RANDOMIZED CLINICAL TRIAL COMPARING FAMILY-BASED TREATMENT TO ADOLESCENT FOCUSED INDIVIDUAL THERAPY FOR ADOLESCENTS WITH ANOREXIA NERVOSA
By J. Lock, D. Le Grange, W. Agras, A. Moye, S. Bryson, Booil Jo. Archives of General Psychiatry, 2010
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Context Evidence-based treatment trials for adolescents with anorexia nervosa are few. Objective To evaluate the relative efficacy of family-based treatment (FBT) and adolescent focused individual therapy (AFT) for adolescents with anorexia nervosa on full remission. Design Randomized controlled trial. Setting Stanford University and The University of Chicago (April 2005 until March 2009) Participants One hundred and twenty one participants, ages 12 through 18 years with DSM-IV diagnosis of anorexia nervosa except for not requiring ammenorhea. Interventions Twenty four outpatient hours of treatment over 12 months of FBT or AFT. Participants were assessed at baseline, end of treatment (EOT), 6 months and 12 months follow-up post treatment. Main outcome measures Full remission from anorexia nervosa defined as normal weight (>95% of expected gender, age, weight for height) and mean global Eating Disorder Examination (EDE) score within 1 standard deviation of published means. Secondary outcome measures included partial remission rates (>85% of expected weight for height plus those who were fully remitted) and changes in Body Mass Index (BMI) percentile and eating related psychopathology. Results There were no differences in full remission between treatments at EOT. However, at both 6 and 12 month follow-up FBT was significantly superior to AFT on this measure. FBT was significantly superior for partial remission at EOT but not at follow-up. In addition, BMI percentile at EOT was significantly superior for FBT, but this effect was not found at follow-up. Participants in FBT also had greater changes on the EDE at EOT than those in AFT, but there were no differences at follow-up. Conclusions 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 at both follow-up points. Clinical Trials Registry Effectiveness of Family-Based Versus Individual Psychotherapy in Treating Adolescents With Anorexia Nervosa (NCT00149786)
Subfields: Clinical Psychology, Psychiatry and Mental health, Surgery
View Paper: https://www.semanticscholar.org/paper/0a53577b11faf76dd82ed380992f9d1e06e7a310
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Citations in the corpus
- Empirically Supported Treatment: Recommendations for a New Model (2015, background): “…efficacy trials for psychodynamic therapy (Milrod et al., 2007), transference-focused psychotherapy (Yeomans, Levy, & Caligor, 2013), family-based therapy (Lock et al., 2010), and interpersonal psychotherapy (e.g., Parker, Parker, Brotchie, & Stuart, 2006) have appeared, to name a diverse few.”
- Psychodynamic psychotherapy for children and adolescents: a critical review of the evidence base (2011, background): “However, there are also studies that suggest that older children and adolescents can also benefit from psychodynamic therapy (Baruch 1995, Baruch et al., 1998; Sinha and Kapur 1999; Tishby et al., 2007; Chanen et al., 2008; Tonge et al., 2009; Lock et al., 2010).”