Family‐based therapy for young adults with Anorexia Nervosa restores weight

Chen, Eric; Weissman, Jessica; Zeffiro, Thomas A.; Yiu, Angelina; Eneva, Kalina T.; Arlt, Jean M.; Swantek, Michael J.

doi:10.1002/eat.22513

Cited by 37 publications

(26 citation statements)

References 17 publications

(23 reference statements)

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“…An open trial of TAY-FBT has recently shown promising outcomes for individuals with AN (Dimitropoulos et al, 2018). Another pilot study of FBT for young adults, which had a similar collaborative approach, has also shown promise (Chen et al, 2016).…”

Section: Balance Self-management With Caregiver-supportmentioning

confidence: 99%

Eating Disorders During Emerging Adulthood: A Systematic Scoping Review

et al. 2020

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Background: Eating disorders (EDs) during the transition to adulthood can derail social, psychological, and vocational development. Effective treatment is of paramount importance, yet young adults' treatment needs are typically less well met than those of adolescents. In recent years, there has been a considerable shift in how developmental psychologists understand the transition to adulthood, with this life-phase reconceptualized as "emerging adulthood" (EA) (∼18-25 years). Engagement with burgeoning developmental research is likely key to providing more effective care for young people experiencing EDs.Aims: To review ED research which has utilized the concept of EA, and to assess the usefulness of this concept for ED research and practice.Methods: A systematic scoping review was conducted in accordance with the Joanna Briggs Institute guidelines for scoping reviews. Three databases (Psychinfo, PubMed, Embase) were searched for papers which explicitly focused on EDs during EA. No restrictions as to publication type, language, study design, or participants were applied. Included studies were assessed for developmental "informedness," and findings were qualitatively synthesized.Results: Thirty-six studies (N = 25,475) were included in the review. Most studies used quantitative methodologies, were cross-sectional in design and focused on identifying psychological and social factors which contribute to etiology of EDs. Many studies (N = 22) used well-defined samples of emerging adults (EAs); few studies (N = 8) included developmental measures relevant to EAs. Findings indicate that whilst factors implicated in EDs in adolescence and adulthood are relevant to EAs, EA-specific factors (e.g., identity exploration) may also contribute. Conventional ED services and treatments present difficulties for EAs, whilst those adapted to EAs' needs are feasible, acceptable, and more effective than treatment-as-usual. Directions for future research and clinical implications are discussed.Conclusion: Existing research indicates that the EA concept is relevant for understanding EDs during the transition to adulthood, and ED services should implement Potterton et al.Eating Disorders During Emerging Adulthood adaptations which exploit the opportunities and overcome the challenges of this developmental stage. EA is currently an underused concept in ED research, and future engagement with the developmental literature by both researchers and clinicians may be key to understanding and treating EDs during transition to adulthood.

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Section: Balance Self-management With Caregiver-supportmentioning

confidence: 99%

Eating Disorders During Emerging Adulthood: A Systematic Scoping Review

et al. 2020

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“…In a small study, 22 patients with AN between the ages of 18 and 26 years participated in a 6-month open trial of FBT for young adults (FBT-Y) 41. Patients started treatment at a mean body mass index (BMI) of 17.84.…”

Section: Empirical Evidence For Family-based Treatment For Anmentioning

confidence: 99%

Family-based treatment of eating disorders in adolescents: current insights

Rienecke¹

2017

AHMT

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Eating disorders are serious illnesses associated with significant morbidity and mortality. Family-based treatment (FBT) has emerged as an effective intervention for adolescents with anorexia nervosa, and preliminary evidence suggests that it may be efficacious in the treatment of adolescents with bulimia nervosa. Multifamily therapy for anorexia nervosa provides a more intensive experience for families needing additional support. This review outlines the three phases of treatment, key tenets of family-based treatment, and empirical support for FBT. In addition, FBT in higher levels of care is described, as well as challenges in the implementation of FBT and recent adaptations to FBT, including offering additional support to eating-disorder caregivers. Future research is needed to identify families for whom FBT does not work, determine adaptations to FBT that may increase its efficacy, develop ways to improve treatment adherence among clinicians, and find ways to support caregivers better during treatment.

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“…AN can make them feel guilty or anxious which is neither justified nor helpful. Family therapy for AN can tackle these feelings, can identify interpersonal difficulties maintaining the disorder, teach psychosocial and communication skills, and thus enable the carers to help the patients work towards recovery [7,8]. The carers' help may also include supporting psychopharmacological treatment.…”

Section: Carers' Help For Patients With Anorexia Nervosamentioning

confidence: 99%

Patients’ and Carers’ Perspectives of Psychopharmacological Interventions Targeting Anorexia Nervosa Symptoms

Dessain

Bentley²,

Treasure

et al. 2019

Anorexia and Bulimia Nervosa

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In clinical practice, patients with anorexia nervosa (AN), their carers and clinicians often disagree about psychopharmacological treatment. We developed two corresponding questionnaires to survey the perspectives of patients with AN and their carers on psychopharmacological treatment. These questionnaires were distributed to 36 patients and 37 carers as a quality improvement project on a specialist unit for eating disorders at the South London and Maudsley NHS Foundation Trust. Although most patients did not believe that medication could help with AN, the majority thought that medication for AN should help with anxiety (61.1%), concentration (52.8%), sleep problems (52.8%) and anorexic thoughts (55.6%). Most of the carers shared the view that drug treatment for AN should help with anxiety (54%) and anorexic thoughts (64.8%). Most patients had concerns about potential weight gain, increased appetite, changes in body shape and metabolism during psychopharmacological treatment. By contrast, the majority of carers were not concerned about these specific side effects. Some of the concerns expressed by the patients seem to be AN-related. However, their desire for help with anxiety and anorexic thoughts, which is shared by their carers, should be taken seriously by clinicians when choosing a medication or planning psychopharmacological studies.

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Family‐based therapy for young adults with Anorexia Nervosa restores weight

Abstract: FBTY for young adults with AN and atypical AN, which involves support adults participants have chosen, results in weight restoration that is sustained up to a year after treatment. © 2016 Wiley Periodicals, Inc. (Int J Eat Disord 2016; 49:701-707).

Cited by 37 publications

References 17 publications

Eating Disorders During Emerging Adulthood: A Systematic Scoping Review

Eating Disorders During Emerging Adulthood: A Systematic Scoping Review

Family-based treatment of eating disorders in adolescents: current insights

Patients’ and Carers’ Perspectives of Psychopharmacological Interventions Targeting Anorexia Nervosa Symptoms

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