Table 7 FBT plus CBT 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 | |||
Weight (assessed with: percent ideal body weight) Psychological Symptoms of ED (assessed with: EDE and EDI) | |||||||||
3 | Case series adding CBT to FBT | very serious a,b | not serious | not serious | not serious | none | Total n = 78. Three case series looked at a perfectionism module added to FBT, or an exposure component to FBT. Weight increased significantly. One case series looked at Acceptance-Based Separated Family Treatment (n = 47), and also noted weight improved to ideal weight in about 50% of cases from pre to post treatment (20 sessions over 24 weeks). | ⨁◯◯◯ VERY LOW | CRITICAL |
very serious a,b | not serious | not serious | not serious | none | In one study 2/3 in full remission, 1/3 in partial remission. | ⨁◯◯◯ VERY LOW | CRITICAL | ||
very serious a,b | not serious | not serious | not serious | none | Decreases in EDE scores and EDI scores reported. | ⨁◯◯◯ VERY LOW | CRITICAL | ||
Perfectionism (assessed with: Child and Adolescent Perfectionism Scale) | |||||||||
2 | Case reports | very serious a,b | not serious | not serious | not serious | none | Two case reports (n = 9 total) report on decreased perfectionism scores with the addition of a CBT perfectionism module or the addition of acceptance-based strategies | ⨁◯◯◯ VERY LOW | IMPORTANT |