Table 2 Parent focused FBT compared to standard FBT 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 | |||
Remission (assessed with: Weight greater than 95% and EDE score within 1 SD), Weight (kg), Psychological symptoms (EDI score) | |||||||||
3 | Randomized Trials | not serious | not serious | not serious | not serious | none | one RCT (n = 107) adolescents aged 12–18. Remission higher in Separated FBT (43% vs. 22%) compared to Standard FBT at end of treatment. | ⨁⨁⨁⨁ HIGH | CRITICAL |
not serious | not serious | not serious | not serious | none | one RCT (n = 40), found no differences in weight outcome at end of treatment, except when subgroups analyzed. Those with high expressed emotion did better in separated family therapy in terms of weight gain. One pilot RCT (n = 18) found no differences in weight outcome at the end of treatment; both groups improved. | ⨁⨁⨁⨁ HIGH | CRITICAL | ||
not serious | not serious | not serious | not serious | none | Improvement in EDI score was greater in the standard FBT group compared to the separated group. One pilot RCT (n = 18) found both groups improved in EAT scores with no difference between groups. | ⨁⨁⨁⨁ HIGH | CRITICAL | ||