Multi-Family Therapy for Anorexia Nervosa

Simic, Mima; Baudinet, Julian; Blessitt, Esther; Wallis, Andrew; Eisler, Ivan

doi:10.4324/9781003038764

Cited by 25 publications

(34 citation statements)

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“…Different versions of MFT for anorexia nervosa and atypical anorexia nervosa (MFT‐AN) have now been manualized for children and adolescents (Simic, Baudinet, Blessitt, Wallis, & Eisler, 2021 ), as well as adults (Tantillo, McGraw, & Le Grange, 2020 ). Typically, MFT‐AN involves a group of up to eight families working together with at least two healthcare professionals.…”

Section: Introductionmentioning

confidence: 99%

“…Some offer three (Whitney et al, 2012 ) or five days (Knatz et al, 2015 ; Marzola et al, 2015 ; Wierenga et al, 2018 ) of MFT groups as a stand‐alone intervention. Others are much longer and offer 10 (Simic et al, 2021 ) or even 20 days or more (Gelin et al, 2016 ; Scholz, Rix, Scholz, Gantchev, & Thömke, 2005 ) of MFT groups spread across 12 months with reducing frequency. The number of families per group also varies, ranging from two (Whitney, Murphy, et al, 2012 ) to eight or nine (Simic et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

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Multi‐family therapy for eating disorders: A systematic scoping review of the quantitative and qualitative findings

Baudinet

Eisler

Dawson

et al. 2021

Intl J Eating Disorders

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Objective This study reviewed the quantitative and qualitative evidence‐base for multi‐family therapy (MFT) for eating disorders regarding change in physical and psychological symptoms, broader individual and family factors, and the experience of treatment. Method A systematic scoping review was conducted. Four databases (PsycInfo, Medline, Embase, CENTRAL) and five grey literature databases were searched on 24th June 2021 for relevant peer‐reviewed journal articles, book chapters, and dissertations. No beginning time‐point was specified. Only papers that presented quantitative or qualitative data were included. No restrictions on age or diagnosis were imposed. Studies were first mapped by study design, participant age, and treatment setting, then narratively synthesized. Results Outcomes for 714 people who received MFT across 27 studies (one mixed‐method, 17 quantitative and nine qualitative) were synthesized. MFT is associated with improvements in eating disorder symptomatology and weight gain for those who are underweight. It is also associated with improvements in other individual and family factors including comorbidities, self‐esteem, quality of life, and some aspects of the experience of caregiving, although these findings are more mixed. MFT is generally experienced as both helpful and challenging due to the content addressed and intensive group process. Discussion MFT is associated with significant improvements in eating disorder symptoms across the lifespan and improvement in broader individual and family factors. The evidence base is small and studies are generally underpowered. Larger, higher‐quality studies are needed, as is research investigating the unique contribution of MFT on outcomes, given it is typically an adjunctive treatment.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Multi‐family therapy for eating disorders: A systematic scoping review of the quantitative and qualitative findings

Baudinet

Eisler

Dawson

et al. 2021

Intl J Eating Disorders

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“…One important point of difference between MFT-BN and other types of MFT for eating disorders is its intensity. In several MFT-AN models, the group meets for 4 or 5 consecutive full days of intervention [ 17 , 37 , 38 ], which can be followed by additional stand-alone full days of intervention spread over several months [ 19 ]. Perhaps participants in the current study felt unchallenged by the group process, at times, simply due to this less intensive format.…”

Section: Discussionmentioning

confidence: 99%

“…MFT-BN was adapted from an established MFT-AN model [ 17 ]. MFT-BN is based on the same principles as the single-family therapy model for BN [ 29 ], but extends it by bringing families together to increase support, understanding, and communication.…”

Section: Methodsmentioning

confidence: 99%

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Multi-family therapy for bulimia nervosa: a qualitative pilot study of adolescent and family members’ experiences

2022

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Background Multi-family therapy (MFT-BN) is a new treatment for adolescent bulimia nervosa with emerging empirical support. It extends the bulimia nervosa focussed family therapy model, by offering treatment in a group setting. Up to nine families work together with a team of clinicians over the course of 20 weeks. No qualitative study to date has investigated the experience of MFT-BN. This study aimed to explore this from the adolescent and parent/caregiver perspective. Methods Participants from two consecutive MFT-BN groups facilitated at the Maudsley Hospital in London, UK, were invited to participate in either a focus group or individual qualitative interview about the experience of MFT-BN. Of the 19 eligible participants (from 9 families), 15 (8 parents, 1 older sibling, 6 adolescents) consented and participated. Audio-recordings of interviews and focus groups were transcribed verbatim and analysed using reflexive thematic analysis. Results Three main themes were identified; (1) seeing and being seen, (2) holistic shift, (3) the unspoken. Participants reported overall shifts in cognitions, emotions, behaviours, and relationships both individually and within the family as a result of attending MFT-BN. Meeting other families with similar struggles and sharing experiences, skills and learning helped reduce isolation and promote change. There was also a sense from participants that some things did not, or could not, be spoken about in the group context and that more direct and challenging conversations might have been helpful at times. Discussion The current study identifies some of the perceived benefits and challenges of MFT-BN. The three themes demonstrate the holistic nature of change that can occur across the treatment, as well as the power and limits of the group therapy setting and process. Further research is needed to explore the experience of MFT-BN and its outcomes across a more diverse range of participants and treatment settings.

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Open science practices for eating disorders research

Burke

Frank

Hilbert

et al. 2021

Intl J Eating Disorders

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This editorial seeks to encourage the increased application of three open science practices in eating disorders research: Preregistration, Registered Reports, and the sharing of materials, data, and code. For each of these practices, we introduce updated International Journal of Eating Disorders author and reviewer guidance. Updates include the introduction of open science badges; specific instructions about how to improve transparency; and the introduction of Registered Reports of systematic or metaanalytical reviews. The editorial also seeks to encourage the study of open science practices. Open science practices pose considerable time and other resource burdens.Therefore, research is needed to help determine the value of these added burdens and to identify efficient strategies for implementing open science practices.

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Multi-Family Therapy for Anorexia Nervosa

Cited by 25 publications

References 0 publications

Multi‐family therapy for eating disorders: A systematic scoping review of the quantitative and qualitative findings

Multi‐family therapy for eating disorders: A systematic scoping review of the quantitative and qualitative findings

Multi-family therapy for bulimia nervosa: a qualitative pilot study of adolescent and family members’ experiences

Open science practices for eating disorders research

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