Evaluation of Family-Based Therapy AN

Question 1

+/- The Mayo Clinic

Answer 1

The Mayo Clinic found that at least 80% of treated patients make a full recovery, defined as achieving normal or near-normal weight, though younger patients with a shorter history of the disorder have a better chance of success

Question 2

+ Robinson (2012)

Answer 2

Robinson (2012) found that, through treatment, parents experienced an increase in self-efficacy and adolescents experienced a reduction in symptoms. Maternal and paternal self-efficacy scores also predicted adolescent outcomes through treatment

Question 3

+ Chen (2016)

Answer 3

Chen (2016) found that in FBT for young adults with AN, involving support adults chosen by the participants, the result was weight restoration that was sustained up to a year after treatment

Question 4

+ Lock (2010)

Answer 4

Lock (2010) found that, compared with other therapies, FBT was more effective in facilitating full remission

Question 5

• Low success rates

Answer 5

Success rates for FBT hover somewhere between roughly 50 and 70 percent

Question 6

• Time-consuming for parents

Answer 6

FBT may not be an option for many families simply because of the time it demands from parents. During the first two weeks, the patient doesn’t go to school, and one parent must be available around the clock to feed and observe their child

Question 7

• Conti (2017) - 14-year-old girl

Answer 7

Conti (2017) studied a 14-year-old girl throughout three years of Maudsley treatment. Although initially handing over the responsibility of her eating was comforting and reinstated a sense of control in the family system, these experiences were not maintained. When she did not progress past the first phase of FBT, she and her family experienced the approach as blaming. She felt silenced and family relations were weakened

Question 8

• Dropout rate

Answer 8

The dropout rate for FBT is high and can put a lot of stress onto families