Early intervention in child and adolescent eating disorders: The role of a parenting group

Eur Eat Disord Rev. 2021 May;29(3):519-526. doi: 10.1002/erv.2798. Epub 2020 Oct 21.

Abstract

Objective: Parental involvement is emphasised in treatment guidelines for Eating Disorders (ED). The primary aim of this phase II study was to estimate the impact of a parent group intervention delivered immediately post-diagnosis on weight gain and ED psychopathology in a cohort of young people referred to a community ED service. A secondary aim was to identify predictor variables for early treatment response in children whose parents attended the programme.

Method: Parents of 64 new cases of Anorexia Nervosa (AN; n = 50) and Atypical Anorexia (AAN, n = 14) attended a 6 week parent group intervention in addition to treatment as usual in which patients were weighed and reviewed, but had no other contemporaneous psychological intervention. Age and gender adjusted BMI (%median [m] BMI) and ED psychopathology at baseline, 6-week and 6-month follow-up were analysed to assess weight gain and identify predictors of outcome.

Results: The intervention was associated with weight gain and improved ED psychopathology by the end of the programme; these gains were sustained at 6 months %mBMI at 6 weeks was the only predictor of outcome (%mBMI) at 6 months.

Conclusions: This preliminary work highlights the positive benefit of an ED focused parent group early intervention that could be further evaluated.

Keywords: early intervention; eating disorders' services; eating psychopathology; parent-focused treatment; weight gain.

Publication types

  • Clinical Trial, Phase II
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Anorexia Nervosa* / psychology
  • Child
  • Feeding and Eating Disorders* / complications
  • Feeding and Eating Disorders* / therapy
  • Humans
  • Parenting
  • Parents
  • Weight Gain