Hospitalization of patients with anorexia nervosa: A therapeutic proposal

  • D. Matusevich
  • A. García
  • S. Gutt
  • I. de la Parra
  • C. Finkelsztein
Original Research Paper


Anorexia nervosa is an eating disorder that primarily affects young women and has a high morbidity and mortality rate. Hospitalization effectively overcomes the acute phase, prevents progression to chronicity and promotes lasting changes. Our aim is to establish a prior therapeutic contract and systematize hospitalization in three stages comprising: clinical and nutritional approaches, individual and group psychotherapy, family therapy, occupational therapy, body therapy and pharmacotherapy. Because of the multiple determination of anorexia nervosa and the risk involved, treatment must be carried out by a multidisciplinary team.

Key words

Anorexia nervosa psychiatric hospitalization treatment of the eating disorders 


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  1. 1.
    Garner D.: Pathogenesis of anorexia nervosa. Lancet, 341, 1631–1640, 1993.PubMedCrossRefGoogle Scholar
  2. 2.
    Sullivan P.: Mortality in anorexia nervosa. Am. J. Psychiatry, 152, 1073–1074, 1995.PubMedGoogle Scholar
  3. 3.
    Valiente E.: Anorexia y Bulimia: El corsé de la autodisciplina. In: Margulis M. (Ed.), La juventud es más que una palabra. Buenos Aires, Biblos, 1996.Google Scholar
  4. 4.
    Bowers W., Andersen A.: Inpatient treatment of anorexia nervosa: review and recommendations. Harv. Rev. Psychiatry, 2, 193–203, 1994.PubMedCrossRefGoogle Scholar
  5. 5.
    Roth A., Fonagy P.: What works for whom? A critical review of psychotherapy research. New York, The Gilford Press, 1996.Google Scholar
  6. 6.
    Garcia de Amusquibar A., Matusevich D., Finkelsztein C., De la Parra I., Gutt S.: Internacion de pacientes con trastorno de la conducta alimentaria. VERTEX Rev. Argent. Psiquiatria, XII, 85–89, 2001.Google Scholar
  7. 7.
    Dalle Grave R., Ricca V., Todesco T.: The stepped-care approach in anorexia nervosa and bulimia nervosa: Progress and problems. Eating Weight Disord., 6, 81–89, 2001.Google Scholar
  8. 8.
    Sánchez Dias I., Olmedo Marfil N.: Terapia cognitiva de los trastornos del comportamiento alimentario bajo ingreso hospitalario. In: Turon Gil V. (Ed.), Trastornos de la Alimentación. Barcelona, Masson, 1997.Google Scholar
  9. 9.
    Fernández Aranda F., Turon Gil V.: Trastornos de la alimentación. Guía básica de tratamiento en anorexia y bulimia. Barcelona, Masson, 1998.Google Scholar
  10. 10.
    Parral J., Kestelman P., Cena M., Contreras M., Haas T., Schetini G.: Anorexia Nerviosa. Un modelo de internación clínico psiquiátrico. Abordaje terapéutico del momento agudo. Rev. Hosp. Niños de Buenos Aires, XXX, 127, 13–21, 1988.Google Scholar
  11. 11.
    Bel Villar M.: Terapia familiar en la anorexia nerviosa. In: Turon Gil V. (Ed.), It Trastornos de la Alimentación. Barcelona, Masson, 1997.Google Scholar
  12. 12.
    Roijen S.: Eating disorders and family therapy. Why, how and when? Eating Weight Disord., 5, 16–23, 2000.Google Scholar
  13. 13.
    Jiménez Murcia S.: Programa de intervención conductal cognitiva de grupo para la anorexia nerviosa. In: Turon Gil V. (Ed.), Trastornos de la Alimentación. Barcelona, Masson, 1997.Google Scholar
  14. 14.
    Landau A., Mendelson J.: Danza terapia y arte terapia: enfoques alternativos en el tratamiento de la anorexia y la bulimia. Rev. Argent. Terapia Corporal, 5, 1998.Google Scholar
  15. 15.
    Hyattsville M.: The Food Guide Pyramid. Washington, US Department of Agriculture, 1992.Google Scholar
  16. 16.
    Andersen A.: Progress in eating disorders research. Am. J. Psychiatry, 158, 515–517, 2001.PubMedCrossRefGoogle Scholar
  17. 17.
    Attia E., Haiman C., Walsh T., Flater S.: Does fluoxetine augment the inpatient treatment of anorexia nervosa? Am. J. Psychiatry, 155, 548–551, 1998.PubMedGoogle Scholar
  18. 18.
    Bertera H.: Uso racional de los psicofármacos en anorexia y bulimia nerviosa. VERTEX Rev. Arg. Psiquiatría, IX, 32, 137–147, 1998.Google Scholar
  19. 19.
    Turon Gil V.: Prevención y tratamientos de la anorexia nerviosa. In: Turon Gil V. (Ed.), Trastornos de la Alimentación. Barcelona, Masson, 1997.Google Scholar
  20. 20.
    Moizeszowicz J.: Psicofarmacología psicodinámica. Buenos Aires, Paidós, 1998.Google Scholar
  21. 21.
    Watson T., Bowers A., Andersen A.: Involuntary treatment of eating disorders. Am. J. Psychiatry, 157, 1806–1810, 2000.PubMedCrossRefGoogle Scholar

Copyright information

© Editrice Kurtis 2002

Authors and Affiliations

  • D. Matusevich
    • 1
  • A. García
    • 1
  • S. Gutt
    • 2
  • I. de la Parra
    • 3
  • C. Finkelsztein
    • 1
  1. 1.Hospitalization ward, Psychiatric ServiceHospital Italiano de Buenos AiresBuenos AiresArgentina
  2. 2.Nutrition AreaHospital Italiano de Buenos AiresArgentina
  3. 3.Area of Endocrinology and GynecologyHospital Italiano de Buenos AiresArgentina

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