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Development and evaluation of a treatment fidelity instrument for family‐based treatment of adolescent anorexia nervosa 下载免费PDF全文
Sarah Forsberg Psy.D. Kathleen Kara Fitzpatrick Ph.D. Alison Darcy Ph.D. Vandana Aspen Ph.D. Erin C. Accurso Ph.D. Susan W. Bryson M.A. M.S. Stewart Agras M.D. Katherine D. Arnow B.A. Daniel Le Grange Ph.D. James Lock M.D. Ph.D. 《The International journal of eating disorders》2015,48(1):91-99
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Elizabeth K. Hughes PhD Daniel Le Grange PhD Andrew Court MBBS FRACP FRANZP Susan M. Sawyer FRACP MD 《The International journal of eating disorders》2017,50(4):424-432
The aim of this case series was to examine engagement in and outcomes of family‐based treatment (FBT) for adolescents with DSM‐5 atypical AN, that is, adolescents who were not underweight at presentation. Consecutive referrals for FBT of adolescents with atypical AN to a specialist child and adolescent eating disorder program were examined. Engagement in treatment (i.e., dose of treatment, completion rate), and changes in psychological symptomatology (i.e., eating disorder symptoms, depressive symptoms, self‐esteem, obsessive compulsiveness), weight, and menstrual function were examined. The need for additional interventions (i.e., hospitalization and medication), and estimated remission rates were also examined. The sample comprised 42 adolescents aged 12–18 years (88% female). Engagement in FBT was high, with 83% completing at least half the treatment dose. There were significant decreases in eating disorder and depressive symptoms during FBT (p < .05) but no improvement in self‐esteem. There was no significant change in percent of median BMI for age and gender for the sample as a whole (105 vs. 106%, p = .128). However, adolescents who were not admitted to hospital prior to FBT gained some weight (M = 3.4 kg) while those who were admitted did not gain weight during FBT (M = 0.2 kg, p < .01). The overall remission rate ranged from 38 to 52% depending on the criteria applied. FBT appears to be an effective treatment for adolescents with atypical AN. However, more research is needed into systematic adaptations of FBT and other treatments that could improve overall remission rates. 相似文献
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Decision‐making processes for the uptake and implementation of family‐based therapy by eating disorder treatment teams: A qualitative study 下载免费PDF全文
Melissa Kimber MSW Jennifer Couturier MD Susan Jack PhD Alison Niccols PhD Sherry Van Blyderveen PhD Gail McVey PhD 《The International journal of eating disorders》2014,47(1):32-39
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Early weight gain in family‐based treatment predicts greater weight gain and remission at the end of treatment and remission at 12‐month follow‐up in adolescent anorexia nervosa 下载免费PDF全文
Sloane Madden MBBS FRANZCP Jane Miskovic‐Wheatley DCP/MSc Andrew Wallis MFamTher Michael Kohn MBBS FRACP Phillipa Hay PhD Stephen Touyz PhD 《The International journal of eating disorders》2015,48(7):919-922
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M D Levine R M Ringham M A Kalarchian L Wisniewski M D Marcus 《The International journal of eating disorders》2001,30(3):318-328
OBJECTIVE: Although the efficacy of family-based behavioral treatment for moderate pediatric obesity has been well established, few studies have focused on the treatment of severe obesity. We sought to evaluate the acceptability and feasibility of a family-based intervention for severely obese children. METHOD: Twenty-four families with children aged 8-12 years who were > or =160% of their ideal body weight participated in a 10-12-session behavioral intervention. Participants were weighed and their heights measured at the start of each treatment session and during a follow-up visit 4-13 (M = 7.8) months posttreatment. Children also completed measures of depressive symptoms and anxiety at pretreatment, posttreatment, and follow-up, and eating attitudes were assessed at pretreatment and follow-up. RESULTS: One third of the families did not complete treatment. However, children who completed the program lost a significant amount of weight and reported significant improvements in depression, anxiety, and eating attitudes that were maintained over time. DISCUSSION: A short-term, family-based behavioral intervention was successful in moderating weight gain for most children and had positive effects on children's mood and eating disorder symptoms. Future randomized, controlled trials of longer interventions are necessary to determine the success of this approach. 相似文献
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An exploratory examination of patient and parental self‐efficacy as predictors of weight gain in adolescents with anorexia nervosa 下载免费PDF全文
Catherine E. Byrne BA Erin C. Accurso PhD Katherine D. Arnow BA James Lock MD PhD Daniel Le Grange PhD 《The International journal of eating disorders》2015,48(7):883-888
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Using a knowledge transfer framework to identify factors facilitating implementation of family‐based treatment 下载免费PDF全文
Jennifer Couturier MD Melissa Kimber MSW Susan Jack PhD Alison Niccols PhD Sherry Van Blyderveen PhD Gail McVey PhD 《The International journal of eating disorders》2014,47(4):410-417