FAMILY-BASED TREATMENT FOR ADOLESCENT ANOREXIA NERVOSA – A NARRATIVE REVIEW

ABSTRACT Eating disorders (EDs), including anorexia nervosa (AN), bulimia nervosa (BN) and others, are serious mental illnesses that often begin in adolescence and early adulthood. EDs are associated with serious medical and psychological consequences and are considered difficult to treat. Family...

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Main Author: SVETLANA OSHUKOVA, JAANA SUOKAS
Format: Article
Language:English
Published: The Finnish Foundation for Psychiatric Research 2024-11-01
Series:Psychiatria Fennica
Subjects:
Online Access:https://www.psykiatriantutkimussaatio.fi/wp-content/uploads/2024/10/Psychiatria_Fennica%E2%94%ACa2024_Oshukova_et_al.pdf
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author SVETLANA OSHUKOVA, JAANA SUOKAS
author_facet SVETLANA OSHUKOVA, JAANA SUOKAS
author_sort SVETLANA OSHUKOVA, JAANA SUOKAS
collection DOAJ
description ABSTRACT Eating disorders (EDs), including anorexia nervosa (AN), bulimia nervosa (BN) and others, are serious mental illnesses that often begin in adolescence and early adulthood. EDs are associated with serious medical and psychological consequences and are considered difficult to treat. Family therapy has been a mainstay of treatment for children and adolescents with AN and other EDs for over 30 years. Among the family-focused treatment modalities, a manualized approach called familybased treatment (FBT) has gained the most evidence of efficacy. This model emphasizes parental support in the process of normalization of eating behaviours. Research findings indicate that FBT can lead to significant clinical improvement in three-fourths of young AN patients, with approximately 40% of adolescents achieving full remission following FBT. The aim of this review is to describe the main principles of FBT, to review current research on its effectiveness and outcome predictors, and to briefly describe two potentially effective variants of FBT - multi-family therapy (MFT) and parent-focused treatment (PFT). The authors also share their experience of implementing FBT at the Eating Disorder Unit of Helsinki University Hospital and discuss some aspects of its implementation in Finland.
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spelling doaj-art-32ef77a6692746a49ef74106d4e475dc2025-01-22T09:44:57ZengThe Finnish Foundation for Psychiatric ResearchPsychiatria Fennica2489-61522024-11-01558088FAMILY-BASED TREATMENT FOR ADOLESCENT ANOREXIA NERVOSA – A NARRATIVE REVIEWSVETLANA OSHUKOVA, JAANA SUOKASABSTRACT Eating disorders (EDs), including anorexia nervosa (AN), bulimia nervosa (BN) and others, are serious mental illnesses that often begin in adolescence and early adulthood. EDs are associated with serious medical and psychological consequences and are considered difficult to treat. Family therapy has been a mainstay of treatment for children and adolescents with AN and other EDs for over 30 years. Among the family-focused treatment modalities, a manualized approach called familybased treatment (FBT) has gained the most evidence of efficacy. This model emphasizes parental support in the process of normalization of eating behaviours. Research findings indicate that FBT can lead to significant clinical improvement in three-fourths of young AN patients, with approximately 40% of adolescents achieving full remission following FBT. The aim of this review is to describe the main principles of FBT, to review current research on its effectiveness and outcome predictors, and to briefly describe two potentially effective variants of FBT - multi-family therapy (MFT) and parent-focused treatment (PFT). The authors also share their experience of implementing FBT at the Eating Disorder Unit of Helsinki University Hospital and discuss some aspects of its implementation in Finland.https://www.psykiatriantutkimussaatio.fi/wp-content/uploads/2024/10/Psychiatria_Fennica%E2%94%ACa2024_Oshukova_et_al.pdfadolescenteating disordersanorexia nervosafamily therapyfamily-based treatmentoutpatient
spellingShingle SVETLANA OSHUKOVA, JAANA SUOKAS
FAMILY-BASED TREATMENT FOR ADOLESCENT ANOREXIA NERVOSA – A NARRATIVE REVIEW
Psychiatria Fennica
adolescent
eating disorders
anorexia nervosa
family therapy
family-based treatment
outpatient
title FAMILY-BASED TREATMENT FOR ADOLESCENT ANOREXIA NERVOSA – A NARRATIVE REVIEW
title_full FAMILY-BASED TREATMENT FOR ADOLESCENT ANOREXIA NERVOSA – A NARRATIVE REVIEW
title_fullStr FAMILY-BASED TREATMENT FOR ADOLESCENT ANOREXIA NERVOSA – A NARRATIVE REVIEW
title_full_unstemmed FAMILY-BASED TREATMENT FOR ADOLESCENT ANOREXIA NERVOSA – A NARRATIVE REVIEW
title_short FAMILY-BASED TREATMENT FOR ADOLESCENT ANOREXIA NERVOSA – A NARRATIVE REVIEW
title_sort family based treatment for adolescent anorexia nervosa a narrative review
topic adolescent
eating disorders
anorexia nervosa
family therapy
family-based treatment
outpatient
url https://www.psykiatriantutkimussaatio.fi/wp-content/uploads/2024/10/Psychiatria_Fennica%E2%94%ACa2024_Oshukova_et_al.pdf
work_keys_str_mv AT svetlanaoshukovajaanasuokas familybasedtreatmentforadolescentanorexianervosaanarrativereview