Naturalistic Outcome of Family-Based Inpatient Treatment for Adolescents with Anorexia Nervosa

Eur Eat Disord Rev. 2018 Mar;26(2):141-145. doi: 10.1002/erv.2572. Epub 2017 Dec 8.

Abstract

Background: Outpatient family-based treatment (FBT) is the best-documented treatment for adolescent anorexia nervosa (AN), but research is scarce on FBT adapted to inpatient settings.

Aim: The naturalistic outcome of inpatient FBT for adolescent AN was investigated.

Methods: Thirty-seven (65%) of 57 patients who received inpatient FBT at a tertiary adolescent eating disorders (ED) unit participated in a follow-up interview (mean 4.5 ± 1.8, range 1-7 years) that assessed ED symptoms and general psychological functioning.

Results: A majority (65%) had achieved a normal body weight (body mass index ≥18.5). Thirty-six per cent (n = 12) were classified as fully recovered, as defined by body mass index ≥18.5, ED Examination Questionnaire global ≤2.5, and no binge eating/purging over past 3 months. Sixteen (43%) participants met criteria for one or more additional comorbid disorders.

Conclusion: Inpatient family-based therapy for AN may be a promising therapeutic approach for adolescents that fail to respond to outpatient treatment and should be investigated further. Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association.

Keywords: adolescent; anorexia nervosa; eating disorders; family-based therapy; inpatient treatment.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Ambulatory Care
  • Anorexia Nervosa / psychology
  • Anorexia Nervosa / therapy*
  • Body Mass Index
  • Body Weight
  • Family Therapy / methods*
  • Female
  • Follow-Up Studies
  • Hospitalization
  • Humans
  • Inpatients*
  • Male
  • Middle Aged
  • Treatment Outcome