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Family-based treatment increases full remission at 1-year follow-up compared with adolescent-focused individual therapy in adolescents with anorexia nervosa

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Question

Question

Is there a difference in efficacy between family-based treatment (FBT) and adolescent-focused individual therapy (AFT) in adolescents with anorexia nervosa?

Patients

121 adolescents aged 12–18 years (average age 14.4 years; 91% female), with anorexia nervosa according to DSM-IV criteria (excluding the amenorrhea requirement).

Setting

Two universities, USA; April 2005 to March 2009.

Intervention

FBT or AFT over 12 months. FBT comprised 24 h long sessions in three phases: the first to absolve the parents of responsibility of causation of the illness and affirming positive aspects of their parenting; the second to assist parents in transferring eating and weight control back to the adolescent; the third to establish a healthy relationship between adolescent and parents. AFT comprised thirty-two 45 min sessions in three phases: the first to establish the therapist–patient relationship, make initial assessment and establish weight gain goals; the second to develop ability to tolerate negative affect; the third to focus on termination of therapy.

Outcomes

Primary: Full remission from anorexia nervosa (weight ≥95% of weight expected for sex, age and …

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