title: Family versus individual therapy for anorexia: impact on family conflict.
abstract: This study evaluated the impact on family relations of behavioral family systems therapy (BFST) versus ego-oriented individual therapy (EOIT) as treatments for adolescents with anorexia nervosa. Twenty-two adolescents meeting DSM-III-R anorexia nervosa criteria were randomly assigned to receive approximately 16 months of either BFST or EOIT along with a common medical and dietary regimen. BFST emphasized parental control over eating, cognitive restructuring, and problem-solving communication training. EOIT emphasized building ego strength, adolescent autonomy, and insight. Measures including body mass index, self-reported general and eating-related conflict, and observed general and eating-related communication. Both treatments produced significant reductions in negative communication and parent-adolescent conflict, with some differences between condition and between eating and non-eating related measures; the improvements in eating-related conflict were maintained at a 1-year follow-up. The study demonstrated that structured therapies for adolescent anorexia do impact family relations, even when the family is never seen as a unit during the therapy.
authors.affiliation: Wayne State University School of Medicine, Michigan , USA.
authors.forename: A L
authors.initials: AL
authors.lastname: Robin
authors.forename: P T
authors.initials: PT
authors.lastname: Siegel
authors.forename: A
authors.initials: A
authors.lastname: Moye
mesh_terms: D000293:Adolescent; D000856:Anorexia Nervosa / Q000523:psychology / Q000628:therapy*; D001521:Behavior Therapy / Q000379:methods; D003131:Combined Modality Therapy; D003142:Communication; D003220:Conflict, Psychological; D004532:Ego; D005190:Family / Q000523:psychology*; D005196:Family Therapy / Q000379:methods*; D006791:Hostility; D006801:Humans; D007207:Individuation; D011340:Problem Solving; D011613:Psychotherapy / Q000379:methods*