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Table 59 Family-based combined with DBT-based day treatment for children and adolescents with bulimia 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

Weight Change (assessed with: Pre-post BMI), Change in frequency of bingeing and purging (assessed with: Pre-post frequency of binge/purge symptoms), Change in EDE-Q (assessed with: Pre-post EDE-Q)

 1

Case Series

very serious a

not serious

not serious

not serious

none

Study included 35 adolescent females. Criteria for referral/admission to the program was not reported. BMI did not change. At admission mean BMI was 26.3 (SD 2.34) and at discharge mean BMI was 24.9 (SD 2.87) (p 0.68). LOS 77.18 days.

VERY LOW

IMPORTANT

very serious a

not serious

not serious

serious b

none

Study included 35 adolescent females. LOS 77.18 days. B/P symptoms monitored via self-report on EDE-Q reported as monthly frequency of these symptoms. At admission the mean frequency of objective bingeing was 4.03 (SD 6.69) and at discharge it was 1.43 (SD 3.66) (p = 0.04). At admission the self-reported (ie EDE-Q) mean frequency of purging was 10.82 (SD 11.57) and at discharge it was 3.51 (SD 2.26) (p = 0.005).

VERY LOW

CRITICAL

very serious a

not serious

not serious

not serious

none

EDE-Q global, shape and weight concerns decreased significantly pre-post (p 0.001–0.002). Restraint and eating concerns scores were unchanged at end of treatment.

VERY LOW

IMPORTANT

  1. Explanations
  2. aNo comparison/control
  3. bWide confidence intervals, larger than actual effect
  4. Bibliography:
  5. Case Series - Murray 2015 [279]