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Multifamily therapy for adolescent eating disorders: a study of the change in eating disorder symptoms from start of treatment to follow-up

BACKGROUND: This study aimed to evaluate multifamily therapy (MFT) for adolescents with eating disorders (EDs) in a clinical setting, by presenting the outcome of families participating in this treatment at a specialist ED service. MFT was an adjunct to treatment at local mental health services. In...

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Autores principales: Funderud, Ingrid, Halvorsen, Inger, Kvakland, Anne-Lise, Nilsen, Jan-Vegard, Skjønhaug, Jeanette, Stedal, Kristin, Rø, Øyvind
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10245347/
https://www.ncbi.nlm.nih.gov/pubmed/37287009
http://dx.doi.org/10.1186/s40337-023-00814-y
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author Funderud, Ingrid
Halvorsen, Inger
Kvakland, Anne-Lise
Nilsen, Jan-Vegard
Skjønhaug, Jeanette
Stedal, Kristin
Rø, Øyvind
author_facet Funderud, Ingrid
Halvorsen, Inger
Kvakland, Anne-Lise
Nilsen, Jan-Vegard
Skjønhaug, Jeanette
Stedal, Kristin
Rø, Øyvind
author_sort Funderud, Ingrid
collection PubMed
description BACKGROUND: This study aimed to evaluate multifamily therapy (MFT) for adolescents with eating disorders (EDs) in a clinical setting, by presenting the outcome of families participating in this treatment at a specialist ED service. MFT was an adjunct to treatment at local mental health services. In particular, the study aimed to present the change in eating disorder symptoms and psychological distress from before to after treatment and at a 6 months follow-up. METHODS: Participants were 207 adolescents receiving outpatient MFT (10 or 5 months) at Oslo University Hospital in Norway between 2009 and 2022. Adolescents had heterogeneous ED presentations, with a preponderance of anorexia nervosa (AN) and atypical AN. All participants completed pre- and post-treatment questionnaires [The eating disorder examination questionnaire (EDE-Q) and the strengths and difficulties questionnaire (SDQ)]. 142 adolescents additionally completed the same questionnaires at 6 months follow-up. Weight and height were measured at all time points. RESULTS: Linear mixed model analyses showed that from start of treatment to follow-up, there was a significant increase in BMI percentile (p < 0.001) and a significant decrease in EDE-Q global score (p < 0.001) and SDQ total score (p < 0.001). CONCLUSIONS: The study shows that adolescents with an eating disorder who received adjunct outpatient MFT in a real world clinical setting, experienced reductions in ED symptoms comparable to that found in a randomized controlled trial. Trial registration: The data used in this study was collected as part of routine clinical procedures for quality assurance and trial registration is therefore not required.
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spelling pubmed-102453472023-06-08 Multifamily therapy for adolescent eating disorders: a study of the change in eating disorder symptoms from start of treatment to follow-up Funderud, Ingrid Halvorsen, Inger Kvakland, Anne-Lise Nilsen, Jan-Vegard Skjønhaug, Jeanette Stedal, Kristin Rø, Øyvind J Eat Disord Research BACKGROUND: This study aimed to evaluate multifamily therapy (MFT) for adolescents with eating disorders (EDs) in a clinical setting, by presenting the outcome of families participating in this treatment at a specialist ED service. MFT was an adjunct to treatment at local mental health services. In particular, the study aimed to present the change in eating disorder symptoms and psychological distress from before to after treatment and at a 6 months follow-up. METHODS: Participants were 207 adolescents receiving outpatient MFT (10 or 5 months) at Oslo University Hospital in Norway between 2009 and 2022. Adolescents had heterogeneous ED presentations, with a preponderance of anorexia nervosa (AN) and atypical AN. All participants completed pre- and post-treatment questionnaires [The eating disorder examination questionnaire (EDE-Q) and the strengths and difficulties questionnaire (SDQ)]. 142 adolescents additionally completed the same questionnaires at 6 months follow-up. Weight and height were measured at all time points. RESULTS: Linear mixed model analyses showed that from start of treatment to follow-up, there was a significant increase in BMI percentile (p < 0.001) and a significant decrease in EDE-Q global score (p < 0.001) and SDQ total score (p < 0.001). CONCLUSIONS: The study shows that adolescents with an eating disorder who received adjunct outpatient MFT in a real world clinical setting, experienced reductions in ED symptoms comparable to that found in a randomized controlled trial. Trial registration: The data used in this study was collected as part of routine clinical procedures for quality assurance and trial registration is therefore not required. BioMed Central 2023-06-07 /pmc/articles/PMC10245347/ /pubmed/37287009 http://dx.doi.org/10.1186/s40337-023-00814-y Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Funderud, Ingrid
Halvorsen, Inger
Kvakland, Anne-Lise
Nilsen, Jan-Vegard
Skjønhaug, Jeanette
Stedal, Kristin
Rø, Øyvind
Multifamily therapy for adolescent eating disorders: a study of the change in eating disorder symptoms from start of treatment to follow-up
title Multifamily therapy for adolescent eating disorders: a study of the change in eating disorder symptoms from start of treatment to follow-up
title_full Multifamily therapy for adolescent eating disorders: a study of the change in eating disorder symptoms from start of treatment to follow-up
title_fullStr Multifamily therapy for adolescent eating disorders: a study of the change in eating disorder symptoms from start of treatment to follow-up
title_full_unstemmed Multifamily therapy for adolescent eating disorders: a study of the change in eating disorder symptoms from start of treatment to follow-up
title_short Multifamily therapy for adolescent eating disorders: a study of the change in eating disorder symptoms from start of treatment to follow-up
title_sort multifamily therapy for adolescent eating disorders: a study of the change in eating disorder symptoms from start of treatment to follow-up
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10245347/
https://www.ncbi.nlm.nih.gov/pubmed/37287009
http://dx.doi.org/10.1186/s40337-023-00814-y
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