The Role of Psychotropic Medications in the Management of Anorexia Nervosa: Rationale, Evidence and Future Prospects.
Anorexia nervosa (AN) is a severe psychiatric disorder without approved medication intervention. Every class of psychoactive medication has been tried to improve treatment outcome; however, randomized controlled trials have been ambiguous at best and across studies have not shown robust improvements in weight gain and recovery. Here we review the available literature on pharmacological interventions since AN came to greater public recognition in the 1960s, including a critical review of why those trials may not have been successful. We further provide a neurobiological background for the disorder and discuss how cognition, learning, and emotion-regulating circuits could become treatment targets in the future. Making every effort to develop effective pharmacological treatment options for AN is imperative as it continues to be a complex psychiatric disorder with high disease burden and mortality.
Departments of Psychiatry and Neuroscience, and Developmental Brain Research Program, University of Colorado Anschutz Medical Campus, Children's Hospital Colorado, Gary Pavilion A036/B-130, 13123 East 16th Avenue, Aurora, CO, 80045, USA. Guido.Frank@ucdenver.edu.|School of Medicine, University of Colorado Denver, Anschutz Medical Campus, Aurora, CO, USA. Guido.Frank@ucdenver.edu.
Guido K W
http://orcid.org/0000-0002-6590-3441
GK
Frank
Departments of Psychiatry and Neuroscience, and Developmental Brain Research Program, University of Colorado Anschutz Medical Campus, Children's Hospital Colorado, Gary Pavilion A036/B-130, 13123 East 16th Avenue, Aurora, CO, 80045, USA.
Megan E
ME
Shott
D000818:Animals; D000856:Anorexia Nervosa / Q000188:drug therapy*; D019468:Disease Management; D004644:Emotions / Q000187:drug effects*; D006801:Humans; D011619:Psychotropic Drugs / Q000627:therapeutic use*; D016896:Treatment Outcome; D015430:Weight Gain / Q000187:drug effects*
D011619:Psychotropic Drugs