title: Favorable effects of clearly defined interventions by parents at the start of treatment of adolescents with restrictive eating disorders.
abstract: OBJECTIVE
  To study the effect of clearly defined and decisive parental interventions at the start of treatment of restrictive eating disorders (ED) in adolescents.
  
  
  METHODS
  Forty-seven adolescents with ED (anorexia nervosa = 6, bulimia nervosa = 1, EDNOS = 40) and their families participated. Parents were advised to (1) keep the adolescent home from school, (2) eat all meals together with the adolescent, (3) prevent any form of exercise, and (4) prevent vomiting during the first week of treatment. Weight change was followed up to three months and EDE-Q administered at start of treatment and at three months.
  
  
  RESULTS
  Thirty (64%) of the families accomplished all four interventions during the first week of treatment. Their adolescents gained ∼ 1 kg of weight at one week, 2 kg at one month, and 4 kg at three months while adolescents in families who did not accomplish all four interventions gained only 1.4 kg up to three months. Scores on the EDE-Q decreased during treatment and in adolescents of families who accomplished all four interventions they were in the range of a reference population.
  
  
  CONCLUSIONS
  Decisive parental management of eating disturbed behaviors at the start of treatment of adolescents with ED promotes later clinical outcome. The finding supports the view that family based therapies are effective in adolescent ED. Results has to be followed up for evaluation of the long term effects of this type of intervention.
authors: Department of Neuroscience, Child and Adolescent Psychology, Uppsala University, Uppsala, Sweden.
authors: Josefin
authors: J
authors: Månsson
authors: Department of Psychology, Uppsala University, Uppsala, Sweden.
authors: Thomas
authors: T
authors: Parling
authors: Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
authors: Ingemar
authors: I
authors: Swenne
mesh_terms: D000293:Adolescent; D000856:Anorexia Nervosa / Q000523:psychology*; D052018:Bulimia Nervosa / Q000523:psychology*; D002648:Child; D005196:Family Therapy / Q000379:methods*; D005247:Feeding Behavior; D005260:Female; D006801:Humans; D008297:Male; D010290:Parents
keywords: adolescent; eating disorder; family-based treatment