Simar Singh1, Erin C Accurso1, Lisa Hail1, Andrea B Goldschmidt2, Daniel Le Grange1,3. 1. Department of Psychiatry, UCSF Weill Institute for Neurosciences, University of California, San Francisco, California. 2. Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, The Miriam Hospital/Weight Control and Diabetes Research Center, Providence, Rhode Island. 3. Department of Psychiatry and Behavioral Neuroscience, The University of Chicago, Chicago, Illinois, Emeritus.
Abstract
OBJECTIVE: Family-based treatment (FBT) is an efficacious treatment for adolescent eating disorders, yet it is not routinely implemented in clinical practice. Given that consumers play a role in treatment selection, this study sought to examine families' perspectives on FBT and remission markers associated with increased treatment satisfaction across families. METHOD: Participants were 40 adolescents and 43 caregivers who received outpatient FBT. FBT helpfulness was assessed using a treatment follow-up questionnaire, and eating disorder symptomatology was assessed using percent expected body weight (%EBW) and the eating disorder examination (EDE). Regression analyses were used to assess whether changes in symptoms from baseline to end-of-treatment (EOT) were significantly associated with helpfulness reports. RESULTS: On average, patients and their parents perceived FBT as "quite helpful" and "extremely helpful," respectively. Improvements in all EDE subscales, with the exception of restraint, were significantly associated with adolescent report of helpfulness (all p < .05); increase in %EBW was significantly associated with maternal report of helpfulness (p = .03). There were no significant findings for paternal report. DISCUSSION: Both patients and their parents perceived FBT as helpful, but patients seemed to prioritize cognitive improvements while mothers prioritized physical improvements in rating their satisfaction with FBT.
OBJECTIVE: Family-based treatment (FBT) is an efficacious treatment for adolescent eating disorders, yet it is not routinely implemented in clinical practice. Given that consumers play a role in treatment selection, this study sought to examine families' perspectives on FBT and remission markers associated with increased treatment satisfaction across families. METHOD:Participants were 40 adolescents and 43 caregivers who received outpatientFBT. FBT helpfulness was assessed using a treatment follow-up questionnaire, and eating disorder symptomatology was assessed using percent expected body weight (%EBW) and the eating disorder examination (EDE). Regression analyses were used to assess whether changes in symptoms from baseline to end-of-treatment (EOT) were significantly associated with helpfulness reports. RESULTS: On average, patients and their parents perceived FBT as "quite helpful" and "extremely helpful," respectively. Improvements in all EDE subscales, with the exception of restraint, were significantly associated with adolescent report of helpfulness (all p < .05); increase in %EBW was significantly associated with maternal report of helpfulness (p = .03). There were no significant findings for paternal report. DISCUSSION: Both patients and their parents perceived FBT as helpful, but patients seemed to prioritize cognitive improvements while mothers prioritized physical improvements in rating their satisfaction with FBT.
Authors: Elizabeth K Hughes; Daniel Le Grange; Andrew Court; Michele Yeo; Stephanie Campbell; Melissa Whitelaw; Linsey Atkins; Susan M Sawyer Journal: J Pediatr Health Care Date: 2013-09-18 Impact factor: 1.812
Authors: Anna C Ciao; Erin C Accurso; Ellen E Fitzsimmons-Craft; James Lock; Daniel Le Grange Journal: Int J Eat Disord Date: 2014-06-05 Impact factor: 4.861