ArticleThe International journal of eating disorders2019
Steps of care for adolescents with anorexia nervosa-A Delphi study.
Article in The International journal of eating disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- COVID-19-Related Stress and Adolescent Anorexia Nervosa: Early Detection, Similar Illness Course.The International journal of eating disorders · 2026Article
- Clinician's Experience of Working with an Intensive Outpatient Programme for Child and Adolescent Eating Disorders-A Reflexive Thematic Analysis.Behavioral sciences (Basel, Switzerland) · 2026Article
- Perspectives of general psychiatric inpatient care for persons with anorexia nervosa: an integrative literature review.BMJ open · 2025Review
- Bridging the gaps in eating disorder care: a systematic and comparative review of guidelines for prevention, early intervention, and service delivery.Frontiers in psychology · 2025Review
- Medical instability in typical and atypical adolescent anorexia nervosa: a systematic review and meta-analysis.Journal of eating disorders · 2023Review
- Measuring exercise in eating disorder patients: a Delphi study to aggregate clinical and research knowledge.Journal of eating disorders · 2022Article
- Young people and parents' views towards individual cognitive remediation therapy-qualitative findings from a feasibility randomised controlled trial.Eating and weight disorders : EWD · 2022Article
- Between wellness, relapse, and remission: Stages of illness in anorexia nervosa.The International journal of eating disorders · 2020Article
- Family-based treatment via videoconference: Clinical recommendations for treatment providers during COVID-19 and beyond.The International journal of eating disorders · 2020Article
- Development, Reliability, and Validity of the"Knowledge-Attitude-Practice" Questionnaire of Foreigners on Traditional Chinese Medicine Treatment.Evidence-based complementary and alternative medicine : eCAM · 2020Article
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Authors and funding
4 authors.
Funding
Abstract
objectiveAnorexia nervosa (AN) commonly develops during adolescence. Existing literature offers some treatment guidelines, but clear clinical criteria for initial recommendations and steps of care are needed. The aim of the present study was to develop expert consensus for a stepped-care algorithm for treatment of adolescents with AN.
methodThe Delphi approach was used to identify clinical parameters that guide initial treatment recommendations and recommendations for transitions between levels of care. The Delphi approach provides a useful expert consensus when empirical data are limited. Individuals with at least 10 years of experience in the field of adolescent AN and membership in one of three professional organizations were recruited. Twenty-five panelists participated in three rounds of iterative online questionnaires.
resultsConsensus was achieved on several features of a treatment algorithm. Hospitalization is recommended when medical instability, suicidality, or acute food refusal are present at any point in treatment. Family-based treatment (FBT) is recommended as the first-line treatment, with a few exceptions. Consensus was not reached on when to transition from a higher level of care to a lower level of care. DISCUSSION: Expert opinion was used to develop a consensus-based algorithm for care of adolescents with AN. Future research is needed to test whether these recommendations can be used to optimize outcomes for adolescents with AN.
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