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When Is the Right Time to End Family Therapy for Anorexia Nervosa (FT-AN)?:A Qualitative Study of Young People's Experiences

Title: When Is the Right Time to End Family Therapy for Anorexia Nervosa (FT-AN)?:A Qualitative Study of Young People's Experiences
Authors: de la Poer Beresford, Kate; Cawson, Alys; Baudinet, Julian; Eisler, Ivan; Konstantellou, Anna; Simic, Mima; Schmidt, Ulrike
Source: de la Poer Beresford, K, Cawson, A, Baudinet, J, Eisler, I, Konstantellou, A, Simic, M & Schmidt, U 2026, 'When Is the Right Time to End Family Therapy for Anorexia Nervosa (FT-AN)? A Qualitative Study of Young People's Experiences', European Eating Disorders Review, vol. 34, no. 1, pp. 296-306. https://doi.org/10.1002/erv.70025
Publication Year: 2026
Collection: King's College, London: Research Portal
Subject Terms: adolescent; anorexia nervosa; child; eating disorders; family based treatment (FBT); family therapy for anorexia nervosa (FT‐AN); Maudsley family therapy
Description: Objective: Family therapy for anorexia nervosa (FT‐AN) is the first‐line recommended treatment for young people with anorexia nervosa. There is variability in treatment length across studies and evidence suggests treatment length and outcome are not necessarily linearly related. This makes it difficult to identify the optimum length of treatment in clinical practice. This study aimed to explore young people's perspectives on the timing of discharge and how this relates to recovery. Method: Twenty three young people (age 12–18) diagnosed with anorexia (or atypical anorexia) nervosa participated. All had completed FT‐AN with or without adjunctive multi‐family therapy. Semi‐structured individual qualitative interviews were conducted. Recordings were transcribed verbatim and analysed using reflexive thematic analysis. Results: Four inter‐connected themes were generated; (1) who decides?, (2) knowing what's coming, (3) things that need to be in place, (4) discharge is a necessary step towards recovery. Discussion: Young people said that remaining in treatment for longer than necessary may impede recovery. Establishing clear expectations about discharge and recovery, helping young people to commit to ongoing behaviour change, and building their support network were all described as important components in helping them to feel confident about discharge and to take ownership of continuing the recovery journey post‐discharge.
Document Type: article in journal/newspaper
File Description: application/pdf
Language: English
ISSN: 1072-4133; 1099-0968
Relation: info:eu-repo/semantics/altIdentifier/pmid/40898915; info:eu-repo/semantics/altIdentifier/pissn/1072-4133; info:eu-repo/semantics/altIdentifier/eissn/1099-0968
DOI: 10.1002/erv.70025
Availability: https://kclpure.kcl.ac.uk/portal/en/publications/aa0cc3bb-d509-48d5-b4bb-c4ddba6bd011; https://doi.org/10.1002/erv.70025; https://kclpure.kcl.ac.uk/ws/files/354457534/When_Is_the_Right_Time_to_End_Family_Therapy_for_Anorexia_Nervosa_FT-AN_Version_of_Record.pdf; https://www.scopus.com/pages/publications/105015216303
Rights: info:eu-repo/semantics/openAccess ; http://creativecommons.org/licenses/by/4.0/
Accession Number: edsbas.DCAEED4A
Database: BASE