Family-based intervention in adolescent restrictive eating disorders: early treatment response and low weight suppression is associated with favourable one-year outcome

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Swenne, Ingemar,1953-Uppsala universitet,Barnendokrinologisk forskning (författare)

Family-based intervention in adolescent restrictive eating disorders : early treatment response and low weight suppression is associated with favourable one-year outcome

Artikel/kapitelEngelska2017

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2017-09-15
Springer Science and Business Media LLC,2017
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LIBRIS-ID:oai:DiVA.org:uu-335187
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-335187URI
https://doi.org/10.1186/s12888-017-1486-9DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:136614112URI

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Språk:engelska
Sammanfattning på:engelska

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Background: Family-based treatments are first-line treatments for adolescents with restrictive eating disorders (ED) but have to be improved since outcome is poor for some. We have investigated the one-year outcome of a family-based intervention programme with defined and decisive interventions at the start of treatment.Method: Data pertaining 201 adolescents with restrictive ED with features of anorexia nervosa but not fulfilling the weight criterion starting treatment 2010-2015, had a wide range of body mass index (BMI) and of weight loss at presentation, and completed a one-year follow-up was analysed. Recovery from the ED was defined as an Eating Disorder Examination-questionnaire (EDE-Q) score < 2.0 or as not fulfilling criteria for an ED at a clinical interview.Results: By EDE-Q 130 (65%) had recovered at 1 year and by clinical interview 106 (53%). According to the EDE-Q criterion recovery was independently associated with lower EDE-Q score at presentation, higher weight gain after 3 months of treatment and lower weight suppression at follow-up, weight suppression being defined as the difference between premorbid and current BMI. Not fulfilling criteria for an ED was associated with the same factors and also by higher BMI at presentation.Conclusion: The observations that low weight and high ED cognitions confer a poor prognosis but that rapid weight gain at the start of treatment predicts a better prognosis are presently extended to adolescents with restrictive ED with a wide range of BMI at presentation. High weight suppression at follow-up is associated with a poor prognosis and indicates the importance of taking premorbid BMI into account when setting weight targets for treatment.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Pediatrik hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Pediatrics hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Psykiatri hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Psychiatry hsv//eng
SAMHÄLLSVETENSKAP Psykologi Tillämpad psykologi hsv//swe
SOCIAL SCIENCES Psychology Applied Psychology hsv//eng
Adolescents
Anorexia nervosa
Eating disorder
Family-based intervention
Weight suppression
Early treatment response

Biuppslag (personer, institutioner, konferenser, titlar ...)

Parling, Thomas,1968-Karolinska Institutet,Uppsala universitet,Institutionen för psykologi,Karolinska Inst, Dept Clin Neurosci, Ctr Psychiat Res, Stockholm, Sweden.;Stockholm Cty Council, Stockholm Hlth Care Serv, Stockholm, Sweden.(Swepub:uu)thpar087 (författare)
Salonen-Ros, HelenaUppsala universitet,Barn- och ungdomspsykiatri(Swepub:uu)helsa613 (författare)
Uppsala universitetBarnendokrinologisk forskning (creator_code:org_t)

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Ingår i:BMC Psychiatry: Springer Science and Business Media LLC171471-244X

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Av författaren/redakt...: Swenne, Ingemar, ...; Parling, Thomas, ...; Salonen-Ros, Hel ...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Pediatrik

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Psykiatri

SAMHÄLLSVETENSKAP: SAMHÄLLSVETENSKA ...; och Psykologi; och Tillämpad psykol ...

Artiklar i publikationen: BMC Psychiatry

Av lärosätet: Uppsala universitet; Karolinska Institutet

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