"We don't really know what else we can do": Parent experiences when adolescent distress persists after the Maudsley and family-based therapies for anorexia nervosa

Journal of Eating Disorders
Ella WufongJanet Conti

Abstract

Maudsley Family Therapy (MFT), and its manualised version, Family-Based Therapy (FBT), are the only well-established treatment interventions for adolescent anorexia nervosa (AN), with treatment efficacy primarily measured by improvements in eating behaviours and weight restoration. A crucial component of this therapy is an intensive home-based refeeding intervention that requires a substantial commitment from parents for up to one year. While this treatment works to restore weight in a proportion of adolescents, very little is known about its impacts on family distress, relationships and identity, including in the 40% of families where the adolescent experiences ongoing eating disorder (ED) symptomatology and/or psychological distress during and post-treatment. Specifically, few studies have investigated the impacts of MFT/FBT treatment on family functioning or on how parents negotiate their identities, or who they understand themselves to be, in the context of this treatment intervention. This is a significant omission, given the substantive role assigned to parents to take responsibility for their child's eating restoration in the first treatment phase. This study seeks to address this gap through a qualitative exploration of...Continue Reading

References

Jan 13, 1996·BMJ : British Medical Journal·D L SackettW S Richardson
May 25, 2006·Journal of the American Academy of Child and Adolescent Psychiatry·James LockW Stewart Agras
Nov 11, 2011·The International Journal of Eating Disorders·Daniel Le GrangeSusan W Bryson
Jun 22, 2012·Psychiatry Research·Pam MacdonaldJanet Treasure
Jun 15, 2013·European Eating Disorders Review : the Journal of the Eating Disorders Association·Jessica Bezance, Joanna Holliday
Sep 13, 2013·European Eating Disorders Review : the Journal of the Eating Disorders Association·K BührenB Herpertz-Dahlmann
May 7, 2015·The International Journal of Eating Disorders·Kim Hurst, Melanie Zimmer-Gembeck
Jul 28, 2016·Journal of the American Academy of Child and Adolescent Psychiatry·Daniel Le GrangeSusan M Sawyer
Dec 13, 2016·European Eating Disorders Review : the Journal of the Eating Disorders Association·Reinhild SchwarteKatharina Bühren
Dec 29, 2017·European Eating Disorders Review : the Journal of the Eating Disorders Association·Imogen Lim RichardsPaul Rhodes
Oct 16, 2018·The Cochrane Database of Systematic Reviews·Caroline A FisherSarah E Hetrick

❮ Previous
Next ❯

Citations

Dec 23, 2020·European Eating Disorders Review : the Journal of the Eating Disorders Association·Janet TreasureAmy Harrison
Jul 25, 2021·Journal of Eating Disorders·Louise FletcherJennifer Jordan
Aug 12, 2021·Journal of Eating Disorders·Julian BaudinetIvan Eisler
Oct 17, 2021·Journal of Eating Disorders·Marthe M VoswinkelAnnemarie A van Elburg

❮ Previous
Next ❯

Methods Mentioned

BETA
Cognitive Behaviour Therapy
scraping

Related Concepts

Related Feeds

Anorexia Nervosa

Anorexia nervosa (AN) is a psychiatric condition characterized by severe weight loss and secondary problems associated with malnutrition. Here is the latest research on AN.