Coaching family-based outpatient treatment for adolescent anorexia nervosa : a case report
Ronkainen, Jaana; Ronkainen, Jukka
Psychiatria Fennica oy
Ronkainen, J., & Ronkainen, J. (2024). Coaching family-based outpatient treatment for adolescent anorexia nervosa: a case report. Psychiatria Fennica, 55, 90-101.
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This journal uses a CC BY license. All articles published by the Psychiatria Fennica are made freely and permanently accessible online immediately upon publication, without subscription charges or registration barriers. As authors of articles published in the Psychiatria Fennica are the copyright holders of their article and have granted to any third party, in advance and in perpetuity, the right to use, reproduce or disseminate their article.
https://creativecommons.org/licenses/by/4.0/
This journal uses a CC BY license. All articles published by the Psychiatria Fennica are made freely and permanently accessible online immediately upon publication, without subscription charges or registration barriers. As authors of articles published in the Psychiatria Fennica are the copyright holders of their article and have granted to any third party, in advance and in perpetuity, the right to use, reproduce or disseminate their article.
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Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:oulu-202411056593
https://urn.fi/URN:NBN:fi:oulu-202411056593
Tiivistelmä
Abstract
Family-based treatment (FBT) has been shown to be an effective treatment for adolescent anorexia nervosa and the method is nowadays generally recommended, but probably not widely enough in practice in Finland. Around a decade ago, one severe anorexia patient was successfully treated by a paediatrician (JR), in an initially unplanned treatment, at a healthcare centre as an outpatient, by coaching the family to return the patient to their previous normal eating habits. The severe malnutrition (weight loss of 20 kgs and body mass index 14.3 kg/m2) and the eating disorder symptoms alleviated in approximately six months by actively supporting and coaching the parents, in weekly appointments, to take whole responsibility for the meals. During the last ten years, the paediatrician (JR) has applied the coaching family-based method (c-FBM) to all adolescent patients with a restrictive eating disorder seeking help, first at the Primary Healthcare Centre of Oulu, and lately at Primary Healthcare Centres of Länsi-Pohja District and at a private clinic in Oulu. The c-FBM is otherwise quite similar to the generally used FBT method, with the most significant difference being the primary care paediatrician taking the main responsibility for the treatment. In this article we introduce the c-FBM through four lately treated patient cases who have all benefited from the treatment within one year..
Family-based treatment (FBT) has been shown to be an effective treatment for adolescent anorexia nervosa and the method is nowadays generally recommended, but probably not widely enough in practice in Finland. Around a decade ago, one severe anorexia patient was successfully treated by a paediatrician (JR), in an initially unplanned treatment, at a healthcare centre as an outpatient, by coaching the family to return the patient to their previous normal eating habits. The severe malnutrition (weight loss of 20 kgs and body mass index 14.3 kg/m2) and the eating disorder symptoms alleviated in approximately six months by actively supporting and coaching the parents, in weekly appointments, to take whole responsibility for the meals. During the last ten years, the paediatrician (JR) has applied the coaching family-based method (c-FBM) to all adolescent patients with a restrictive eating disorder seeking help, first at the Primary Healthcare Centre of Oulu, and lately at Primary Healthcare Centres of Länsi-Pohja District and at a private clinic in Oulu. The c-FBM is otherwise quite similar to the generally used FBT method, with the most significant difference being the primary care paediatrician taking the main responsibility for the treatment. In this article we introduce the c-FBM through four lately treated patient cases who have all benefited from the treatment within one year..
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