Efficacy of family-based treatment for adolescents with eating disorders: a systematic review and meta-analysis.

@article{Couturier2013EfficacyOF,
  title={Efficacy of family-based treatment for adolescents with eating disorders: a systematic review and meta-analysis.},
  author={Jennifer Couturier and Melissa Kimber and Peter Szatmari},
  journal={The International journal of eating disorders},
  year={2013},
  volume={46 1},
  pages={
          3-11
        }
}
OBJECTIVE To systematically review and quantitatively evaluate the efficacy of Family-Based Treatment (FBT) compared with individual treatment among adolescents with eating disorders. METHOD The literature was reviewed using the MEDLINE search terms "family therapy AND Anorexia Nervosa," and "family therapy AND Bulimia Nervosa". This produced 12 randomized controlled trials involving adolescents with eating disorders and family therapy which were reviewed carefully for several inclusion… 
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Highly Influential Citations
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Background Citations
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Methods Citations
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Results Citations
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An Update on Evidence-Based Psychosocial Treatments for Eating Disorders in Children and Adolescents
  • J. Lock
  • Psychology, Medicine
    Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
  • 2015
TLDR
Using the most recent Journal of Clinical Child and Adolescent Psychology methodological review criteria, family treatment–behavior (FT-B) is the only well-established treatment for adolescents with anorexia nervosa and FT-B is a possibly efficacious treatment for binge eating disorder.
Effectiveness of psychosocial interventions in eating disorders: an overview of Cochrane systematic reviews
TLDR
The cognitive behavioral approach was the most effective treatment, especially for bulimia nervosa, binge eating disorder and the night eating syndrome, and the family approach showed greater effectiveness.
Evidence-Based Interventions for Eating Disorders in Children and Adolescents
TLDR
More randomized controlled trials and meta-analyses need to be conducted on eating disorders with children and adolescent populations in order to determine the best course of treatment for each disorder, as well as the factors that influence and impact treatment outcomes.
Outcome parameters associated with perceived helpfulness of family‐based treatment for adolescent eating disorders
TLDR
Both patients and their parents perceived FBT as helpful, but patients seemed to prioritize cognitive improvements while mothers prioritized physical improvements in rating their satisfaction with FBT.
A Brief Modified Family-Based Treatment Intervention for Youth With Mild Eating Disorders: A Case Series
TLDR
The success of FBT for adolescents with moderate to severe eating disorders indicates a potential use for a short course of modified FBT which could be offered as an early intervention by nonspecialized community mental health counselors to adolescents with mild or subsyndromal eating disorders.
Evidence-based psychotherapy for treatment of anorexia nervosa in children and adolescents: systematic review
TLDR
Systematic review of the literature regarding the modalities of psychological intervention based on evidence used in the treatment of anorexia nervosa in childhood and adolescence found interventions involving the family seem to be more effective, however, the rates for complete remission are modest.
Augmentative Approaches in Family‐Based Treatment for Adolescents with Restrictive Eating Disorders: A Systematic Review
TLDR
There is early evidence for the effectiveness of augmentative FBT-based approaches in facilitating weight and/or ED symptom improvements for adolescents with restrictive EDs, but there remains a lack of robust evidence demonstrating superior effects of such approaches over standard FBT.
Effectiveness of non-pharmacological interventions on individuals with anorexia nervosa: A systematic review and meta-analysis.
Family Therapy for Child and Adolescent Eating Disorders: A Critical Review.
TLDR
This article critically review the evidence for eating disorder-focused family therapy through the lens of a moderate common factors paradigm and suggests that this treatment is likely to be effective as it provides a supportive and nonblaming context.
Short-term intensive family therapy for adolescent eating disorders: 30-month outcome.
  • E. Marzola, S. Knatz, +4 authors W. Kaye
  • Medicine, Psychology
    European eating disorders review : the journal of the Eating Disorders Association
  • 2015
TLDR
Intensive family therapy-a 5-day treatment based on the principles of family-based therapy for EDs may be cost-effective and clinically useful where access to regular specialist treatment is limited.
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References

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A randomized controlled trial of family therapy and cognitive behavior therapy guided self-care for adolescents with bulimia nervosa and related disorders.
TLDR
Compared with family therapy, CBT guided self-care has the slight advantage of offering a more rapid reduction of bingeing, lower cost, and greater acceptability for adolescents with bulimia or eating disorder not otherwise specified.
Randomized clinical trial comparing family-based treatment with adolescent-focused individual therapy for adolescents with anorexia nervosa.
TLDR
Although both treatments led to considerable improvement and were similarly effective in producing full remission at EOT, FBT was more effective in facilitating full remission in both follow-up points.
A randomized controlled comparison of family-based treatment and supportive psychotherapy for adolescent bulimia nervosa.
TLDR
Family-based treatment showed a clinical and statistical advantage over SPT at posttreatment and at 6-month follow-up and reduction in core bulimic symptoms was also more immediate for patients receiving FBT vs SPT.
A controlled comparison of family versus individual therapy for adolescents with anorexia nervosa.
TLDR
BFST and EOIT proved to be effective treatments for adolescents with anorexia nervosa, but BFST produced a faster return to health.
A Randomized Controlled Study of Cognitive Behavior Therapy and Behavioral Family Therapy for Anorexia Nervosa Patients
TLDR
No significant differences between treatment groups were found and the majority of patients did not reach symptomatic recovery, while limited by the small sample size, the findings compliment and extend previous research.
Predictors of dropout and remission in family therapy for adolescent anorexia nervosa in a randomized clinical trial.
TLDR
Co-morbid psychiatric disorder, family behaviors, and early response to treatment are important factors when predicting dropout and remission in family therapy for adolescent AN.
Comparison of Family Therapy and Family Group Psychoeducation in Adolescents with Anorexia Nervosa
TLDR
Weight restoration was achieved following the 4-month period of treatment in both the family therapy and family psychoeducation groups, but no significant change was reported in psychological functioning by either adolescents or parents.
A comparison of short- and long-term family therapy for adolescent anorexia nervosa.
TLDR
A short-term course of family therapy appears to be as effective as a long- term course for adolescents with short-duration anorexia nervosa, however, there is a suggestion that those with more severe eating-related obsessive-compulsive thinking and nonintact families benefit from longer treatment.
Comparison of long-term outcomes in adolescents with anorexia nervosa treated with family therapy.
TLDR
A short course of family therapy is as effective as a longer course at follow-up for adolescent anorexia nervosa at long-term follow- up.
Family therapy for adolescent anorexia nervosa: the results of a controlled comparison of two family interventions.
TLDR
On global measure of outcome, the two forms of therapy were associated with equivalent end of treatment results and for those patients with high levels of maternal criticism towards the patient, the SFT was shown to be superior to the CFT.
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