Modifications to Enhance Outcomes of Family-Based Treatment for Anorexia Nervosa: A Scoping Review

IF 17.7 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-05-15 DOI:10.3390/psychiatryint5020015

S. Pedersen, Lasse Carlsson, Mette Bentz

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Abstract

Family-based treatment (FBT) is recommended for anorexia nervosa (AN) in young people (YP). However, a substantial proportion of YP undergoing FBT do not recover. Several modifications to standard FBT have been tested to improve recovery rates. This review provides an updated overview of empirically tested modifications to FBT for AN in YP and estimates whether such modifications increase the percentage recovering. Computerized searches performed in five databases resulted in the inclusion of 43 papers (representing 40 original studies), highlighting that a variety of modifications to standard FBT have been tested and appear promising. However, only 11 studies compared the results of a modification to standard FBT. In conclusion, some modifications, such as parent-focused treatment, the addition of home treatment, or interventions for families at risk of non-response, appear to have the potential to improve the recovery rate, either at the group or subgroup level. Other modifications, such as FBT-based guided self-help, virtually delivered FBT, or FBT delivered during in- or day-patient stays, enable the dissemination of FBT principles to other contexts and to patient groups with limited access. Small additions to FBT, such as a workshop or parent-to-parent consultation, do not seem to improve the recovery rate.

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提高神经性厌食症家庭治疗效果的修改方案：范围审查

建议对青少年厌食症（AN）进行家庭治疗（FBT）。然而，相当一部分接受家庭治疗的青少年并未痊愈。为了提高痊愈率，人们对标准的 FBT 进行了一些修改。本综述概述了经过实证测试的针对青少年自闭症的FBT改良方法，并估算了这些改良方法是否能提高康复率。通过在五个数据库中进行计算机检索，共收录了 43 篇论文（代表 40 项原创研究），这些论文强调了对标准 FBT 的各种修改已经过测试，并且似乎很有前景。然而，只有 11 项研究比较了对标准 FBT 进行修改的结果。总之，一些改进措施，如以家长为中心的治疗、增加家庭治疗或对有可能不作出反应的家庭进行干预，似乎有可能在群体或亚群体层面提高康复率。其他改良措施，如基于 FBT 的指导性自助、虚拟提供的 FBT 或在住院或日间留院期间提供的 FBT，都能将 FBT 原则推广到其他环境和机会有限的患者群体。在家庭支持疗法的基础上增加一些小的内容，如工作坊或家长对家长的咨询，似乎并不能提高康复率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.

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