Family-based treatment increases full remission at 1-year follow-up compared with adolescent-focused individual therapy in adolescents with anorexia nervosa.

摘要

Question: Is there a difference in efficacy between family-based treatment (FBT) and adolescent-focused individual therapy (AFT) in adolescents with anorexia nervosa Patients: 121 adolescents aged 12-18 years (average age 14.4 years; 91% female), with anorexia nervosa according to DSM-IV criteria (excluding the amenorrhea requirement). Setting: Two universities, USA; April 2005 to March 2009. Intervention: FBT or AFT over 12 months. FBT comprised 24 h long sessions in three phases: the first to absolve the parents of responsibility of causation of the illness and affirming positive aspects of their parenting; the second to assist parents in transferring eating and weight control back to the adolescent; the third to establish a healthy relationship between adolescent and parents. AFT comprised thirty-two 45 min sessions in three phases: the first to establish the therapist-patient relationship, make initial assessment and establish weight gain goals; the second to develop ability to tolerate negative affect; the third to focus on termination of therapy.