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 | |||
Change in eating disorder symptomatology (assessed with: Pre/post EDI-2) | |||||||||
1 | Case Control | serious a | not serious | not serious | not serious | none | One study with total 112 patients (MFT = 62 and MPT = 50). Intervention took place during inpatient multimodal treatment. Both MPT and MFT interventions “promoted an autonomy-supportive parental attitude and the adolescents’ autonomy and self-determination.” Parents were encouraged to “create the conditions supporting their daughters’ autonomy in establishing healthy eating at home to indirectly increase their daughters’ motivation”. Group format was one introductory 3-h session followed by five 2-h sessions every 2 weeks. Measures were taken pre/post the intervention. Patients were not randomized, but rather allocation to MFT vs MPT depended on time of admission. Results reported a main effect of time for drive for thinness (p < 0.001) and body dissatisfaction (p < 0.001) as measured by EDI-2. Both scales improved independent of type of intervention. | ⨁◯◯◯ VERY LOW | IMPORTANT |
Change in EDI score | |||||||||
1 | Case series | very serious a | not serious | not serious | not serious | none | One case series describing the addition of Family-Oriented Group Therapy to an inpatient sample of 32 adolescent patients (29 with AN, 3 with BN). Improvements in EDI scores were noted. | ⨁◯◯◯ VERY LOW | IMPORTANT |