| Title: |
Open Trial of Family-Based Treatment of Anorexia Nervosa for Transition Age Youth. |
| Authors: |
Dimitropoulos, Gina; Landers, Ashley L; Freeman, Victoria; Novick, Jason; Garber, Andrea; Le Grange, Daniel |
| Source: |
Journal de l'Académie canadienne de psychiatrie de l'enfant et de l'adolescent, vol 27, iss 1 |
| Publisher Information: |
eScholarship, University of California |
| Publication Year: |
2018 |
| Collection: |
University of California: eScholarship |
| Subject Terms: |
4203 Health Services and Systems (for-2020); 42 Health Sciences (for-2020); Mental Health (rcdc); Behavioral and Social Science (rcdc); Clinical Research (rcdc); Serious Mental Illness (rcdc); Nutrition (rcdc); Eating Disorders (rcdc); Clinical Trials and Supportive Activities (rcdc); Pediatric (rcdc); Brain Disorders (rcdc); Mental Illness (rcdc); Women's Health (rcdc); Anorexia (rcdc); 6.6 Psychological and behavioural (hrcs-rac); anorexia; family-based treatment; transition age youth; eating disorders; family therapy; Developmental & Child Psychology (science-metrix) |
| Subject Geographic: |
50 - 61 |
| Description: |
OBJECTIVE: This pilot study conducted an open trial of a manualized adaptation to Family-Based Treatment for Transition Age Youth (FBT-TAY) for Anorexia Nervosa (AN). The aims were: (1) determine the acceptability of FBT for TAY; and, (2) establish preliminary effect sizes for the impact of FBT-TAY on eating disorder behaviour and weight restoration. METHOD: Twenty-six participants across two paediatric and one adult hospital site were recruited to participate. Participants completed the Eating Disorder Examination Questionnaire (EDE-Q) at the start of treatment, the end-of-treatment, and three-month follow-up. RESULTS: FBT-TAY is an acceptable and feasible treatment to all study therapists as evidenced by their fidelity to the model. FBT-TAY is a feasible and acceptable intervention to transition age youth, given only 27.27% chose treatment as usual over FBT-TAY. Participants presented significant improvement at end-of-treatment and three-months post-treatment (p < .001; ES = 0.34) from baseline on the EDE-Q Global Score. Participants also achieved and maintained weight restoration at the end-of-treatment and three-months post-treatment when compared to baseline (p < .0001, ES = 0.54). CONCLUSIONS: FBT-TAY, the first manualized AN treatment for TAY, demonstrated feasibility and acceptability with therapists and participants as well as improvement for participants in EDE-Q global score and weight. Given the current dearth of effective treatments for TAY with AN, FBT-TAY is a promising adaptation of FBT. A larger clinical trial with a 12-month follow-up is recommended. |
| Document Type: |
article in journal/newspaper |
| File Description: |
application/pdf |
| Language: |
unknown |
| Relation: |
qt1nz8q59m; https://escholarship.org/uc/item/1nz8q59m; https://escholarship.org/content/qt1nz8q59m/qt1nz8q59m.pdf |
| Availability: |
https://escholarship.org/uc/item/1nz8q59m; https://escholarship.org/content/qt1nz8q59m/qt1nz8q59m.pdf |
| Rights: |
public |
| Accession Number: |
edsbas.4754AF85 |
| Database: |
BASE |