Early response to family-based treatment for adolescent anorexia nervosa

✍ Scribed by Doyle, Peter M. ;Le Grange, Daniel ;Loeb, Katharine ;Doyle, Angela Celio ;Crosby, Ross D.

• Publisher: Wiley (John Wiley & Sons)
• Year: 2009
• Tongue: English
• Weight: 86 KB
• Volume: 43
• Category: Article
• ISSN: 0276-3478
• DOI: 10.1002/eat.20764

✦ Synopsis

Abstract

Objective:

The purpose of this study was to determine if early weight gain predicted remission at the end of treatment in a clinic sample of adolescents with anorexia nervosa (AN).

Method:

Sixty five adolescents with AN (mean age = 14.9 years, SD = 2.1), from two sites (Chicago n = 45; Columbia n = 20) received a course of manualized family‐based treatment (FBT). Response to treatment was assessed using percent ideal body weight (IBW) with remission defined as having achieved ≥95% IBW at end of treatment (Session 20).

Results:

Receiver operating characteristic analyses showed that a gain of at least 2.88% in ideal body weight by Session 4 best predicted remission at end of treatment (AUC = 0.674; p = 0.024).

Discussion:

Results suggest that adolescents with AN, receiving FBT, who do not show early weight gain are unlikely to remit at end of treatment. © 2009 by Wiley Periodicals, Inc. (Int J Eat Disord 2010;)