Are family relations connected to the quality of the outcome in adolescent anorexia nervosa? An observational study with the Lausanne Trilogue Play

Clin Psychol Psychother. 2018 Nov;25(6):785-796. doi: 10.1002/cpp.2314. Epub 2018 Jul 26.

Abstract

The study aims to explore the connection between the family interactive patterns, investigated with a standardized observational tool based on a recorded play session, the Lausanne Trilogue Play, and the outcome of adolescent patients with anorexia nervosa after a 6 months treatment, based on the Morgan-Russel Outcome Assessment Schedule. Seventy-two parents and adolescent daughters with anorexia nervosa, consecutively referred to an adolescent neuropsychiatric service, participated in the study and underwent an integrated model of treatment, based on constant neuropsychiatric and dietary monitoring, weekly individual psychotherapy for the daughter, and parental counselling and support. A better adolescents' functioning in family relationships, in particular in the triadic ones, at first assessment, was associated with a better outcome. Data on family interactions may help predict the most appropriate intervention for the patient and his family.

Keywords: Morgan-Russel Outcome Assessment Schedule (MROAS); adolescence; restricting-type anorexia nervosa; treatment outcome; triadic interactions.

Publication types

  • Observational Study

MeSH terms

  • Adolescent
  • Anorexia Nervosa / psychology*
  • Anorexia Nervosa / therapy*
  • Counseling / methods*
  • Family Relations / psychology*
  • Female
  • Humans
  • Italy
  • Parents / psychology*
  • Psychotherapy / methods*
  • Treatment Outcome