Families tackling adolescent anorexia nervosa: family wellbeing in family-based treatment or other interventions. A scoping review
Abstract Purpose Family-based treatment (FBT) has contributed significantly to the treatment of anorexia nervosa (AN) in young people (YP). However, parents are concerned that FBT and the active role of parents in the task of refeeding may have a negative impact on family relations. The aim of the r...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Springer
2024-03-01
|
| Series: | Eating and Weight Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1007/s40519-024-01641-z |
| _version_ | 1797247549671735296 |
|---|---|
| author | Signe Holm Pedersen Dorthe Andersen Waage Nadia Micali Mette Bentz |
| author_facet | Signe Holm Pedersen Dorthe Andersen Waage Nadia Micali Mette Bentz |
| author_sort | Signe Holm Pedersen |
| collection | DOAJ |
| description | Abstract Purpose Family-based treatment (FBT) has contributed significantly to the treatment of anorexia nervosa (AN) in young people (YP). However, parents are concerned that FBT and the active role of parents in the task of refeeding may have a negative impact on family relations. The aim of the review is to assess whether families engaged in FBT for AN are more or less impacted in their family wellbeing and caregiver burden, compared to families with a YP diagnosed with AN, who are not undergoing treatment with FBT. Method Computerized searches across six databases complemented by a manual search resulted in 30 papers being included in the scoping review. Results The review identified 19 longitudinal studies on change in family wellbeing in families in FBT-like treatments, and 11 longitudinal studies on change in family wellbeing in treatment where parents are not in charge of refeeding. Only three randomized controlled studies directly compare FBT to treatment without parent-led refeeding. Conclusion The available research suggests no difference between intervention types regarding impact on family wellbeing. Approximately half of the studies find improvements in family wellbeing in both treatment with and without parent-led refeeding, while the same proportion find neither improvement nor deterioration. As parents play a pivotal role in FBT, there is a need for good quality studies to elucidate the impact of FBT on family wellbeing. Level of evidence Level V: Opinions of authorities, based on descriptive studies, narrative reviews, clinical experience, or reports of expert committees. |
| first_indexed | 2024-04-24T20:00:28Z |
| format | Article |
| id | doaj.art-893fd7c4fa1f40d89ec34532cb740c86 |
| institution | Directory Open Access Journal |
| issn | 1590-1262 |
| language | English |
| last_indexed | 2024-04-24T20:00:28Z |
| publishDate | 2024-03-01 |
| publisher | Springer |
| record_format | Article |
| series | Eating and Weight Disorders |
| spelling | doaj.art-893fd7c4fa1f40d89ec34532cb740c862024-03-24T12:08:27ZengSpringerEating and Weight Disorders1590-12622024-03-0129111110.1007/s40519-024-01641-zFamilies tackling adolescent anorexia nervosa: family wellbeing in family-based treatment or other interventions. A scoping reviewSigne Holm Pedersen0Dorthe Andersen Waage1Nadia Micali2Mette Bentz3Child and Adolescent Mental Health Center, Copenhagen University Hospital-Mental Health Services CPHCenter for Eating and Feeding Disorders Research, Mental Health Center Ballerup, Copenhagen University Hospital - Mental Health Services CPH, DenmarkCenter for Eating and Feeding Disorders Research, Mental Health Center Ballerup, Copenhagen University Hospital - Mental Health Services CPH, DenmarkChild and Adolescent Mental Health Center, Copenhagen University Hospital-Mental Health Services CPHAbstract Purpose Family-based treatment (FBT) has contributed significantly to the treatment of anorexia nervosa (AN) in young people (YP). However, parents are concerned that FBT and the active role of parents in the task of refeeding may have a negative impact on family relations. The aim of the review is to assess whether families engaged in FBT for AN are more or less impacted in their family wellbeing and caregiver burden, compared to families with a YP diagnosed with AN, who are not undergoing treatment with FBT. Method Computerized searches across six databases complemented by a manual search resulted in 30 papers being included in the scoping review. Results The review identified 19 longitudinal studies on change in family wellbeing in families in FBT-like treatments, and 11 longitudinal studies on change in family wellbeing in treatment where parents are not in charge of refeeding. Only three randomized controlled studies directly compare FBT to treatment without parent-led refeeding. Conclusion The available research suggests no difference between intervention types regarding impact on family wellbeing. Approximately half of the studies find improvements in family wellbeing in both treatment with and without parent-led refeeding, while the same proportion find neither improvement nor deterioration. As parents play a pivotal role in FBT, there is a need for good quality studies to elucidate the impact of FBT on family wellbeing. Level of evidence Level V: Opinions of authorities, based on descriptive studies, narrative reviews, clinical experience, or reports of expert committees.https://doi.org/10.1007/s40519-024-01641-zFamily-based treatmentAnorexia nervosaFamily functionFamily relationsAttachmentCarer burden |
| spellingShingle | Signe Holm Pedersen Dorthe Andersen Waage Nadia Micali Mette Bentz Families tackling adolescent anorexia nervosa: family wellbeing in family-based treatment or other interventions. A scoping review Eating and Weight Disorders Family-based treatment Anorexia nervosa Family function Family relations Attachment Carer burden |
| title | Families tackling adolescent anorexia nervosa: family wellbeing in family-based treatment or other interventions. A scoping review |
| title_full | Families tackling adolescent anorexia nervosa: family wellbeing in family-based treatment or other interventions. A scoping review |
| title_fullStr | Families tackling adolescent anorexia nervosa: family wellbeing in family-based treatment or other interventions. A scoping review |
| title_full_unstemmed | Families tackling adolescent anorexia nervosa: family wellbeing in family-based treatment or other interventions. A scoping review |
| title_short | Families tackling adolescent anorexia nervosa: family wellbeing in family-based treatment or other interventions. A scoping review |
| title_sort | families tackling adolescent anorexia nervosa family wellbeing in family based treatment or other interventions a scoping review |
| topic | Family-based treatment Anorexia nervosa Family function Family relations Attachment Carer burden |
| url | https://doi.org/10.1007/s40519-024-01641-z |
| work_keys_str_mv | AT signeholmpedersen familiestacklingadolescentanorexianervosafamilywellbeinginfamilybasedtreatmentorotherinterventionsascopingreview AT dortheandersenwaage familiestacklingadolescentanorexianervosafamilywellbeinginfamilybasedtreatmentorotherinterventionsascopingreview AT nadiamicali familiestacklingadolescentanorexianervosafamilywellbeinginfamilybasedtreatmentorotherinterventionsascopingreview AT mettebentz familiestacklingadolescentanorexianervosafamilywellbeinginfamilybasedtreatmentorotherinterventionsascopingreview |