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

Rienecke, Renee D.

doi:10.2147/ahmt.s115775

Cited by 73 publications

(67 citation statements)

References 71 publications

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“…In accordance with the above described processes, a reduction in caregiver burden may lead to more effective treatment and faster patient recovery (Rienecke, 2017). Several interventions aim to help caregivers cope with the caregiver burden and make them more effective in supporting their children (Treasure & Nazar, 2016).…”

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confidence: 95%

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Parental caregiver burden and recovery of adolescent anorexia nervosa after multi-family therapy

2019

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This study investigated whether parental caregiving burden changed during adjunct multi-family therapy of adolescent anorexia nervosa and eating disorders not otherwise specified (EDNOS) and whether caregiver burden at baseline and changes in caregiver burden during treatment were associated with treatment outcome. Twenty-four females, 13 to 16 years old, and their parents, participated in the study. Caregiver burden was measured with the Eating Disorders Symptom Impact Scale, by mothers (n = 23) and fathers (n = 22). Treatment outcome was measured by adolescent body mass index, level of global functioning and self-rated eating disorder symptoms by the Eating Disorders Examination Questionnaire 4.0. All patient outcomes improved and overall caregiver burden decreased significantly during treatment. When broken down in aspects of caregiver burden the decrease in parental perceived isolation, was found to be associated with improvement of BMI and Children's Global Assessment Scale. When analyzing fathers and mothers separately, we found that maternal feelings of guilt and paternal perceived burden of dysregulated behaviors at base-line were correlated to treatment outcome. Future studies are needed to clarify the role of caregiver burden as a potential mediator of treatment results. Clinical Implications • Multi-Family Therapy shows preliminary effectiveness as an adjunct treatment for adolescent anorexia nervosa. • Parents' parental burden decreased pre-to post Multi-family Therapy. • Fathers' perceived dysregulated behaviors in the patient pretreatment were associated with decrease of Body Mass Index during treatment. • Fathers are a resource in treatment and should be more specifically supported in the participation of Multi-Family Therapy.

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confidence: 95%

“…A significant number of patients do not respond well to traditional singlefamily therapy, and therefore, MFT has been developed (Rienecke, 2017). MFT can be offered as a stand-alone intervention or as an adjunct therapy and is described more in detail in the method section.…”

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confidence: 99%

Parental caregiver burden and recovery of adolescent anorexia nervosa after multi-family therapy

2019

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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 therapy is a proven best practice in eating disorder care with youth and adolescents [22]. Many family therapists have social work as their disciplinary background [23].…”

Section: Social Workersmentioning

confidence: 99%

Seeing Beyond the Eating Disorder: The Complexities of Eating Disorder Care in New Brunswick, Canada

Wilson¹

2019

IJANER

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Health professionals struggle in caring for individuals with eating disorders, especially in New Brunswick, Canada where there is no recognized eating disorder treatment center. Using a narrative approach, this study explored the perceptions and experiences of professionals from seven regulated health professions that are most commonly involved in eating disorder care-medicine, dentistry, nursing, social work, occupational therapy, dietetics, and psychology. The findings bring to light the complexities of eating disorder care and the process that professionals go through in seeing beyond the eating disorder to understanding the often subtle subtexts that impede eating disorder identification and treatment. Looking at eating disorder care from an interprofessional perspective provides unique insight into common needs and challenges of practitioners and may ultimately inform treatment and prevention initiatives.

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

Cited by 73 publications

References 71 publications

Parental caregiver burden and recovery of adolescent anorexia nervosa after multi-family therapy

Parental caregiver burden and recovery of adolescent anorexia nervosa after multi-family therapy

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

Seeing Beyond the Eating Disorder: The Complexities of Eating Disorder Care in New Brunswick, Canada

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