Topical Section: Perspectives on Treatment
Do the components of manualized family-based treatment for anorexia nervosa predict weight gain?
Article first published online: 24 JAN 2012
Copyright © 2012 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 45, Issue 4, pages 609–614, May 2012
How to Cite
Ellison, R., Rhodes, P., Madden, S., Miskovic, J., Wallis, A., Baillie, A., Kohn, M. and Touyz, S. (2012), Do the components of manualized family-based treatment for anorexia nervosa predict weight gain?. Int. J. Eat. Disord., 45: 609–614. doi: 10.1002/eat.22000
- Issue published online: 6 APR 2012
- Article first published online: 24 JAN 2012
- Manuscript Accepted: 22 NOV 2011
- family-based treatment;
- Maudsley model;
Family-based treatment for anorexia nervosa (FBT) has demonstrated efficacy in the treatment of adolescents with anorexia nervosa (AN) in a number of randomized control trials (RCT). The aim of the current research was to determine whether adherence to the key components of the model as outlined in the treatment manual predict weight gain or dropout.
The 59 participants were under 19 years and had AN for less than 3 years. Five core treatment objectives and working alliance were measured across 20 sessions of FBT.
The core objectives of parents taking control, being united, not criticizing the patient and externalizing the illness predicted greater weight gain. Sibling support did not predict weight gain. The relationship between therapeutic alliance and weight gain was positive for mothers but negative for fathers. Dropout was predicted by low control and poor maternal-therapeutic alliance.
The results of this study lend further support for the efficacy of the FBT, demonstrating that the principles guiding clinical practice are those which lead to weight gain. The finding that parental control is the central predictor of change can also support the development of augmentations to the model. © 2012 by Wiley Periodicals, Inc. (Int J Eat Disord 2012)