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Efficacy of Eating Disorder Focused Family Therapy for Adolescents With Anorexia Nervosa: A Systematic Review and Meta‐Analysis.

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Title: Efficacy of Eating Disorder Focused Family Therapy for Adolescents With Anorexia Nervosa: A Systematic Review and Meta‐Analysis.
Authors: Austin, A., Anderson, A. G., Lee, J., Vander Steen, H., Savard, C., Bergmann, C., Singh, M., Devoe, D., Gorrell, S., Patten, S., Le Grange, D., Dimitropoulos, G.
Source: International Journal of Eating Disorders. Jan2025, Vol. 58 Issue 1, p3-36. 34p.
Subjects: Anorexia nervosa treatment, Treatment of eating disorders, Family psychotherapy, Psychotherapy, Medical information storage & retrieval systems, Research funding, CINAHL database, Treatment effectiveness, Disease remission, Meta-analysis, Systematic reviews, MEDLINE, Health outcome assessment, Weight gain, Psychology information storage & retrieval systems, Adolescence
Abstract (English): Objective: To systematically review and evaluate the efficacy of eating disorder focused family therapy (FT‐ED) in comparison to all other forms of psychotherapy for children and adolescents with anorexia nervosa. A secondary aim is to assess the relative efficacy of different variations of FT‐ED (e.g., shorter vs. longer dose, parent‐focused). Methods: A search with relevant terms was systematically conducted on four databases. Twenty‐three publications across 18 randomized controlled trials met inclusion criteria. Outcomes of interest included variables related to weight, eating psychopathology, and remission status. Study quality was assessed, and data were extracted by two independent researchers. Results: Adolescents receiving FT‐ED gained significantly more weight by the end of treatment in comparison to those receiving individual psychotherapy. FT‐ED that was delivered just to parents or to parents and child separately offered preferable weight outcomes and rates of recovery at the end of treatment in comparison to conjoint FT‐ED. No other outcomes tested in the meta‐analysis were statistically significant at the end of treatment or follow‐up. Discussion: Currently available data suggest the use of FT‐ED in its conjoint or separated/parent focused format is the best outpatient treatment option for adolescents with anorexia nervosa when immediate weight gain is paramount. The variability of outcome measurement, including the tools used and timepoints chosen, limit comparison among no more than a handful of studies. The field would benefit from the standardization of measurement and reporting guidelines for future clinical trials. Trial Registration: PROSPERO number: CRD42023396263. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Objetivo: Revisar y evaluar sistemáticamente la eficacia de la terapia familiar centrada en el trastorno de conducta alimentaria (TF‐TCA; FT‐ED por sus siglas en inglés) en comparación con todas las demás formas de psicoterapia para niños y adolescentes que padecen anorexia nerviosa. Un objetivo secundario es evaluar la eficacia relativa de diferentes variaciones de la TF‐TCA (por ejemplo, dosis más corta vs. más larga, centrada en los padres). Métodos: Se realizó una búsqueda sistemática con términos relevantes en cuatro bases de datos. Veintitrés publicaciones de 18 ensayos controlados aleatorios cumplieron con los criterios de inclusión. Los resultados de interés incluyeron variables relacionadas con el peso, la psicopatología alimentaria y el estado de remisión. La calidad del estudio fue evaluada y los datos fueron extraídos por dos investigadores independientes. Resultados: Los adolescentes que recibieron TF‐TCA ganaron significativamente más peso al final del tratamiento en comparación con aquellos que recibieron psicoterapia individual. La TF‐TCA que se administró solo a los padres o a padres e hijos por separado ofreció mejores resultados en el peso y tasas de recuperación al final del tratamiento en comparación con la TF‐TCA conjunta. Ningún otro resultado probado en el metaanálisis fue estadísticamente significativo al final del tratamiento o durante el seguimiento. Discusión: Los datos disponibles actualmente sugieren que el uso de la TF‐TCA en su formato conjunto o separado/centrado en los padres es la mejor opción de tratamiento ambulatorio para adolescentes que padecen anorexia nerviosa cuando la ganancia de peso inmediata es primordial. La variabilidad en la medición de los resultados, incluyendo las herramientas utilizadas y los puntos temporales elegidos, limita la comparación entre no más de un puñado de estudios. El campo se beneficiaría de la estandarización de la medición y las directrices de reporte para futuros ensayos clínicos. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Efficacy of Eating Disorder Focused Family Therapy for Adolescents With Anorexia Nervosa: A Systematic Review and Meta‐Analysis.
