Severe and enduring anorexia nervosa: Update and observations about the current clinical reality.

TitleSevere and enduring anorexia nervosa: Update and observations about the current clinical reality.
Publication TypeJournal Article
Year of Publication2020
AuthorsWonderlich SA, Bulik CM, Schmidt U, Steiger H, Hoek HW
JournalInt J Eat Disord
Volume53
Issue8
Pagination1303-1312
Date Published2020 Aug
ISSN1098-108X
Abstract

Several objectives underlie the current article. First, to review historical diagnostic issues and clinical strategies for treating SE-AN. Second, to provide an overview of recent evidence informed strategies and clinical innovations for the treatment of SE-AN. Third, based on the authors' collective clinical and research experience, we offer eight observations that we believe capture the current clinical experience of patients with SE-AN. Some of these observations represent empirically testable hypotheses, but all are designed to generate a meaningful discussion about the treatment of this group of individuals with eating disorders. Finally, we hope to call clinicians, scientists, professional organizations, advocates, and policy makers to action to attend to critical issues related to the care of individuals with SE-AN. We believe that an international discussion could clarify areas of need for these patients and identify opportunities for clinical innovation that would enhance the lives of individuals with SE-AN and their families.

DOI10.1002/eat.23283
Alternate JournalInt J Eat Disord
PubMed ID32359125
Grant List / / King's College London /
/ / South London and Maudsley NHS Foundation Trust /
/ / National Institute of Health Research /
R01DK112487 / NH / NIH HHS / United States
R01MH120170 / NH / NIH HHS / United States
538-2013-8864 / / Swedish Research Council /
R01DK112487 / NH / NIH HHS / United States
R01MH120170 / NH / NIH HHS / United States