Table 4 Family-based treatment for other populations
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 | |||
Atypical AN - Depressive symptoms - Hughes 2017 (atypical AN) [52] | |||||||||
1 | Case series | very serious a,b | not serious | not serious | not serious | none | Case series of 42 adolescents (age 12 to 18 years) with Atypical AN, that is adolescents who had lost a significant amount of weight, but were not currently underweight. There were significant decreases in eating disorder and depressive symptoms during FBT but no improvement in self esteem. | ⨁◯◯◯ VERY LOW | CRITICAL |
Case Reports - Spettigue 2018 [53], Murray 2012 [54] (ARFID) | |||||||||
ARFID - Food Variety (assessed with: clinical impression), Weight | |||||||||
2 | Case Reports | very serious a,b | not serious | not serious | not serious | none | Two case reports describe 7 cases in total (2 male, 5 female) in which ARFID was treated using a combination of FBT techniques, as well as some behavioural rewards and cognitive strategies. Food variety improved by clinical impression. | ⨁◯◯◯ VERY LOW | CRITICAL |
very serious a,b | not serious | not serious | not serious | none | Weight improved in all cases. | ⨁◯◯◯ VERY LOW | CRITICAL | ||
Case Report - Strandjord 2015 (transgendered youth) [55] | |||||||||
Transgendered Youth -BMI | |||||||||
1 | Case Report | very serious a,b | not serious | not serious | not serious | none | 16 yo female sex assigned at birth treated with FBT to weight restoration then disclosed gender dysphoria with a desire to transition to male gender. BMI 14.9 before treatment, and 19 with treatment. | ⨁◯◯◯ VERY LOW | CRITICAL |