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Eur Eat Disord Rev. 2011 Jul-Aug;19(4):362-7. doi: 10.1002/erv.1094.

An innovative short-term, intensive, family-based treatment for adolescent anorexia nervosa: case series.

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  • 1University of California, San Diego, Department of Psychiatry, La Jolla, CA, USA.

Abstract

OBJECTIVE:

In order to improve the dissemination of new expert-based treatments for adolescents with anorexia nervosa, we have developed an innovative 1-week intensive family-based evaluation and treatment programme. Ages of the adolescents in the programme ranged from 10 to 18 years (mean = 15.0, SD = 2.1). We report the outcomes of the first 19 cases.

METHOD:

Data were obtained from a retrospective chart review and a follow-up of cases at 52 to 738 days (mean = 278.4, SD = 193.8) post-treatment. The primary outcome measure was ideal body weight (IBW) percentage.

RESULTS:

At admission, the duration of illness ranged from less than 1 to 8 years (mean 2.1, SD = 1.7). Admission IBW ranged from 69.3 to 99.1% (mean = 84.3%, SD = 8.7). Follow-up IBW ranged from 84.4 to 134.6% (mean = 99.3%, SD = 11.8). All but one patient reported a sustained gain in weight post-treatment (mean = 15.0, SD = 14.5).

DISCUSSION:

These data provide further support for the notion that short-term family-based therapy may be useful for weight restoration and maintenance in some adolescents with anorexia nervosa.

Copyright © 2011 John Wiley & Sons, Ltd and Eating Disorders Association.

[PubMed - indexed for MEDLINE]
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