Family-Based Treatment in Higher Levels of Care: A Systematic Review and Meta-Analysis.

IF 3.9 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review Pub Date : 2025-05-13 DOI:10.1002/erv.3208

Samantha A Everhart, Sohyun C Han, Ramon Durazo-Arvizu

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引用次数: 0

Abstract

Objective: Family-Based Treatment (FBT) is the gold standard outpatient eating disorder treatment for children and adolescents with eating disorders. Especially within the past decade, higher levels of care (HLOC) programs including inpatient medical settings and partial hospitalisation programs have incorporated elements of FBT to improve the effectiveness of their treatments. The present study aimed to systematically review the state of the research on FBT adaptations in HLOC and describe the outcomes of those treatment programs.

Method: Articles were identified via a systematic search of three databases (PsycINFO, PubMed, Cochrane Database of Randomized Controlled Trials) according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses.

Results: Forty articles were identified including 35 studies and 5 programme descriptions, representing 17 inpatient and 23 partial hospitalisation and/or intensive outpatient programs. Thirty quantitative studies and five qualitative studies were included. Findings supported suitability and effectiveness of treatments in improving weight, eating disorder and mental health symptoms and family functioning.

Conclusions: Burgeoning research supports the effectiveness of FBT adapted to HLOC, with the most evidence for improving weight and eating disorder symptoms. The present review identifies further areas of research needed to expand on the current evidence, such as with controlled trials with sufficient follow-up data.

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基于家庭的高水平护理治疗：系统回顾和荟萃分析。

目的：以家庭为基础的治疗（FBT）是儿童和青少年进食障碍门诊治疗的金标准。特别是在过去十年中，包括住院医疗环境和部分住院方案在内的高级护理（HLOC）方案纳入了FBT的要素，以提高其治疗效果。本研究旨在系统回顾HLOC中FBT适应的研究现状，并描述这些治疗方案的结果。方法：通过系统检索三个数据库（PsycINFO、PubMed、Cochrane随机对照试验数据库），根据系统评价和meta分析的首选报告项目对文章进行识别。结果：40篇文章被确定，包括35项研究和5项方案描述，代表17名住院患者和23名部分住院和/或强化门诊患者。包括30项定量研究和5项定性研究。研究结果支持治疗在改善体重、饮食失调、精神健康症状和家庭功能方面的适用性和有效性。结论：快速发展的研究支持FBT适应HLOC的有效性，大多数证据表明可以改善体重和饮食失调症状。本综述确定了需要在现有证据基础上进行进一步研究的领域，例如有足够随访数据的对照试验。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Eating Disorders Review PSYCHOLOGY, CLINICAL-

CiteScore

8.90

自引率

7.50%

发文量

期刊介绍： European Eating Disorders Review publishes authoritative and accessible articles, from all over the world, which review or report original research that has implications for the treatment and care of people with eating disorders, and articles which report innovations and experience in the clinical management of eating disorders. The journal focuses on implications for best practice in diagnosis and treatment. The journal also provides a forum for discussion of the causes and prevention of eating disorders, and related health policy. The aims of the journal are to offer a channel of communication between researchers, practitioners, administrators and policymakers who need to report and understand developments in the field of eating disorders.