Multi-Family Day Treatment for Adolescents With Anorexia Nervosa: Clinical Outcomes and Treatment Duration as a Stand-Alone or Adjunctive Intervention

IF 3.2 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review Pub Date : 2026-10-12 Epub Date: 2026-07-02 DOI:10.1002/erv.70145

Annik Simons, Anke Tielemans, Jesse Berwouts, Inge Glazemakers, Dirk Van West

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引用次数: 0

Abstract

Objective

This study examined the effects of multi-family therapy (MFT-AN); delivered as 10 treatment days over one year; on weight, eating disorder behaviours and emotional problems in adolescents with anorexia nervosa. The added benefit of a 1-year duration compared to 6 months was evaluated. Finally, the outcomes between stand-alone MFT-AN and MFT-AN combined with inpatient treatment were compared.

Method

Self-reported data from 230 adolescents (aged 9–18 years) and their families were collected at baseline (T0), 6 months (T6), and 12 months (T12). Percentage median BMI was calculated at all time points. Data were analysed using (generalised) linear mixed models.

Results

Significant improvements were observed in percentage median BMI, anorectic symptoms and parent-reported emotional problems, from T0 to T6 and T12 (p < 0.001) and from T6 to T12 (p = 0.002–p = 0.014). Ineffectiveness, body dissatisfaction, interoceptive awareness and drive for thinness (p < 0.001), fear of adulthood (p = 0.003) and perfectionism (p = 0.04) showed a significant improvement from T0 to T6 and T12, and from T6 to T12 (p = 0.008–p = 0.021). Interpersonal distrust showed only a significant improvement between T6 and T12 (p = 0.004). Interaction effects between time and inpatient treatment were significant only for percentage median BMI (p = 0.006) and interoceptive awareness (p = 0.008). Treatment satisfaction was high.

Conclusions

MFT-AN is an effective treatment for adolescents with anorexia nervosa. Continued improvement supports the added value of a 1-year duration. MFT-AN can be implemented both as a stand-alone and adjunctive intervention.

查看原文本刊更多论文

青少年神经性厌食症的多家庭日间治疗：作为独立或辅助干预的临床结果和治疗时间。

目的：探讨多家庭治疗（MFT-AN）的效果；一年内按10个治疗日交付；神经性厌食症青少年的体重、饮食失调行为和情绪问题。与6个月相比，1年的额外益处被评估。最后，比较单独MFT-AN和MFT-AN联合住院治疗的结果。方法：收集230名青少年（9-18岁）及其家人在基线（T0）、6个月（T6）和12个月（T12）时的自我报告资料。在所有时间点计算BMI中位数百分比。使用（广义）线性混合模型分析数据。结果：从T0到T6和T12，在BMI中位数百分比、厌食症状和父母报告的情绪问题方面均有显著改善(p)。结论：MFT-AN是治疗青少年神经性厌食症的有效方法。持续改进支持1年持续时间的附加值。MFT-AN既可以单独实施，也可以辅助实施。

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.