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[Anorexia nervosa in adolescents]
J Tomás Vilaltella1, N Bassas Bolíbar, J Henrich Pujol
1Depart. de Farmacología y Psiquiatría, Hospital Materno-Infantil Vall d'Hebró, Barcelona.
Anales Espanoles De Pediatria
|June 1, 1990
Summary
This study reviewed 53 adolescent cases (10-21 years) diagnosed with obsessive-compulsive disorder (OCD). A combination of psychotherapy, environmental separation, and antidepressants led to positive outcomes in most patients.
Area of Science:
- Child and Adolescent Psychiatry
- Neuropsychology
- Clinical Psychology
Context:
- Review of 53 adolescent cases (ages 10-21) diagnosed using DSM-III-R criteria between 1968 and 1988.
- Analysis of symptom progression across three distinct phases of the disorder.
- Examination of treatment modalities including psychotherapy, environmental separation, and biological treatments.
Purpose:
- To revise and analyze a cohort of adolescent psychiatric cases.
- To identify common symptomatology and its evolution over time.
- To evaluate the effectiveness of various treatment interventions.
Summary:
- Adolescent mental health cases (ages 10-21) presented with distinct symptomatic phases: initial "prudent child"/irritability/obsessions, followed by phobias/anxiety, and later passivity/inhibition.
- Treatment involved individual psychotherapy (42/53 cases), environmental separation (39/53), and biological treatments/antidepressants (44/53).
- Positive evolution was observed in 35/53 cases, with 15 patients abandoning treatment.
Impact:
- Highlights the complex, phased nature of adolescent mental health disorders.
- Underscores the importance of multimodal treatment approaches, including psychotherapy and environmental support.
- Provides insights into treatment adherence and outcomes in a clinical adolescent population.