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" Open Trial of Family-Based Treatment of Anorexia Nervosa for Transition Age Youth. "
Dimitropoulos, Gina; Landers, Ashley L; Freeman, Victoria; Novick, Jason; Garber, Andrea; Le Grange, Daniel
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AL
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| Record Number
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907189
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LA1nz8q59m
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| Title & Author
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Open Trial of Family-Based Treatment of Anorexia Nervosa for Transition Age Youth. [Article]\ Dimitropoulos, Gina; Landers, Ashley L; Freeman, Victoria; Novick, Jason; Garber, Andrea; Le Grange, Daniel
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| Date
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2018
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| Title of Periodical
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UCSF
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| Abstract
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This pilot study conducted an open trial of a manualized adaptation to Family-Based Treatment for Transition Age Youth (FBT-TAY) for Anorexia Nervosa (AN). The aims were: (1) determine the acceptability of FBT for TAY; and, (2) establish preliminary effect sizes for the impact of FBT-TAY on eating disorder behaviour and weight restoration.Twenty-six participants across two paediatric and one adult hospital site were recruited to participate. Participants completed the Eating Disorder Examination Questionnaire (EDE-Q) at the start of treatment, the end-of-treatment, and three-month follow-up.FBT-TAY is an acceptable and feasible treatment to all study therapists as evidenced by their fidelity to the model. FBT-TAY is a feasible and acceptable intervention to transition age youth, given only 27.27% chose treatment as usual over FBT-TAY. Participants presented significant improvement at end-of-treatment and three-months post-treatment (p < .001; ES = 0.34) from baseline on the EDE-Q Global Score. Participants also achieved and maintained weight restoration at the end-of-treatment and three-months post-treatment when compared to baseline (p < .0001, ES = 0.54).FBT-TAY, the first manualized AN treatment for TAY, demonstrated feasibility and acceptability with therapists and participants as well as improvement for participants in EDE-Q global score and weight. Given the current dearth of effective treatments for TAY with AN, FBT-TAY is a promising adaptation of FBT. A larger clinical trial with a 12-month follow-up is recommended.
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