Family Work in Anorexia Nervosa: A Qualitative Study of Carers' Experiences of Two Methods of Family Intervention

Abstract

Carers valued structured, skills-based interventions. The inclusion of multiple families may reduce carer blame and isolation and facilitate skills-based learning.

A Practical Comparison of Two Types of Family Intervention: An Exploratory RCT of Family Day Workshops and Individual Family Work as a Supplement to Inpatient Care for Adults with Anorexia Nervosa

“…Carers' assessments were collected at pre‐intervention (baseline), short‐term (approximately 6 months) follow‐up and long‐term (approximately 3 years) follow‐up. Carers' expectation of and satisfaction with treatment were also assessed using qualitative methods; see Whitney, Currin, Murray, & Treasure (2011) for further details.…”

Two models of multiple family therapy in the treatment of adolescent anorexia nervosa: a systematic review

“…These usually take the form of time-limited outpatient workshops (6-8 sessions) involving educational/cognitivebehavioral, motivational, and problem-solving components, along with relational elements. Family workshops inspired by the cognitive-interpersonal maintenance model (also known as the New Maudsley Method), and other MFT models have also been developed for adults in outpatient, inpatient, or daycare settings [36][37][38][39][40]: these are characterized by a greater focus on skills-based learning for carers and on the promotion of an autonomy-supportive family atmosphere. Finally, some models are strongly guided by the systemic paradigm and include treatment interventions aimed at changing family dynamics [41].…”

RCT of a Video‐based Intervention Program for Caregivers of Patients with an Eating Disorder

“…First methods offering assistance in managing the illness were working with one family at a time (Whitney et al, 2012;Zitarosa, de Zwaan, Pfeffer, & Graap, 2012) or working with several families in one group (Goddard, Macdonald & Treasure, 2011a;Holtkamp, Herpertz-Dahlmann, Vloet, & Hagenah, 2005;Naab et al, 2011;Pasold, Boateng, & Portilla, 2010;Pepin & King, 2013;Whitney et al, 2012). First methods offering assistance in managing the illness were working with one family at a time (Whitney et al, 2012;Zitarosa, de Zwaan, Pfeffer, & Graap, 2012) or working with several families in one group (Goddard, Macdonald & Treasure, 2011a;Holtkamp, Herpertz-Dahlmann, Vloet, & Hagenah, 2005;Naab et al, 2011;Pasold, Boateng, & Portilla, 2010;Pepin & King, 2013;Whitney et al, 2012).…”

“…Current technological developments of electronic media allowed new approaches to interventions like online programmes (Binford Hopf, Le Grange, Moessner, & Bauer, 2013;Grover et al, 2011;Hoyle, Slater, Williams, Schmidt, & Wade, 2013) or DVDs (Goddard, Macdonald, Sepulveda et al, 2011b;Goddard, Raenker et al, 2013b;Hibbs, Magill et al, 2015a;Magill et al, 2016;Sepulveda, Lopez, Macdonald & Treasure, 2008a) working with self-help material only, or combined with professional guidance. Results showed moderate effects on psychological distress and small to moderate effects on burden (Goddard, Macdonald, Sepulveda et al, 2011b;Grover et al, 2011;Hibbs, Magill, et al, 2015a;Hoyle et al, 2013;Whitney et al, 2012; for an overview see Hibbs, Rhind, Lepponen & Treasure, 2015b). We know of only five randomized controlled trials (RCT) evaluating the efficacy of these programs.…”