An overview of the treatment of eating disorders in adults and adolescents: pharmacology and psychotherapy

Gina I. Costandache; Oana Munteanu; Andra Salaru; Bianca Oroian; Mihai Cozmin

doi:10.5114/ppn.2023.127237

eISSN: 2720-5371
ISSN: 1230-2813

Advances in Psychiatry and Neurology/Postępy Psychiatrii i Neurologii

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abstract:

Review paper

An overview of the treatment of eating disorders in adults and adolescents: pharmacology and psychotherapy

Gina I. Costandache

¹

,

Oana Munteanu

²

,

Andra Salaru

¹

,

Bianca Oroian

¹

,

Mihai Cozmin

^{1, 3}

Department of Adult Psychiatry, Institute of Psychiatry “Socola”, Iași, Romania
Clinical Emergency Hospital for Children, Child and Adolescent Psychiatry Clinic, Cluj-Napoca, Romania
Clinical Department, “Apollonia” University, Iași, Romania

Adv Psychiatry Neurol 2023; 32 (1): 40-48

DOI: https://doi.org/10.5114/ppn.2023.127237

Online publish date: 2023/05/08

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AMA

Costandache G, Munteanu O, Salaru A, Oroian B, Cozmin M. An overview of the treatment of eating disorders in adults and adolescents: pharmacology and psychotherapy. Advances in Psychiatry and Neurology/Postępy Psychiatrii i Neurologii. 2023;32(1):40-48. doi:10.5114/ppn.2023.127237.

APA

Costandache, G., Munteanu, O., Salaru, A., Oroian, B.,  & Cozmin, M. (2023). An overview of the treatment of eating disorders in adults and adolescents: pharmacology and psychotherapy. Advances in Psychiatry and Neurology/Postępy Psychiatrii i Neurologii, 32(1), 40-48. https://doi.org/10.5114/ppn.2023.127237

Chicago

Costandache, Gina I., Oana Munteanu, Andra Salaru, Bianca Oroian,  and Mihai Cozmin. 2023. "An overview of the treatment of eating disorders in adults and adolescents: pharmacology and psychotherapy". Advances in Psychiatry and Neurology/Postępy Psychiatrii i Neurologii 32 (1): 40-48. doi:10.5114/ppn.2023.127237.

Harvard

Costandache, G., Munteanu, O., Salaru, A., Oroian, B.,  and Cozmin, M. (2023). An overview of the treatment of eating disorders in adults and adolescents: pharmacology and psychotherapy. Advances in Psychiatry and Neurology/Postępy Psychiatrii i Neurologii, 32(1), pp.40-48. https://doi.org/10.5114/ppn.2023.127237

MLA

Costandache, Gina I. et al. "An overview of the treatment of eating disorders in adults and adolescents: pharmacology and psychotherapy." Advances in Psychiatry and Neurology/Postępy Psychiatrii i Neurologii, vol. 32, no. 1, 2023, pp. 40-48. doi:10.5114/ppn.2023.127237.

Vancouver

Costandache G, Munteanu O, Salaru A, Oroian B, Cozmin M. An overview of the treatment of eating disorders in adults and adolescents: pharmacology and psychotherapy. Advances in Psychiatry and Neurology/Postępy Psychiatrii i Neurologii. 2023;32(1):40-48. doi:10.5114/ppn.2023.127237.

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Purpose
This article provides an overview of current treatment options for adults and adolescents suffering from eating disorders (ED).

Views
ED are prevalent public health problems that considerably impair physical health and disrupt psychosocial functioning. In primary care settings, anorexia nervosa, bulimia nervosa, and binge eating disorder represent the most frequently seen types of eating disorders, in both adults and adolescents. To address these maladaptive eating-related behaviors and concurrent psychiatric symptoms, various pharmacological interventions and specialized psychological treatments have been evaluated and received support to varying degrees by controlled research.

Conclusions
The current literature regarding children and adolescents with eating disorders mainly supports the use of psychological interventions, such as family-based treatment and cognitive behavioral therapy. Due to the lack of robust evidence, the use of psychotropic medications is neither recommended nor approved in this population. For adults with eating disorders, an array of behaviorally focused psychotherapies, along with integrative and interpersonal approaches, can lead to the improvement of symptoms and the achievement of a healthy weight. Moreover, aside from psychotherapy, several pharmacological agents can contribute to the alleviation of eating disorders’ clinical characteristics in the adult population. At the moment, the recommended psychotropic medication for eating disorders is represented by fluoxetine for bulimia nervosa and lisdexamfetamine for binge eating disorder.

keywords:

An overview of the treatment of eating disorders in adults and adolescents: pharmacology and psychotherapy

Gina I. Costandache 1 , Oana Munteanu 2 , Andra Salaru 1 , Bianca Oroian 1 , Mihai Cozmin 1, 3

anorexia nervosa, bulimia nervosa, binge eating disorder, medication, psychotherapy

Gina I. Costandache

¹

,

Oana Munteanu

²

,

Andra Salaru

¹

,

Bianca Oroian

¹

,

Mihai Cozmin

^{1, 3}