TY - JOUR
T1 - The effectiveness of family-based treatment for full and partial adolescent anorexia nervosa in an independent private practice setting : clinical outcomes
AU - Goldstein, Mandy
AU - Murray, Stuart B.
AU - Griffiths, Scott
AU - Rayner, Kathryn
AU - Podkowka, Jessica
AU - Bateman, Joel E.
AU - Wallis, Andrew
AU - Thornton, Christopher E.
PY - 2016
Y1 - 2016
N2 - Objective: Anorexia nervosa (AN) is a severe psychiatric illness with little evidence supporting treatment in adults. Among adolescents with AN, family-based treatment (FBT) is considered first-line outpatient approach, with a growing evidence base. However, research on FBT has stemmed from specialist services in research/public health settings. This study investigated the effectiveness of FBT in a case series of adolescent AN treated in a private practice setting. Method: Thirty-four adolescents with full or partial AN, diagnosed according to DSM-IV criteria, participated, and were assessed at pretreatment and post-treatment. Assessments included change in % expected body weight, mood, and eating pathology. Results: Significant weight gain was observed from pretreatment to post-treatment. 45.9% of the sample demonstrated full weight restoration and a further 43.2% achieved partial weight-based remission. Missing data precluded an examination of change in mood and ED psychopathology. Discussion: Effective dissemination across different service types is important to the wider availability of evidence-based treatments. These weight restoration data lend preliminary support to the implementation of FBT in real world treatment settings.
AB - Objective: Anorexia nervosa (AN) is a severe psychiatric illness with little evidence supporting treatment in adults. Among adolescents with AN, family-based treatment (FBT) is considered first-line outpatient approach, with a growing evidence base. However, research on FBT has stemmed from specialist services in research/public health settings. This study investigated the effectiveness of FBT in a case series of adolescent AN treated in a private practice setting. Method: Thirty-four adolescents with full or partial AN, diagnosed according to DSM-IV criteria, participated, and were assessed at pretreatment and post-treatment. Assessments included change in % expected body weight, mood, and eating pathology. Results: Significant weight gain was observed from pretreatment to post-treatment. 45.9% of the sample demonstrated full weight restoration and a further 43.2% achieved partial weight-based remission. Missing data precluded an examination of change in mood and ED psychopathology. Discussion: Effective dissemination across different service types is important to the wider availability of evidence-based treatments. These weight restoration data lend preliminary support to the implementation of FBT in real world treatment settings.
UR - https://hdl.handle.net/1959.7/uws:66247
U2 - 10.1002/eat.22568
DO - 10.1002/eat.22568
M3 - Article
SN - 0276-3478
VL - 49
SP - 1023
EP - 1026
JO - International Journal of Eating Disorders
JF - International Journal of Eating Disorders
IS - 11
ER -