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Table 19 Adolescent focused psychotherapy/psychodynamic 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

Remission (assessed with: normal weight and EDE score)

 2

randomised trials

not serious

not serious

not serious

not serious

none

RCT of Adolescent Focused Psychotherapy versus FBT (n = 121, 11male, 110 female, age 12–18). 12/60 (20%) remitted at end of treatment in AFT group versus 21/61 (34.4%) in FBT group. No significant differences in terms of remission. No differences in remission in another RCT (n = 37). 52.6% in FBT reached 50th percentile weight vs. 41.2 in individual (p < 0.05).

HIGH

CRITICAL

not serious

not serious

not serious

not serious

none

Those in FBT had greater change on EDE scores at end of treatment.

HIGH

CRITICAL

Weight

 2

Case Reports

very serious a,b

not serious

not serious

not serious

none

Two case reports describing three cases total (age 12–16 years, all female) in which psychodynamic therapy over 1–2 years of therapy resulted in weight restoration.

VERY LOW

CRITICAL

  1. Explanations
  2. ano control condition
  3. bno randomization
  4. Bibliography:
  5. RCT - Lock 2010 [23], Robin 1999 [22]
  6. Case Reports - Fitzpatrick 2010 [128], Pharis 1984 [129]