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 .
Family versus individual therapy for anorexia: impact on family conflict.
This study evaluated the impact on family relations of behavioral family systems therapy ( BFST ) versus ego-oriented individual therapy ( EOIT ) as treatments for adolescents with anorexia nervosa . Twenty-two adolescents meeting DSM-III-R anorexia nervosa criteria were r and omly assigned to receive approximately 16 months of either BFST or EOIT along with a common medical and dietary regimen . BFST emphasized parental control over eating , cognitive restructuring , and problem-solving communication training . EOIT emphasized building ego strength , adolescent autonomy , and insight . Measures including body mass index , self-reported general and eating-related conflict , and observed general and eating-related communication . Both treatments produced significant reductions in negative communication and parent-adolescent conflict , with some differences between condition and between eating and non-eating related measures ; the improvements in eating-related conflict were maintained at a 1-year follow-up . The study demonstrated that structured therapies for adolescent anorexia do impact family relations , even when the family is never seen as a unit during the therapy
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 .