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Table 12 Family therapy (dynamic) for children and adolescents with 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

RCT - Good Outcome (assessed with: Morgan Russell)

 1

randomised trials

not serious

not serious

not serious

not serious

none

one RCT involving 60 adolescents randomized to TAU or TAU plus Family Therapy looking at family dynamics. 12/30 had a good outcome in the FT group compared to 5/30 in the TAU group (p < 0.05).

HIGH

CRITICAL

Weight (assessed with: kg)

 3

Case Reports

very serious a,b

not serious

not serious

not serious

none

three case reports looking at 4 female patients (one set of twins) treated with family therapy (one solution focused). Weight improved in all cases.

VERY LOW

IMPORTANT

  1. Explanations
  2. ano randomization
  3. bno control group
  4. Bibliography:
  5. RCT - Godart 2012 [90]
  6. Case Reports - Debow 1975 [91], Lane 1987 [92], O’Halloran 1999 [93]