Promising effect of multi-family therapy on BMI, eating disorders and perceived family functioning in adolescent anorexia nervosa: an uncontrolled longitudinal study

Terache, Julie; Wollast, Robin; Simon, Yves; Marot, Medhi; Linden, Nicolas Van der; Franzen, Aurélie; Klein, Olivier

doi:10.1080/10640266.2022.2069315

Cited by 8 publications

(15 citation statements)

References 49 publications

(61 reference statements)

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“…Family functioning was measured with the Family Assessment Device (FAD) [ 20 ] or the Family Adaptability and Cohesion Evaluation Scales (FACES III) [ 21 ]. Overall, two uncontrolled studies found overall improvement in family functioning [ 4 , 22 ], two RCTs [ 19 , 23 ] and one uncontrolled study [ 24 , 25 ] found no change in family functioning. None of the studies found an overall deterioration.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Families tackling adolescent anorexia nervosa: family wellbeing in family-based treatment or other interventions. A scoping review

Pedersen,

Waage,

Micali

et al. 2024

Eat Weight Disord

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Purpose Family-based treatment (FBT) has contributed significantly to the treatment of anorexia nervosa (AN) in young people (YP). However, parents are concerned that FBT and the active role of parents in the task of refeeding may have a negative impact on family relations. The aim of the review is to assess whether families engaged in FBT for AN are more or less impacted in their family wellbeing and caregiver burden, compared to families with a YP diagnosed with AN, who are not undergoing treatment with FBT. Method Computerized searches across six databases complemented by a manual search resulted in 30 papers being included in the scoping review. Results The review identified 19 longitudinal studies on change in family wellbeing in families in FBT-like treatments, and 11 longitudinal studies on change in family wellbeing in treatment where parents are not in charge of refeeding. Only three randomized controlled studies directly compare FBT to treatment without parent-led refeeding. Conclusion The available research suggests no difference between intervention types regarding impact on family wellbeing. Approximately half of the studies find improvements in family wellbeing in both treatment with and without parent-led refeeding, while the same proportion find neither improvement nor deterioration. As parents play a pivotal role in FBT, there is a need for good quality studies to elucidate the impact of FBT on family wellbeing. Level of evidenceLevel V: Opinions of authorities, based on descriptive studies, narrative reviews, clinical experience, or reports of expert committees.

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Section: Resultsmentioning

confidence: 99%

“…For the sake of readability, this article does not distinguish between these two versions. Furthermore, other variations such as multifamily therapy (MFT) [ 4 ] and parent-only therapy [ 5 ] have been developed. All versions and variations have parents in charge of refeeding as the central component.…”

Section: Introductionmentioning

confidence: 99%

Families tackling adolescent anorexia nervosa: family wellbeing in family-based treatment or other interventions. A scoping review

Pedersen,

Waage,

Micali

et al. 2024

Eat Weight Disord

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“…I.e. that improvements in ED psychopathology, weight and emotion regulation achieved during treatment are generally maintained or improved at follow-up [ 20 , 22 , 53 , 57 ].…”

Section: Discussionmentioning

confidence: 99%

“…A more recent study by Terache and colleagues (2022) also found significant improvements in ED psychopathology and weight increase. The improvements were maintained at 6- and 12-month follow-ups [ 22 ]. Thus, the somewhat limited literature of outpatient MFT for adolescents shows improvements in ED symptomatology, weight, depression, and global outcome after MFT, with some benefit of MFT over other treatment.…”

Section: Introductionmentioning

confidence: 99%

Multifamily therapy for adolescent eating disorders: a study of the change in eating disorder symptoms from start of treatment to follow-up

et al. 2023

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Background This study aimed to evaluate multifamily therapy (MFT) for adolescents with eating disorders (EDs) in a clinical setting, by presenting the outcome of families participating in this treatment at a specialist ED service. MFT was an adjunct to treatment at local mental health services. In particular, the study aimed to present the change in eating disorder symptoms and psychological distress from before to after treatment and at a 6 months follow-up. Methods Participants were 207 adolescents receiving outpatient MFT (10 or 5 months) at Oslo University Hospital in Norway between 2009 and 2022. Adolescents had heterogeneous ED presentations, with a preponderance of anorexia nervosa (AN) and atypical AN. All participants completed pre- and post-treatment questionnaires [The eating disorder examination questionnaire (EDE-Q) and the strengths and difficulties questionnaire (SDQ)]. 142 adolescents additionally completed the same questionnaires at 6 months follow-up. Weight and height were measured at all time points. Results Linear mixed model analyses showed that from start of treatment to follow-up, there was a significant increase in BMI percentile (p < 0.001) and a significant decrease in EDE-Q global score (p < 0.001) and SDQ total score (p < 0.001). Conclusions The study shows that adolescents with an eating disorder who received adjunct outpatient MFT in a real world clinical setting, experienced reductions in ED symptoms comparable to that found in a randomized controlled trial. Trial registration: The data used in this study was collected as part of routine clinical procedures for quality assurance and trial registration is therefore not required.

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“…The current program (Simic et al, 2022) offers 10 days of MFT alongside single‐FT sessions, as needed, over 6–9 months. Existing evidence suggests that ED‐focused MFT models obtain high levels of satisfaction from participating families, can lead to better outcomes than single FT for adolescents treated in outpatient settings, can improve family functioning and tend to be more cost‐effective (Eisler et al, 2016; Gabel et al, 2014; Terache et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

Development and implementation of a relationship‐focused outpatient multifamily program for adolescent anorexia nervosa

Cook‐Darzens

Duclos

2022

Family Process

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Multifamily therapy (MFT) for adolescent eating disorders (ED) is anchored in systemic theory and family therapy, but two conceptual and practical paths have emerged from this common framework. The first one, called ED‐focused MFT, is centered on behavioral change and weight gain in the early stages of treatment, while the second, known as relationship‐focused MFT, is less directly focused on symptom improvement and more on family changes. Compared to ED‐focused MFT, validation of more relationship‐focused MFT models has been lagging behind although they are frequently implemented and practiced in Europe. The purpose of this article is to give more visibility to existing relationship‐focused MFT models by presenting an integrative, yet predominantly family‐oriented MFT program developed for adolescent anorexia nervosa (AN) (12 to 18 years) on the ED unit of a large pediatric hospital in France. After presenting the history and development of this relationship‐focused MFT program, including the challenges it encountered and its evaluation, we describe its rationale and objectives, then outline its course and content, giving illustrations of techniques and activities for each of the five phases of the program. Finally, we review the current status of this model, its advantages and limitations, and provide a critical appraisal of existing evidence and recommended future research directions.

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Promising effect of multi-family therapy on BMI, eating disorders and perceived family functioning in adolescent anorexia nervosa: an uncontrolled longitudinal study

Abstract: Safety of the Food Chain and Environment and the MIATA parents' association. We would like to thank as well the Centre Thérapeutique du Trouble alimentaire de l'Adolescent's team for the data collection, especially Nathalie Javaux, Cécile Lemoine,

Cited by 8 publications

References 49 publications

Families tackling adolescent anorexia nervosa: family wellbeing in family-based treatment or other interventions. A scoping review

Families tackling adolescent anorexia nervosa: family wellbeing in family-based treatment or other interventions. A scoping review

Multifamily therapy for adolescent eating disorders: a study of the change in eating disorder symptoms from start of treatment to follow-up

Development and implementation of a relationship‐focused outpatient multifamily program for adolescent anorexia nervosa

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