Innovative and Emerging Treatments for Anorexia Nervosa.

Focus (American Psychiatric Publishing) Pub Date : 2024-07-01 Epub Date: 2024-06-28 DOI:10.1176/appi.focus.20230041
Amanda E Downey, Sasha Gorrell
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Abstract

Unlike psychopharmacologic interventions for other psychiatric conditions, few medications have emerged as helpful in improving eating disorder cognitions and evidence-based psychotherapies fail many patients. Novel treatments are urgently needed to address anorexia nervosa (AN), which is increasingly prevalent and difficult to treat. This article provides an overview of preliminary investigations into cannabidiol, psilocybin therapy, ketamine and the ketogenic diet, transcranial magnetic stimulation, and vagus nerve stimulation in individuals with AN. These pilot studies underscore the need for larger clinical trials that include more participant diversity in order to rapidly translate findings to real-world clinical practice.

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厌食症的创新和新兴疗法。
与其他精神疾病的精神药物干预不同,很少有药物有助于改善进食障碍的认知,而循证心理疗法也使许多患者失败。神经性厌食症(AN)的发病率越来越高,治疗难度也越来越大,因此迫切需要新的治疗方法来解决这一问题。本文概述了对神经性厌食症患者进行大麻二酚、西洛赛宾疗法、氯胺酮和生酮饮食、经颅磁刺激和迷走神经刺激的初步调查。这些试验性研究强调,为了将研究结果迅速转化为现实世界的临床实践,需要进行包括更多参与者的更大规模的临床试验。
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Anorexia Nervosa Across the Lifespan: A Review of Recent Literature. Avoidant/Restrictive Food Intake Disorder: Review and Recent Advances. Building Confidence in Discussing Genetics With Patients With Eating Disorders and Their Families. Bulimia Nervosa and Binge-Eating Disorder Across the Lifespan. Charting a Path Toward Improving Detection and Clinical Outcomes for Eating Disorders in Cismales and Gender-Diverse Patients.
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