Article Text

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

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.



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


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).


Two universities, USA; April 2005 to March 2009.


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.


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

View Full Text


  • Source of funding National Institutes of Health.


  • Competing interests None.