Family-based Treatment of Child and Adolescent Eating Disorders

Forsberg, Sarah; Lock, James

doi:10.1016/j.chc.2015.02.012

Cited by 44 publications

(33 citation statements)

References 27 publications

(33 reference statements)

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“…Also in line with their findings, the recommendations for nutritional supplements varied widely, against a background of a lack of evidence. More consistently, most guidelines made recommendations for specific psychological interventions in the treatment of AN, especially for family-based therapy for younger patients, because of a large evidence base [ 40 , 50 , 51 ]. Most guidelines further supported cognitive-behavioral therapy [ 52 ].…”

Section: Discussionmentioning

confidence: 99%

Evidence-based clinical guidelines for eating disorders

Hilbert

Hoek

Schmidt

2017

Current Opinion in Psychiatry

250

223

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Purpose of reviewThe current systematic review sought to compare available evidence-based clinical treatment guidelines for all specific eating disorders.Recent findingsNine evidence-based clinical treatment guidelines for eating disorders were located through a systematic search. The international comparison demonstrated notable commonalities and differences among these current clinical guidelines.SummaryEvidence-based clinical guidelines represent an important step toward the dissemination and implementation of evidence-based treatments into clinical practice. Despite advances in clinical research on eating disorders, a growing body of literature demonstrates that individuals with eating disorders often do not receive an evidence-based treatment for their disorder. Regarding the dissemination and implementation of evidence-based treatments, current guidelines do endorse the main empirically validated treatment approaches with considerable agreement, but additional recommendations are largely inconsistent. An increased evidence base is critical in offering clinically useful and reliable guidance for the treatment of eating disorders. Because developing and updating clinical guidelines is time-consuming and complex, an international coordination of guideline development, for example, across the European Union, would be desirable.

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Section: Discussionmentioning

confidence: 99%

Evidence-based clinical guidelines for eating disorders

Hilbert

Hoek

Schmidt

2017

Current Opinion in Psychiatry

250

223

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“…Our therapeutic approach to the family included meetings with interdisciplinary team members, individual therapy for parents, and group meetings for parents. Recently, ample evidence has shown that family‐based treatment (FBT) is the best evidence‐based approach for adolescents with AN . FBT has focused on weight restoration, reducing blame, and empowering caregivers to change the harmful behaviors that maintain the eating disorder.…”

Section: Discussionmentioning

confidence: 99%

“…Recently, ample evidence has shown that family-based treatment (FBT) is the best evidencebased approach for adolescents with AN. 34 FBT has focused on weight restoration, reducing blame, and empowering caregivers to change the harmful behaviors that maintain the eating disorder. In a recent study by Agras et al on FBT for adolescent AN, intact families and AN without binge eating or purging were associated with higher rates of remission.…”

Section: Discussionmentioning

confidence: 99%

Long‐term follow up of hospitalized pediatric anorexia nervosa restricting type

Tasaka

Matsubara

Takamiya

et al. 2016

Pediatrics International

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“…Anorexia nervosa (AN) is a serious psychiatric disorder with high rates of morbidity and mortality (e.g., Fichter & Quadflieg, ). Family‐based therapy (FBT) is evidence‐based for the treatment of adolescents with AN (Forsberg & Lock, ); however, remission rates at 1 year (e.g., 40.7%; Agras et al, ) suggest that not all patients achieve sustained treatment benefits. This clinical case report describes an example of novel therapeutic content that expands existing empirically supported family interventions using data from the neuroscience of learning in AN.…”

Section: Introductionmentioning

confidence: 99%

Applying the disgust conditioning model of food avoidance: A case study of acceptance‐based interoceptive exposure

Plasencia

Sysko

Fink

et al. 2019

Intl J Eating Disorders

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Objective The current case report details the treatment of a 16‐year‐old adolescent with anorexia nervosa utilizing a novel adjunct, acceptance‐based interoceptive exposure, prior to family‐based treatment (FBT) for eating disorders. Method The exposure‐based module focused particularly on the tolerance of disgust. For six sessions, the clinician taught the client skills that could be used to tolerate distress to visceral sensations associated with disgust. These skills were to be used during in‐ and between‐session exposures. Each session included exposure to physical sensations that occurred while drinking a milkshake. Results Across six sessions, the client reported improvement in symptoms in addition to gaining weight. Additionally, she consumed more calories of a test meal following the intervention. Within broader FBT, the client reached an established weight goal, was able to return to physical activity, and reported an increased ability to manage distress. Discussion Given the client's improvement on the Eating Disorders Examination‐Questionnaire (EDE‐Q) within six sessions, we believe IE may be a useful adjunct to FBT. Interoceptive exposure may augment the efficacy of FBT for anorexia nervosa as it provides clients with skills to utilize during the refeeding phase of treatment.

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Family-based Treatment of Child and Adolescent Eating Disorders

Cited by 44 publications

References 27 publications

Evidence-based clinical guidelines for eating disorders

Evidence-based clinical guidelines for eating disorders

Long‐term follow up of hospitalized pediatric anorexia nervosa restricting type

Applying the disgust conditioning model of food avoidance: A case study of acceptance‐based interoceptive exposure

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