A Brief Modified Family-Based Treatment Intervention for Youth With Mild Eating Disorders: A Case Series

被引:1
作者
Spettigue, Wendy [1 ,2 ,3 ]
Aldaqqaq, Zizo [3 ]
Isserlin, Leanna [1 ,2 ,3 ]
Bishop, Brittany [4 ]
Norris, Mark L. [2 ,3 ,5 ]
Valois, Darcie [3 ]
Obeid, Nicole [3 ]
机构
[1] Univ Ottawa, Dept Psychiat, Ottawa, ON, Canada
[2] Univ Ottawa, Fac Med, Ottawa, ON, Canada
[3] Childrens Hosp Eastern Ontario, Res Inst, Ottawa, ON, Canada
[4] Queens Univ, Dept Psychiat, Kingston, ON, Canada
[5] Univ Ottawa, Dept Pediat, Ottawa, ON, Canada
来源
FRONTIERS IN PSYCHIATRY | 2020年 / 11卷
关键词
eating disorders; adolescents; family based treatment; anorexia nervosa; bulimia nervosa; community treatment; RANDOMIZED CLINICAL-TRIAL; ANOREXIA-NERVOSA; SHORT-TERM; ADOLESCENTS; THERAPY; MORTALITY; CHILDREN;
D O I
10.3389/fpsyt.2020.00105
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Background Family-based treatment (FBT), an outpatient treatment which is typically offered for 6-12 months by specially trained therapists, is currently the first line treatment for adolescent anorexia nervosa and bulimia nervosa. The success of FBT for adolescents with moderate to severe eating disorders indicates a potential use for a short course of modified FBT which could be offered as an early intervention by nonspecialized community mental health counselors to adolescents with mild or subsyndromal eating disorders. Methods In 2016, seven adolescents with mild eating disorders underwent a brief intervention in the form of five FBT-inspired therapy sessions (called 'DREAMS' sessions). The DREAMS sessions consisted of five replicable family sessions given over 6 weeks, each with a specific area of focus for treatment, such as nutrition and eating disorder symptoms, mood, relationships and anxiety. Charts of these seven patients were reviewed in 2019 to determine whether this treatment might be worthy of further study. Results Based on a review of the progress notes, all seven patients reported an improvement in intake, a decrease in ED symptoms and an improvement in mood by the end of the sessions. All seven families reported that the sessions had been beneficial. Conclusion Early intervention is recommended for adolescents who present in the early stages of an eating disorder, yet there are no guidelines to recommend which treatment should be offered to this population. Further research is required to determine whether a short course of modified FBT, such as these five FBT-inspired 'DREAMS' sessions, may be an effective intervention to offer to youth who present with mild eating disorders.
引用
收藏
页数:8
相关论文
共 25 条
  • [1] [Anonymous], HELP YOUR TEENAGER B
  • [2] Mortality Rates in Patients With Anorexia Nervosa and Other Eating Disorders A Meta-analysis of 36 Studies
    Arcelus, Jon
    Mitchell, Alex J.
    Wales, Jackie
    Nielsen, Soren
    [J]. ARCHIVES OF GENERAL PSYCHIATRY, 2011, 68 (07) : 724 - 731
  • [3] Association A.P, 2013, Diagnostic and statistical manual of mental disorders, DOI DOI 10.1176/APPI.BOOKS.9780890425596
  • [4] Family-Based Therapy for Young Adults with Anorexia Nervosa Restores Weight
    Chen, Eunice Y.
    Weissman, Jessica A.
    Zeffiro, Thomas A.
    Yiu, Angelina
    Eneva, Kalina T.
    Arlt, Jean M.
    Swantek, Michael J.
    [J]. INTERNATIONAL JOURNAL OF EATING DISORDERS, 2016, 49 (07) : 701 - 707
  • [5] Efficacy of family-based treatment for adolescents with eating disorders: A systematic review and meta-analysis
    Couturier, Jennifer
    Kimber, Melissa
    Szatmari, Peter
    [J]. INTERNATIONAL JOURNAL OF EATING DISORDERS, 2013, 46 (01) : 3 - 11
  • [6] Currin L., 2005, J MENT HEALTH, V14, P611, DOI DOI 10.1080/09638230500347939
  • [7] A Longitudinal Investigation of Mortality in Anorexia Nervosa and Bulimia Nervosa
    Franko, Debra L.
    Keshaviah, Aparna
    Eddy, Kamryn T.
    Krishna, Meera
    Davis, Martha C.
    Keel, Pamela K.
    Herzog, David B.
    [J]. AMERICAN JOURNAL OF PSYCHIATRY, 2013, 170 (08) : 917 - 925
  • [9] Efficacy of a Parent-Based, Indicated Prevention for Anorexia Nervosa: Randomized Controlled Trial
    Jacobi, Corinna
    Huetter, Kristian
    Voelker, Ulrike
    Moebius, Katharina
    Richter, Robert
    Trockel, Mickey
    Bell, Megan Jones
    Lock, James
    Taylor, C. Barr
    [J]. JOURNAL OF MEDICAL INTERNET RESEARCH, 2018, 20 (12)
  • [10] Family-based Early Intervention for Anorexia Nervosa
    Jones, Megan
    Voelker, Ulrike
    Lock, James
    Taylor, C. Barr
    Jacobi, Corinna
    [J]. EUROPEAN EATING DISORDERS REVIEW, 2012, 20 (03) : e137 - e143