Family Therapy for Adolescent Anorexia Nervosa: The Results of a Controlled Comparison of Two Family Interventions
This paper reports the results of a randomised treatment trial of two forms of outpatient family intervention for anorexia nervosa. Forty adolescent patients with anorexia nervosa were randomly assigned to “conjoint family therapy” (CFT) or to “separated family therapy” (SFT) using a stratified desi...
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Veröffentlicht in: | Journal of child psychology and psychiatry 2000-09, Vol.41 (6), p.727-736 |
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Sprache: | eng |
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Zusammenfassung: | This paper reports the results of a randomised treatment trial of two forms of outpatient
family intervention for anorexia nervosa. Forty adolescent patients with anorexia nervosa
were randomly assigned to “conjoint family therapy” (CFT) or to “separated family
therapy” (SFT) using a stratified design controlling for levels of critical comments using the
Expressed Emotion index. The design required therapists to undertake both forms of
treatment and the distinctiveness of the two therapies was ensured by separate supervisors
conducting live supervision of the treatments. Measures were undertaken on admission to
the study, at 3 months, at 6 months and at the end of treatment. Considerable improvement
in nutritional and psychological state occurred across both treatment groups. On global
measure of outcome, the two forms of therapy were associated with equivalent end of
treatment results. However, for those patients with high levels of maternal criticism towards
the patient, the SFT was shown to be superior to the CFT. When individual status measures
were explored, there were further differences between the treatments. Symptomatic change
was more marked in the SFT whereas there was considerably more psychological change in
the CFT group. There were significant changes in family measures of Expressed Emotion.
Critical comments between parents and patient were significantly reduced and that between
parents was also diminished. Warmth between parents increased. |
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ISSN: | 0021-9630 1469-7610 |
DOI: | 10.1111/1469-7610.00660 |