1. Canadian practice guidelines for the treatment of children and adolescents with eating disorders
- Author
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Jennifer Couturier, Leanna Isserlin, Mark Norris, Wendy Spettigue, Melissa Brouwers, Melissa Kimber, Gail McVey, Cheryl Webb, Sheri Findlay, Neera Bhatnagar, Natasha Snelgrove, Amanda Ritsma, Wendy Preskow, Catherine Miller, Jennifer Coelho, Ahmed Boachie, Cathleen Steinegger, Rachel Loewen, Techiya Loewen, Elizabeth Waite, Catherine Ford, Kerry Bourret, Joanne Gusella, Josie Geller, Adele LaFrance, Anick LeClerc, Jennifer Scarborough, Seena Grewal, Monique Jericho, Gina Dimitropoulos, and David Pilon
- Subjects
Guidelines ,Adolescent ,Anorexia nervosa ,Bulimia nervosa ,Avoidant/restrictive food intake disorder ,Psychiatry ,RC435-571 - Abstract
Abstract Objectives Eating disorders are common and serious conditions affecting up to 4% of the population. The mortality rate is high. Despite the seriousness and prevalence of eating disorders in children and adolescents, no Canadian practice guidelines exist to facilitate treatment decisions. This leaves clinicians without any guidance as to which treatment they should use. Our objective was to produce such a guideline. Methods Using systematic review, the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system, and the assembly of a panel of diverse stakeholders from across the country, we developed high quality treatment guidelines that are focused on interventions for children and adolescents with eating disorders. Results Strong recommendations were supported specifically in favour of Family-Based Treatment, and more generally in terms of least intensive treatment environment. Weak recommendations in favour of Multi-Family Therapy, Cognitive Behavioural Therapy, Adolescent Focused Psychotherapy, adjunctive Yoga and atypical antipsychotics were confirmed. Conclusions Several gaps for future work were identified including enhanced research efforts on new primary and adjunctive treatments in order to address severe eating disorders and complex co-morbidities.
- Published
- 2020
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