Augmentative Approaches in Family‐Based Treatment for Adolescents with Restrictive Eating Disorders: A Systematic Review

Objective To systematically review the literature reporting outcomes of augmentative family‐based treatment (FBT) interventions for adolescents with restrictive eating disorders (EDs). Method Articles were identified through a systematic search of five electronic databases (PsycINFO, MEDLINE, EMBASE...

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Bibliographic Details
Published in:European eating disorders review 2018-03, Vol.26 (2), p.92-111
Main Authors: Richards, Imogen Lim, Subar, Anni, Touyz, Stephen, Rhodes, Paul
Format: Article
Language:English
Subjects:
Adolescent
Anorexia
anorexia nervosa
Anorexia Nervosa - psychology
Anorexia Nervosa - therapy
Body Weight - physiology
Eating disorders
family therapy
Family Therapy - methods
Feeding and Eating Disorders - therapy
Humans
Systematic review
Teenagers
treatment
Treatment Outcome
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Summary:Objective To systematically review the literature reporting outcomes of augmentative family‐based treatment (FBT) interventions for adolescents with restrictive eating disorders (EDs). Method Articles were identified through a systematic search of five electronic databases (PsycINFO, MEDLINE, EMBASE, CINAHL, Cochrane Database). Results Thirty articles were included, reporting on FBT augmentations featuring adjunctive treatment components, modified treatment structure and/or content with adherence to FBT principles, and adaptations allowing FBT delivery in different settings. All reported significant improvements in weight and/or ED symptoms at end‐of‐treatment, although few compared augmentative and standard FBT interventions and good quality follow‐up data was generally lacking. Conclusions There is early evidence for the effectiveness of augmentative FBT‐based approaches in facilitating weight and/or ED symptom improvements for adolescents with restrictive EDs. There remains a lack of robust evidence demonstrating superior effects of such approaches over standard FBT, and further controlled studies are required to expand on the current evidence. Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association.
ISSN:1072-4133
1099-0968
DOI:10.1002/erv.2577