Compulsory Treatment in Anorexia Nervosa: A Review

Isis F. F. M. Elzakkers*, Unna N. Danner, Hans W. Hoek, Ulrike Schmidt, Annemarie A. van Elburg

*Corresponding author for this work

    Research output: Contribution to journalReview articlepeer-review

    30 Citations (Scopus)

    Abstract

    ObjectiveCompulsory in-patient refeeding of patients with severe anorexia nervosa (AN) has caused considerable controversy. The effects of such treatment on longer-term outcome are not well known. The objective of this article is to review the evidence on the outcome of compulsory treatment for AN.

    MethodThree large databases were searched for studies regarding compulsory treatment in AN.

    ResultsDetained patients have more severe symptoms and comorbidity and a longer duration of inpatient stay. In the short term compulsory refeeding in AN appears to be beneficial, but the longer term effects remain uncertain. Clinicians report no worsening of the therapeutic relationship after compulsory treatment.

    DiscussionIn severe cases of AN where the patient refuses life-saving treatment compulsory treatment needs to be considered. Future research should focus on the longer term effects of compulsory treatment and also on questions related to mental capacity in AN. (c) 2014 Wiley Periodicals, Inc. (Int J Eat Disord 2014; 47:845-852)

    Original languageEnglish
    Pages (from-to)845-852
    Number of pages8
    JournalInternational journal of eating disorders
    Volume47
    Issue number8
    DOIs
    Publication statusPublished - Dec-2014

    Keywords

    • anorexia nervosa
    • compulsory treatment
    • mental capacity
    • EATING-DISORDERS
    • INVOLUNTARY TREATMENT
    • PERCEIVED COERCION
    • MACCAT-T
    • REFLECTIONS
    • ADOLESCENTS
    • COMPETENCE
    • MORTALITY
    • ADMISSION
    • CAPACITY

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