A Brief, Intensive Application of Multi-Family-Based Treatment for Eating Disorders

Knatz, Stephanie; Murray, Stuart B.; Matheson, Brittany E.; Boutelle, Kerri N.; Rockwell, Roxanne; Eisler, Ivan; Kaye, Walter H.

doi:10.1080/10640266.2015.1042318

Cited by 31 publications

(19 citation statements)

References 27 publications

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“…A retrospective study [64], which compared MFT plus treatment as usual (TAU) to a matched control group receiving only TAU, found that both cases and controls experienced significant weight restoration, but the addition of MFT led to quicker weight gain and higher rates of full weight restoration. Another retrospective study carried out within the framework of an intensive therapeutic program in San Diego [26,65] MFT treatments with a psychoeducational orientation have generated only one comparative study. In a small RCT involving AN adolescent inpatients, Geist et al [32] compared 8 sessions of individual family therapy (FT) with 8 sessions of family group psychoeducation (FGP) over a 4-month study period and found that both treatment modalities equally supported weight restoration, the preference being once more given to FGP because of its better cost-effectiveness.…”

Section: Discussionmentioning

confidence: 99%

“…One of the reasons is that the model's concepts and techniques draw heavily on the single FBT model [21,22], which has achieved a solid evidence base (for a review of the literature, see [23] ). The Maudsley and Dresden teams have also published detailed descriptions of their MFT theoretical framework and treatment interventions, and developed highly structured and creative training protocols (for AN and BN) which have facilitated its dissemination and encouraged the development of new clinical applications [24][25][26][27][28][29]. Finally, it is important to stress that the Maudsley model has helped challenge theories of family causation (making the family responsible for the ED), taking instead the position that ''the family is not the exclusive or primary factor in the development of the ED'' [30] and that it is a resource rather than a hindrance for recovery.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Two models of multiple family therapy in the treatment of adolescent anorexia nervosa: a systematic review

Gelin

Cook‐Darzens

Simon³

et al. 2015

Eat Weight Disord

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Multiple family therapy (MFT) is a therapeutic method that brings together several families affected by the same pathology. Although from an ideological and conceptual point of view, MFT is often linked to family therapy and group therapy, it is difficult to define it with precision, a weakness which may in turn hinder research on therapeutic effectiveness. This is most notable in the field of eating disorders (ED) where, in spite of MFT's great popularity, research evidence remains limited. Within the context of a systematic review of the literature on MFT in the treatment of anorexia nervosa, the purpose of this article is to provide a theoretical and clinical framework for describing two MFT models, in an attempt to explore their common and distinct concepts, principles, techniques, and factors of change. The first program is a day treatment adaptation of the Maudsley family-based MFT approach, developed in Belgium at the Therapeutic Centre for Adolescents suffering from Eating Disorders: it focuses on the management of ED symptoms, using a strong cognitive behavioral orientation. The second is an integrated systemic MFT outpatient and inpatient program carried out on the ED unit of a pediatric hospital in Paris, France: it emphasizes intra- and inter-family relationships within a systemic framework. Our effort to describe and compare these two models constitutes a first step toward determining the relative value of different models of MFT. Indeed, each model presents specific characteristics that may make it best suited for specific ED populations and/or types of families.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Two models of multiple family therapy in the treatment of adolescent anorexia nervosa: a systematic review

Gelin

Cook‐Darzens

Simon³

et al. 2015

Eat Weight Disord

View full text Add to dashboard Cite

show abstract

“…In a subsequent 30‐month follow‐up of 74 cases in either single‐family IFT (S‐IFT) or multifamily IFT (M‐IFT), with remission defined as weight at or above 95% of expected for sex, age, and height plus EDE‐Questionnaire global score within 1 SD of norms, and the absence of binge‐purging behaviors, an impressive 88% of participants, regardless of whether they participated in S‐IFT or M‐IFT, achieved remission (Marzola et al, ). While preliminary, IFT shows prosing results and may be a helpful alternative for families who might not otherwise be able to access specialist services, or serve as an ancillary resource for treatment‐resistant cases (Knatz et al, ).…”

Section: What We Do Not Know (Yet)mentioning

confidence: 99%

Family‐based treatment: Where are we and where should we be going to improve recovery in child and adolescent eating disorders

Lock

Grange

2018

Intl J Eating Disorders

142

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Objective Family therapy has long been advocated as an effective intervention for eating disorders. A specific form of family therapy, one that utilizes family resources, has proven especially effective for adolescents with anorexia or bulimia nervosa (AN and BN). First developed in London, a behaviorally focused adaptation, called family‐based treatment (FBT), has been manualized and systematically studied in six randomized clinical trials for adolescent AN and two for adolescent BN. Method This Commentary focuses on manualized FBT; what we know, what we do not know (yet), and what we hope for. Results We do know that efficacy data for FBT, especially adolescent AN, are quite robust, even though remission rates remain elusive for more than half of all cases. While preliminary, moderators of FBT for adolescent AN have been identified and could aid us in determining the most (or least) responsive patient groups. And weight gain (∼2.5kg) by week four has been confirmed as an early predictor of remission at end‐of‐treatment. What we do not know, yet, is whether specific adaptations to manualized FBT will confer improved remission rates. Discussion Finally, and in terms of what is hoped for, we highlight the promise of improved access, dissemination, and implementation of FBT.

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“…It combines cognitive behavioral therapy (CBT) with systemic-relational intervention, and it is an intensive outpatient treatment aimed to normalize the weight of adolescents affected by AN. The FBT is generally a short clinical program aimed to improve family functioning and to prepare families of adolescents with EDs to support the recovery of the weight in everyday life through educational activities and skills training [58].…”

Section: Therapeutic Approachesmentioning

confidence: 99%

EMDR in Anorexia Nervosa: From a Theoretical Framework to the Treatment Guidelines

Zaccagnino¹,

Civilotti²,

Cussino³

et al. 2017

Eating Disorders - A Paradigm of the Biopsychosocial Model of Illness

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Studies on the risks and on the positive factors implied in the onset of anorexia nervosa ("N) have reported the role of an insecure or disorganized state of mind (SoM) with respect to atachment. We compare the efects of eyes movement desensitization and reprocessing (EMDR) approach with cognitive behavioral therapy (C"T) in the treatment of "N in terms of SoMs, relective function (RF), and narrative coherence (Coh). Our results are part of a broader observational clinical comparative study of the two approaches, and it is based on the "dult "tachment Interview (""I) outcomes. Diferences in terms of belongingness to a secure group and an unsecure group before and after the treatments in EMDR and C"T group have been reported through McNemar's test. The generalized linear model (GLM) repeated-measures multivariate "NOV" (RM-M"NOV") has been selected. Our results suggest that EMDR allows an active reprocessing of traumatic memories related to family dynamics and to eating behaviors, which could enable a positive resolution of eating disorder (ED) symptoms. The emotional reprocessing of unresolved atachment issues can allow a beter modulation of the control-related rigidity that is a commonality between "N patients.

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A Brief, Intensive Application of Multi-Family-Based Treatment for Eating Disorders

Abstract: There is a continued need to improve upon the efficacy and avail-

Cited by 31 publications

References 27 publications

Two models of multiple family therapy in the treatment of adolescent anorexia nervosa: a systematic review

Two models of multiple family therapy in the treatment of adolescent anorexia nervosa: a systematic review

Family‐based treatment: Where are we and where should we be going to improve recovery in child and adolescent eating disorders

EMDR in Anorexia Nervosa: From a Theoretical Framework to the Treatment Guidelines

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