Pervasive refusal syndrome or anorexia nervosa: a case report with a successful behavioural treatment.
Eat Weight Disord 2021;
26:2089-2093. [PMID:
32816207 PMCID:
PMC7439801 DOI:
10.1007/s40519-020-00991-8]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/03/2020] [Accepted: 08/12/2020] [Indexed: 11/28/2022] Open
Abstract
PURPOSE
Pervasive refusal syndrome (PRS) is a rare psychiatric disease that affects children. It was first described by Lask in 1991 (Arch Dis Child 66:866-869, 1991). Recently, Otasowie and Collaborators reported a systematic review about PRS. Despite this, PRS has not yet been classified in DSM-5 and ICD-11 and the lack of evidence-based treatment makes this syndrome a real challenge for clinicians. The aim of this paper is to present our experience through the description of a case report and its treatment.
METHODS AND RESULTS
The case reported is a girl aged 11 years that fits the clinical picture described in the literature of PRS. In previous reports, behavioural treatment was not used or appreciated; our case adds new knowledge regarding the PRS diagnosis and the successful behavioural treatment during hospitalization, which we describe in all its phases.
CONCLUSION
PRS is a rare, life-threatening syndrome; it would be extremely important to have an official and evidence-based treatment guide.
LEVEL OF EVIDENCE
Level V, case report.
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