patients were follow-up studied during 3-10 years. In 30 cases, anorexia nervosa emerged in the frame of pathological course of the age crisis in children and adolescences with accentuated personality features; in 50 cases--as syndrome in the frame of schizotypal personality disorder. The treatment was realized stage-by-stage and included "nonspecific" therapy directed to ceasing of weight deficit and stopping the increase of cahexia; "specific" psychotropic therapy conducted with taking into account a nosologic affiliation of syndrome and combined with psychotherapy and family therapy. An implication of the complex therapy allowed to increase a patient's body mass and to reduce motivational, autonomic, emotionally-affective disorders. A combination of "nonspecific" and "specific" treatment stages with psychotherapy made it possible to form and reinforce a stable right style of eating behavior in patients with syndrome of anorexia nervosa that was supported by positive dynamics and favorable follow-up results.
Balakireva
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D000293:Adolescent; D000367:Age Factors; D000856:Anorexia Nervosa / Q000188:drug therapy / Q000523:psychology / Q000628:therapy*; D015992:Body Mass Index; D002032:Bulimia / Q000188:drug therapy / Q000523:psychology / Q000628:therapy*; D002648:Child; D005190:Family; D005247:Feeding Behavior; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011613:Psychotherapy; D011619:Psychotropic Drugs / Q000627:therapeutic use; D012737:Sex Factors; D013997:Time Factors; D016896:Treatment Outcome
D011619:Psychotropic Drugs