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- Title
Family‐based treatment: Where are we and where should we be going to improve recovery in child and adolescent eating disorders.
- Authors
Lock, James; Le Grange, Daniel
- Abstract
Objective: Family therapy has long been advocated as an effective intervention for eating disorders. A specific form of family therapy, one that utilizes family resources, has proven especially effective for adolescents with anorexia or bulimia nervosa (AN and BN). First developed in London, a behaviorally focused adaptation, called family‐based treatment (FBT), has been manualized and systematically studied in six randomized clinical trials for adolescent AN and two for adolescent BN. Method: This Commentary focuses on manualized FBT; what we know, what we do not know (yet), and what we hope for. Results: We do know that efficacy data for FBT, especially adolescent AN, are quite robust, even though remission rates remain elusive for more than half of all cases. While preliminary, moderators of FBT for adolescent AN have been identified and could aid us in determining the most (or least) responsive patient groups. And weight gain (∼2.5kg) by week four has been confirmed as an early predictor of remission at end‐of‐treatment. What we do not know, yet, is whether specific adaptations to manualized FBT will confer improved remission rates. Discussion: Finally, and in terms of what is hoped for, we highlight the promise of improved access, dissemination, and implementation of FBT.
- Subjects
ANOREXIA nervosa; ANOREXIA nervosa treatment; BULIMIA diagnosis; BULIMIA treatment; ADAPTABILITY (Personality); CONVALESCENCE; FAMILY psychotherapy; WEIGHT gain; DISEASE remission; EARLY diagnosis; ADOLESCENCE; CHILDREN; DIAGNOSIS
- Publication
International Journal of Eating Disorders, 2019, Vol 52, Issue 4, p481
- ISSN
0276-3478
- Publication type
Article
- DOI
10.1002/eat.22980