Cognitive behavioral therapy may reduce relapse risk for adults with AN after weight restoration , although its efficacy in the underweight state remains unknown .
Variants of family therapy are efficacious in adolescents , but not in adults .
Evidence for AN treatment is weak ; evidence for treatment-related harms and factors associated with efficacy of treatment are weak ; and evidence for differential outcome by sociodemographic factors is nonexistent .
OBJECTIVE The RTI International-University of North Carolina at Chapel Hill Evidence -based Practice Center ( RTI-UNC EPC ) systematic ally review ed evidence on efficacy of treatment for anorexia nervosa ( AN ) , harms associated with treatments , factors associated with treatment efficacy , and differential outcome by sociodemographic characteristics .
Comparison of Family Therapy and Family Group Psychoeducation in Adolescents with Anorexia Nervosa
Objective : To compare the effects of 4 months of 2 family-oriented treatments , family therapy and family psychoeducation , on female adolescents with newly diagnosed restrictive eating disorders . Method : Twenty-five female adolescents requiring hospitalization were r and omized into either family therapy or family group psychoeducation . Outcome measures included medical ( body weight ) and psychosocial ( specific and nonspecific eating disorder psychopathology ) variables at baseline and after 4 months of treatments every 2 weeks . Results : A significant time effect was found in both treatment groups for the restoration of body weight ( percentage of ideal body weight , P < 0.000 01 ) . The group averages ranged from 75 % to 77 % ideal body weight before treatment to 91 % to 96 % after it . A time effect was also seen on the Family Assessment Measure ( P < 0.018 ) , in that the patients of both groups acknowledged more family psychopathology at the end of treatment . No significant group differences were found on any of the self-report measures of specific and nonspecific eating disorder pathology . Conclusions : 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 . Family group psychoeducation , the less expensive form of treatment , is an equally effective method of providing family-oriented treatment to newly diagnosed , medically compromised anorexia nervosa patients and their families
Cognitive behavioral therapy may reduce relapse risk for adults with AN after weight restoration , although its efficacy in the underweight state remains unknown .
Variants of family therapy are efficacious in adolescents , but not in adults .
Evidence for AN treatment is weak ; evidence for treatment-related harms and factors associated with efficacy of treatment are weak ; and evidence for differential outcome by sociodemographic factors is nonexistent .
OBJECTIVE The RTI International-University of North Carolina at Chapel Hill Evidence -based Practice Center ( RTI-UNC EPC ) systematic ally review ed evidence on efficacy of treatment for anorexia nervosa ( AN ) , harms associated with treatments , factors associated with treatment efficacy , and differential outcome by sociodemographic characteristics .