Table 2.
International guidelines’ key recommendations regarding psychotherapy for AN.
Recommendation | AUS [41] | BC [46] | DEN [40] | FR [44] | GER [14] | NETH [39] | SP [45] | UK [38] | US [43] |
---|---|---|---|---|---|---|---|---|---|
For adults: | |||||||||
Psychotherapy in general | + | + | + | + | + | + | + | + | + |
Not as efficient in severely malnourished patients | N.R. | N.R. | N.R. | ✓ | N.R. | ✓ | N.R. | N.R. | ✓ |
Specific psychological interventions | ✓ | ✓ | N.R. | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
CBT/CBT-E | + | + | N.R. | + | + | + | + | + | + |
Psychodynamic Therapy | N.R. | + | N.R. | + | + | N.R. | + | N.R. | + |
FPT | N.R. | N.R. | N.R. | N.R. | + | N.R. | N.R. | N.R. | N.R. |
MANTRA | N.R. | N.R. | N.R. | N.R. | + | + | N.R. | + | N.R. |
SSCM | + | N.R. | N.R. | N.R. | + | + | N.R. | + | N.R |
IPT | N.R. | + | N.R. | N.R. | N.R. | N.R. | + | N.R. | + |
For children and adolescents: | |||||||||
Involvement of parents/near caregivers | + | + | + | + | + | + | + 1 | + | + |
Family therapy | FBT or other forms of family therapy | FBT | FBT or other forms of family therapy | Family therapy | FBT or other forms of family therapy | FBT? | Family therapy (systemic or not) | FT-AN | FBT or other forms of family therapy |
✓ recommendation given; + explicit recommendation in favour; N.R., no recommendation reported; AUS, Australia and New Zealand; BC, British Columbia; DEN, Denmark; FR, France; GER, Germany; NETH, The Netherlands; SP, Spain; UK, United Kingdom; US, United States; CBT(-E), (Enhanced) Cognitive Behaviour Therapy; FPT, Focal Psychodynamic Therapy; MANTRA, Maudsley Model of Anorexia Nervosa Treatment for Adults; SSCM, Specialist Supportive Clinical Management; IPT, Interpersonal Therapy; FBT, Family-Based Treatment/Therapy; FT-AN, AN-focused Family Therapy; 1 and siblings; ?, ambiguous evidence.