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Feasibility and acceptability of home treatment as an add‐on to family based therapy for adolescents with anorexia nervosa. A case series
OBJECTIVE: This study examines the feasibility, acceptability, and preliminary effect sizes on outcome measures of home treatment (HT) as an add‐on to family‐based therapy (FBT) in adolescents with anorexia nervosa (AN). The HT intervention is delivered by specialized nurses and aims at supporting p...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley & Sons, Inc.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8457051/ https://www.ncbi.nlm.nih.gov/pubmed/34227130 http://dx.doi.org/10.1002/eat.23567 |
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author | Flütsch, Nicole Hilti, Nadine Schräer, Christiane Soumana, Mariama Probst, Fabian Häberling, Isabelle Berger, Gregor Pauli, Dagmar |
author_facet | Flütsch, Nicole Hilti, Nadine Schräer, Christiane Soumana, Mariama Probst, Fabian Häberling, Isabelle Berger, Gregor Pauli, Dagmar |
author_sort | Flütsch, Nicole |
collection | PubMed |
description | OBJECTIVE: This study examines the feasibility, acceptability, and preliminary effect sizes on outcome measures of home treatment (HT) as an add‐on to family‐based therapy (FBT) in adolescents with anorexia nervosa (AN). The HT intervention is delivered by specialized nurses and aims at supporting patients and parents to re‐establish family meals in the home environment. METHOD: Forty‐five (43 female, 2 male) adolescents meeting ICD 10 criteria for anorexia nervosa or atypical anorexia nervosa received FBT augmented with HT over 12 weeks. Eating disorder (ED) diagnosis, psychopathology and severity of clinical symptoms were assessed using the Eating Disorder Examination (EDE) interview, the Eating Disorders Inventory (EDI‐2) at baseline (BL) and after 3‐months RESULTS: All participants and parents were retained and found HT acceptable. At the end of Treatment (EOT) participants showed a significant early weight gain, a reduction in the AN psychopathology assessed with the EDE interview and a reduction in EDI‐2 total scores. None of the patients had to be admitted to hospital. Treatment satisfaction was high in both patients and parents. DISCUSSION: Findings provide preliminary evidence that HT is feasible, acceptable and produces clinically significant improvements in targeted outcome. |
format | Online Article Text |
id | pubmed-8457051 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | John Wiley & Sons, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-84570512021-09-27 Feasibility and acceptability of home treatment as an add‐on to family based therapy for adolescents with anorexia nervosa. A case series Flütsch, Nicole Hilti, Nadine Schräer, Christiane Soumana, Mariama Probst, Fabian Häberling, Isabelle Berger, Gregor Pauli, Dagmar Int J Eat Disord Brief Reports OBJECTIVE: This study examines the feasibility, acceptability, and preliminary effect sizes on outcome measures of home treatment (HT) as an add‐on to family‐based therapy (FBT) in adolescents with anorexia nervosa (AN). The HT intervention is delivered by specialized nurses and aims at supporting patients and parents to re‐establish family meals in the home environment. METHOD: Forty‐five (43 female, 2 male) adolescents meeting ICD 10 criteria for anorexia nervosa or atypical anorexia nervosa received FBT augmented with HT over 12 weeks. Eating disorder (ED) diagnosis, psychopathology and severity of clinical symptoms were assessed using the Eating Disorder Examination (EDE) interview, the Eating Disorders Inventory (EDI‐2) at baseline (BL) and after 3‐months RESULTS: All participants and parents were retained and found HT acceptable. At the end of Treatment (EOT) participants showed a significant early weight gain, a reduction in the AN psychopathology assessed with the EDE interview and a reduction in EDI‐2 total scores. None of the patients had to be admitted to hospital. Treatment satisfaction was high in both patients and parents. DISCUSSION: Findings provide preliminary evidence that HT is feasible, acceptable and produces clinically significant improvements in targeted outcome. John Wiley & Sons, Inc. 2021-07-05 2021-09 /pmc/articles/PMC8457051/ /pubmed/34227130 http://dx.doi.org/10.1002/eat.23567 Text en © 2021 The Authors. International Journal of Eating Disorders published by Wiley Periodicals LLC. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
spellingShingle | Brief Reports Flütsch, Nicole Hilti, Nadine Schräer, Christiane Soumana, Mariama Probst, Fabian Häberling, Isabelle Berger, Gregor Pauli, Dagmar Feasibility and acceptability of home treatment as an add‐on to family based therapy for adolescents with anorexia nervosa. A case series |
title | Feasibility and acceptability of home treatment as an add‐on to family based therapy for adolescents with anorexia nervosa. A case series |
title_full | Feasibility and acceptability of home treatment as an add‐on to family based therapy for adolescents with anorexia nervosa. A case series |
title_fullStr | Feasibility and acceptability of home treatment as an add‐on to family based therapy for adolescents with anorexia nervosa. A case series |
title_full_unstemmed | Feasibility and acceptability of home treatment as an add‐on to family based therapy for adolescents with anorexia nervosa. A case series |
title_short | Feasibility and acceptability of home treatment as an add‐on to family based therapy for adolescents with anorexia nervosa. A case series |
title_sort | feasibility and acceptability of home treatment as an add‐on to family based therapy for adolescents with anorexia nervosa. a case series |
topic | Brief Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8457051/ https://www.ncbi.nlm.nih.gov/pubmed/34227130 http://dx.doi.org/10.1002/eat.23567 |
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