Table 10 Systemic family therapy for anorexia nervosa
From: Canadian practice guidelines for the treatment of children and adolescents with eating disorders
Certainty assessment | Impact | Certainty | Importance | ||||||
|---|---|---|---|---|---|---|---|---|---|
№ of studies | Study design | Risk of bias | Inconsistency | Indirectness | Imprecision | Other considerations | |||
Systemic Family Therapy vs. FBT- Remission (assessed with: greater than 95% IBW) | |||||||||
1 | randomised trials | not serious | not serious | not serious | not serious | none | One RCT n = 164 (82 in each group, 141 were female). Remission rates were 27/82 in the FBT group and 21/82 in the Systemic Group - not significantly different. | ⨁⨁⨁⨁ HIGH | CRITICAL |
not serious | not serious | not serious | not serious | none | Rate of weight gain were significantly faster in the FBT group compared to the Systemic Group. | ⨁⨁⨁⨁ HIGH | CRITICAL | ||
not serious | not serious | not serious | not serious | none | No differences were seen in EDE score at end of treatment between FBT and Systemic Therapy | ⨁⨁⨁⨁ HIGH | CRITICAL | ||
Weight (assessed with: kg) | |||||||||
3 | Case Reports | very serious a,b | not serious | not serious | not serious | none | Three case reports describe the use of systemic family therapy to good effect in terms of weight restoration. One case was a 14 yo male in which only the parents came to some of the sessions, another was a 15 yo female with comorbid osteosarcoma, and another is a 15 yo male. | ⨁◯◯◯ VERY LOW | IMPORTANT |