Are single-parent families different from two-parent families in the treatment of adolescent bulimia nervosa using family-based treatment?
Article first published online: 21 AUG 2008
Copyright © 2008 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 42, Issue 2, pages 153–157, March 2009
How to Cite
Doyle, A. C., McLean, C., Washington, B. N., Hoste, R. R. and le Grange, D. (2009), Are single-parent families different from two-parent families in the treatment of adolescent bulimia nervosa using family-based treatment?. Int. J. Eat. Disord., 42: 153–157. doi: 10.1002/eat.20584
- Issue published online: 5 FEB 2009
- Article first published online: 21 AUG 2008
- Manuscript Accepted: 18 JUN 2008
- bulimia nervosa;
- family-based treatment;
- single-parent families
To examine whether family-based treatment (FBT) for adolescent bulimia nervosa (BN), which emphasizes family involvement in helping to reduce binge eating and purging behaviors, is differentially efficacious in single-parent families versus two-parent families.
Forty-one adolescents (97.6% female; 16.0 ± 1.7 years old) with either BN (n = 18) or subthreshold BN (n = 23) were randomized to FBT as part of a larger randomized controlled trial studying treatments for adolescent BN.
Two-parent (n = 27; 65.9%) and single-parent (n = 14; 34.2%) families were compared on demographic variables, presence of comorbid psychiatric illnesses, and symptoms of BN at baseline, post, and 6-month follow-up. ANOVA and chi-square analyses revealed no statistically significant differences between two-parent and single-parent families on any variables with the exception of ethnicity, for which a greater proportion of Caucasians and Hispanic families had two- parent families compared with African-American families (χ2 = 8.68, p = .01).
These findings suggest that FBT may be an appropriate and efficacious treatment for single-parent families as well as two-parent families, despite the reliance on parental intervention to reduce bulimic symptoms and normalize eating patterns. © 2008 by Wiley Periodicals, Inc. Int J Eat Disord 2009