Compulsory Treatment in Anorexia Nervosa: A Review

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

*Bijbehorende auteur voor dit werk

    OnderzoeksoutputAcademicpeer review

    37 Citaten (Scopus)


    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)

    Originele taal-2English
    Pagina's (van-tot)845-852
    Aantal pagina's8
    TijdschriftInternational journal of eating disorders
    Nummer van het tijdschrift8
    StatusPublished - dec-2014

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