How do parents of adolescent patients with anorexia nervosa interact with their child at mealtimes? A study of parental strategies used in the family meal session of family‐based treatment

Abstract

Copyright and reuse:The Warwick Research Archive Portal (WRAP) makes this work of researchers of the University of Warwick available open access under the following conditions. Copyright © and all moral rights to the version of the paper presented here belong to the individual author(s) and/or other copyright owners. To the extent reasonable and practicable the material made available in WRAP has been checked for eligibility before being made available. Copies of full items can be used for personal research or study, educational, or not-forprofit purposes without prior permission or charge. Provided that the authors, title and full bibliographic details are credited, a hyperlink and/or URL is given for the original metadata page and the content is not changed in any way. Publisher statement: "This is the peer reviewed version of the following article White, H. J., Haycraft, E., Madden, S., Rhodes, P., Miskovic-Wheatley, J., Wallis, A., Kohn, M. and Meyer, Caroline. (2015) How do parents of adolescent patients with anorexia nervosa interact with their child at mealtimes? A study of parental strategies used in the family meal session of family-based-treatment. International Journal of Eating Disorders, Volume 48 (Number 1). pp. 72-80. which has been published in final form at http://dx.doi.org/10.1002/eat.22328 . This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving." A note on versions:The version presented here may differ from the published version or, version of record, if you wish to cite this item you are advised to consult the publisher's version. Please see the 'permanent WRAP url' above for details on accessing the published version and note that access may require a subscription. were found to be consistently associated with the tone of adolescents' vocalisations and the number of mouthfuls consumed in response to a parental prompt. Discussion: Despite associations with negativity from the adolescent, the use of food-related prompts (both verbal and physical) seems to be associated with increased eating. This indicates the potentially important role of parental control of eating. Following replication, these findings might provide a focus for therapists when supporting and coaching parents during the family meal session.

Can adaptive treatment improve outcomes in family-based therapy for adolescents with anorexia nervosa? Feasibility and treatment effects of a multi-site treatment study

“…In the current study, we developed a novel 3 session intervention that is conceptually and procedurally compatible with FBT called Intensive Parental Coaching (IPC). IPC provides in vivo coaching that specifically targets parental self-efficacy related to re-feeding strategies (detailed below) so that their child starts to regain weight faster (Darcy et al, 2013; Doyle et al, 2010; White et al, 2015). …”

“…Our second aim was to gather preliminary data on the treatment effect of IPC in the context of FBT for early poor responders. In addition, previous studies suggest that improving parental self-efficacy is a possible mechanism leading to successful re-feeding efforts by parents and weight gain in their child with AN (Byrne, Accurso, Arnow, Lock, & Le Grange, 2015; White et al, 2015). We therefore also examined changes in parental self-efficacy as a treatment target in FBT and FBT+IPC.…”

Systematic review of evidence for different treatment settings in anorexia nervosa

“…The Pubmed search resulted in 192 titles for inspection and 7 abstracts for inspection of which 5 were not trials of treatment setting [28][29][30][31][32] and one was a review [33] and one new trial [34] was identified. The CCRCT Issue 6 of 12, June 2014 (n = 797723) search resulted in 20 titles for inspection of which two were duplicates and one new trial [29] was identified ( Figure 1).…”

Observation and analysis “in vivo” of family meals of patients with eating disorder / Observación y análisis “en vivo” de comidas familiares de pacientes con trastorno alimentario

“…A diferencia de estudios previos en los que la CTF se ha implementado, como parte del protocolo de la TBF, exclusivamente en familias de pacientes adolescentes (Godfrey et al, 2015;Fitzpatrick et al, 2015;White et al, 2015;Wallis et al, 2016), el presente estudio incluyó a pacientes sin restricción de edad. Esto en el entendido de que los factores de interacción familiar pueden ejercer un rol mantenedor de los síntomas a cualquier edad, y especialmente al considerar que la enfermedad impone comportamientos regresivos que retardan la construcción de la autonomía y la independencia en estos pacientes.…”