The effect of multiple family therapy on weight gain in adolescents with anorexia nervosa: pilot data.

OBJECTIVE: Preliminary research suggests that multiple family therapy (MFT) may be an effective intervention for adolescent anorexia nervosa (AN). This study compared the extent of weight restoration for patients enrolled in one year of MFT compared to a matched control group receiving treatment as usual (TAU). METHOD: A retrospective chart review was performed using data from 25 MFT cases matched to 25 controls on age, diagnosis and year of entry to the eating disorder program. RESULTS: Both cases and controls experienced significant weight restoration, however patients enrolled in MFT were restored to a higher mean percent ideal body weight than the TAU group (99.6% (±7.27%) vs. 95.4 (±6.88); p<0.05). CONCLUSIONS: MFT may be more effective than TAU in restoring weight in adolescents with AN.

OBJECTIF: La recherche préliminaire suggère que la thérapie multifamiliale (TMF) peut être une intervention efficace pour les adolescents souffrant d'anorexie mentale (AM). Cette étude a comparé l'étendue de la reprise de poids pour les patients inscrits à une TMF d'un an comparativement à un groupe témoin apparié recevant le traitement usuel (TU). MÉTHODE: Un examen rétrospectif des dossiers a été mené à l'aide des données de 25 cas de TMF appariés à 25 témoins selon l'âge, le diagnostic et l'année d'entrée dans le programme des troubles alimentaires. RÉSULTATS: Les cas et les témoins ont eu des reprises de poids significatives, mais les patients inscrits à la TMF ont repris un pourcentage moyen plus élevé de leur poids corporel idéal que le groupe du TU (99,6% [±7,27 %] c. 95,4% [±6,88]; p<0,05). CONCLUSIONS: La TMF peut être plus efficace que le TU pour la reprise de poids des adolescents souffrant d'AM.

Fever in returning travellers due to a noninfectious disease: Two case reports.

Each year, increasing numbers of people from developed countries travel to developing countries. It is not rare for these travellers to experience illness during or following their trips. It has been estimated that fever is present in 25% of those who seek medical attention following travel. In the majority of cases, the focus of the investigations centre around an infectious etiology, which can lead to a delay in establishing the noninfectious cause of fever. Two cases of fever, which were due to a noninfectious disease, are reported in returning travellers.