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 |