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  Data: <searchLink fieldCode="AR" term="%22Austin%2C+A%2E%22">Austin, A.</searchLink><br /><searchLink fieldCode="AR" term="%22Anderson%2C+A%2E+G%2E%22">Anderson, A. G.</searchLink><br /><searchLink fieldCode="AR" term="%22Lee%2C+J%2E%22">Lee, J.</searchLink><br /><searchLink fieldCode="AR" term="%22Vander+Steen%2C+H%2E%22">Vander Steen, H.</searchLink><br /><searchLink fieldCode="AR" term="%22Savard%2C+C%2E%22">Savard, C.</searchLink><br /><searchLink fieldCode="AR" term="%22Bergmann%2C+C%2E%22">Bergmann, C.</searchLink><br /><searchLink fieldCode="AR" term="%22Singh%2C+M%2E%22">Singh, M.</searchLink><br /><searchLink fieldCode="AR" term="%22Devoe%2C+D%2E%22">Devoe, D.</searchLink><br /><searchLink fieldCode="AR" term="%22Gorrell%2C+S%2E%22">Gorrell, S.</searchLink><br /><searchLink fieldCode="AR" term="%22Patten%2C+S%2E%22">Patten, S.</searchLink><br /><searchLink fieldCode="AR" term="%22Le+Grange%2C+D%2E%22">Le Grange, D.</searchLink><br /><searchLink fieldCode="AR" term="%22Dimitropoulos%2C+G%2E%22">Dimitropoulos, G.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Eating+Disorders%22">International Journal of Eating Disorders</searchLink>. Jan2025, Vol. 58 Issue 1, p3-36. 34p.
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– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Objective: To systematically review and evaluate the efficacy of eating disorder focused family therapy (FT‐ED) in comparison to all other forms of psychotherapy for children and adolescents with anorexia nervosa. A secondary aim is to assess the relative efficacy of different variations of FT‐ED (e.g., shorter vs. longer dose, parent‐focused). Methods: A search with relevant terms was systematically conducted on four databases. Twenty‐three publications across 18 randomized controlled trials met inclusion criteria. Outcomes of interest included variables related to weight, eating psychopathology, and remission status. Study quality was assessed, and data were extracted by two independent researchers. Results: Adolescents receiving FT‐ED gained significantly more weight by the end of treatment in comparison to those receiving individual psychotherapy. FT‐ED that was delivered just to parents or to parents and child separately offered preferable weight outcomes and rates of recovery at the end of treatment in comparison to conjoint FT‐ED. No other outcomes tested in the meta‐analysis were statistically significant at the end of treatment or follow‐up. Discussion: Currently available data suggest the use of FT‐ED in its conjoint or separated/parent focused format is the best outpatient treatment option for adolescents with anorexia nervosa when immediate weight gain is paramount. The variability of outcome measurement, including the tools used and timepoints chosen, limit comparison among no more than a handful of studies. The field would benefit from the standardization of measurement and reporting guidelines for future clinical trials. Trial Registration: PROSPERO number: CRD42023396263. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Objetivo: Revisar y evaluar sistemáticamente la eficacia de la terapia familiar centrada en el trastorno de conducta alimentaria (TF‐TCA; FT‐ED por sus siglas en inglés) en comparación con todas las demás formas de psicoterapia para niños y adolescentes que padecen anorexia nerviosa. Un objetivo secundario es evaluar la eficacia relativa de diferentes variaciones de la TF‐TCA (por ejemplo, dosis más corta vs. más larga, centrada en los padres). Métodos: Se realizó una búsqueda sistemática con términos relevantes en cuatro bases de datos. Veintitrés publicaciones de 18 ensayos controlados aleatorios cumplieron con los criterios de inclusión. Los resultados de interés incluyeron variables relacionadas con el peso, la psicopatología alimentaria y el estado de remisión. La calidad del estudio fue evaluada y los datos fueron extraídos por dos investigadores independientes. Resultados: Los adolescentes que recibieron TF‐TCA ganaron significativamente más peso al final del tratamiento en comparación con aquellos que recibieron psicoterapia individual. La TF‐TCA que se administró solo a los padres o a padres e hijos por separado ofreció mejores resultados en el peso y tasas de recuperación al final del tratamiento en comparación con la TF‐TCA conjunta. Ningún otro resultado probado en el metaanálisis fue estadísticamente significativo al final del tratamiento o durante el seguimiento. Discusión: Los datos disponibles actualmente sugieren que el uso de la TF‐TCA en su formato conjunto o separado/centrado en los padres es la mejor opción de tratamiento ambulatorio para adolescentes que padecen anorexia nerviosa cuando la ganancia de peso inmediata es primordial. La variabilidad en la medición de los resultados, incluyendo las herramientas utilizadas y los puntos temporales elegidos, limita la comparación entre no más de un puñado de estudios. El campo se beneficiaría de la estandarización de la medición y las directrices de reporte para futuros ensayos clínicos. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=183925842
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        Value: 10.1002/eat.24252
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