Favorable effects of clearly defined interventions by parents at the start of treatment of adolescents with restrictive eating disorders

Månsson, Josefin; Parling, Thomas; Swenne, Ingemar

doi:10.1002/eat.22379

Cited by 18 publications

(27 citation statements)

References 27 publications

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“…The prediction of favourable outcome of AN by rapid early weight gain [ 40 ] is applicable also in the present OSFEDr population. We have previously shown that the weight gain at start of treatment is promoted by a consistent intervention of the parents [ 24 ]. The effect of the interventions of the parents to promote early weight gain is now extended to predict a favourable overall outcome of the ED across a wide BMI range.…”

Section: Discussionmentioning

confidence: 99%

“…We hypothesised that early rapid weight gain and absence of weight suppression at the one-year follow-up would be associated with a favourable outcome. We also hypothesised that the preliminary results of our previous study [ 24 ] would be confirmed in a larger cohort, i.e. the early interventions performed by the parents would be reflected in a favourable outcome.…”

Section: Introductionmentioning

confidence: 89%

“…The first step of the treatment programme has the single focus of stopping on-going weight loss and normalising routines around meals. This is emphasised already at the initial assessment as described above [ 24 ]. The second step of the programme ensues when eating has been almost normalised and routines of everyday life are re-established.…”

Section: Methodsmentioning

confidence: 99%

“…We have recently shown that decisive parental management at the start of treatment of adolescents with restrictive ED is effective in promoting early rapid weight gain and decreasing ED psychopathology as early as at a 3-month follow-up [ 24 ]. It is notable that the majority of the adolescents in this study had a restrictive ED but did not fulfil weight criteria for AN; i.e.…”

Section: Introductionmentioning

confidence: 99%

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Family-based intervention in adolescent restrictive eating disorders: early treatment response and low weight suppression is associated with favourable one-year outcome

2017

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BackgroundFamily-based treatments are first-line treatments for adolescents with restrictive eating disorders (ED) but have to be improved since outcome is poor for some. We have investigated the one-year outcome of a family-based intervention programme with defined and decisive interventions at the start of treatment.MethodData pertaining 201 adolescents with restrictive ED with features of anorexia nervosa but not fulfilling the weight criterion starting treatment 2010-2015, had a wide range of body mass index (BMI) and of weight loss at presentation, and completed a one-year follow-up was analysed. Recovery from the ED was defined as an Eating Disorder Examination-questionnaire (EDE-Q) score < 2.0 or as not fulfilling criteria for an ED at a clinical interview.ResultsBy EDE-Q 130 (65%) had recovered at 1 year and by clinical interview 106 (53%). According to the EDE-Q criterion recovery was independently associated with lower EDE-Q score at presentation, higher weight gain after 3 months of treatment and lower weight suppression at follow-up, weight suppression being defined as the difference between premorbid and current BMI. Not fulfilling criteria for an ED was associated with the same factors and also by higher BMI at presentation.ConclusionThe observations that low weight and high ED cognitions confer a poor prognosis but that rapid weight gain at the start of treatment predicts a better prognosis are presently extended to adolescents with restrictive ED with a wide range of BMI at presentation. High weight suppression at follow-up is associated with a poor prognosis and indicates the importance of taking premorbid BMI into account when setting weight targets for treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 89%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Family-based intervention in adolescent restrictive eating disorders: early treatment response and low weight suppression is associated with favourable one-year outcome

2017

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“…Assessment was then reviewed and completed and instruments administered. The assessment procedure has previously been described in detail (Rosling, 2013;Månsson, Parling, & Swenne, 2015). The protocol was approved by the Ethics Committee of Uppsala University.…”

Section: Methodsmentioning

confidence: 99%

Evaluation of the Compulsive Exercise Test (CET) in Adolescents with Eating Disorders: Factor Structure and Relation to Eating Disordered Psychopathology

Swenne

2016

Euro Eating Disorders Rev

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Restrictive eating disorders in higher weight persons: A systematic review of atypical anorexia nervosa prevalence and consecutive admission literature

Harrop

Mensinger

Moore

et al. 2021

Intl J Eating Disorders

106

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Objective: Currently, there is debate in the eating disorders field regarding how to define atypical anorexia (AAN), how prevalent it is in community and clinical settings, and how AAN rates compare with low-weight AN. This systematic review assesses AAN literature from 2007 to 2020, to investigate: (a) the demographic characteristics of AAN studies, (b) the prevalence of AAN compared with AN, (c) the range of operational definitions of AAN and the implications of these definitions, and (d) the proportion of patients with AAN and AN represented in consecutive admission and referral samples. Method: PsychINFO, CINAHL, PubMed, Greylit.org, and ProQuest databases were searched according to methods for Preferred Reporting Items for Systematic Reviews and Meta-Analyses systematic reviews, yielding 3,184 potential articles. Seventy-five eligible studies were coded for sixty-one variables.Results: Clinical samples predominantly included younger, female, white samples with limited diversity. In epidemiological designs, AAN was typically as common or more common than AN, and AAN rates varied significantly based on the population studied and operational definitions. In consecutive clinical samples, AAN was frequently less represented.Discussion: Although AAN appears to occur more frequently than AN in communities, fewer patients with AAN are being referred and admitted to eating disorder specific care, particularly in the United States. Given the significant medical and psychosocial consequences of AAN, and the importance of early intervention, this represents a crucial treatment gap. Additionally, results suggest the need for finetuning diagnostic definitions, greater diversity in AAN studies, and increased screening and referral for this vulnerable population. ResumenObjetivo: Actualmente, hay debate en el campo de los trastornos alimenticios sobre c omo definir la anorexia atípica (ANA), cu an prevalente es en entornos comunitarios y clínicos, y c omo las tasas de ANA se comparan con AN de bajo peso. Esta revisi on sistem atica evalúa la literatura de ANA de 2007 a 2020, para investigar: 1) las características demogr aficas de los estudios de ANA, 2) la prevalencia de ANA en comparaci on con AN, 3) el rango de definiciones operativas de ANA y las

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Favorable effects of clearly defined interventions by parents at the start of treatment of adolescents with restrictive eating disorders

Cited by 18 publications

References 27 publications

Family-based intervention in adolescent restrictive eating disorders: early treatment response and low weight suppression is associated with favourable one-year outcome

Family-based intervention in adolescent restrictive eating disorders: early treatment response and low weight suppression is associated with favourable one-year outcome

Evaluation of the Compulsive Exercise Test (CET) in Adolescents with Eating Disorders: Factor Structure and Relation to Eating Disordered Psychopathology

Restrictive eating disorders in higher weight persons: A systematic review of atypical anorexia nervosa prevalence and consecutive admission literature

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