دورية أكاديمية

Attachment-Based Family Therapy to Improve Family Functioning in Adolescent Binge-Spectrum Eating Disorders: An Initial Evaluation Via Case Series Design.

التفاصيل البيبلوغرافية
العنوان: Attachment-Based Family Therapy to Improve Family Functioning in Adolescent Binge-Spectrum Eating Disorders: An Initial Evaluation Via Case Series Design.
المؤلفون: Manasse SM; Center for Weight, Eating, and Lifestyle Science, Drexel University, Philadelphia, PA, USA., Russon J; Department of Human Development & Family Science, Virginia Polytechnic Institute and State University, Blacksburg, VA, USA., Lampe EW; Center for Weight, Eating, and Lifestyle Science, Drexel University, Philadelphia, PA, USA.; Department of Psychology, Drexel University, Philadelphia, PA, USA., King A; Center for Family Intervention Science, Drexel University, Philadelphia, PA, USA., Abber SR; Department of Psychology, Florida State University, Tallahassee, FL, USA., Trainor C; Center for Weight, Eating, and Lifestyle Science, Drexel University, Philadelphia, PA, USA.; Department of Psychology, Drexel University, Philadelphia, PA, USA., Gillikin LM; Department of Psychology, University of Wyoming, Laramie, WY, USA., Levy S; Center for Family Intervention Science, Drexel University, Philadelphia, PA, USA., Diamond G; Center for Family Intervention Science, Drexel University, Philadelphia, PA, USA.
المصدر: Clinical child psychology and psychiatry [Clin Child Psychol Psychiatry] 2024 Jan; Vol. 29 (1), pp. 45-62. Date of Electronic Publication: 2023 Jun 29.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Sage Publications Country of Publication: England NLM ID: 9604507 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1461-7021 (Electronic) Linking ISSN: 13591045 NLM ISO Abbreviation: Clin Child Psychol Psychiatry Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London ; Thousand Oaks, CA : Sage Publications, 1996-
مواضيع طبية MeSH: Binge-Eating Disorder*/therapy , Binge-Eating Disorder*/diagnosis , Feeding and Eating Disorders*/therapy, Humans ; Adolescent ; Female ; Male ; Family Therapy ; Behavior Therapy ; Family Relations
مستخلص: Binge-spectrum eating disorders (EDs; bulimia nervosa, binge eating disorder) often develop during adolescence and are associated with serious psychological and physical consequences. Current treatments for adolescents are highly behavioral in nature and while efficacious, many patients do not reach remission indicating that current treatments fail to target a key maintenance factor for EDs. One potential maintenance factor is poor family functioning (FF). In particular, high family conflict (e.g., arguing, critical comments) and low family cohesion (e.g., warmth, support) are known to maintain ED behaviors. Poor FF can (1) cause or exacerbate an adolescent's use of ED behaviors to cope with life stress and/or (2) inhibit parents from being a resource to adolescents during ED treatment. Attachment-Based Family Therapy (ABFT) is specifically designed to improve FF, and thus may be a promising adjunct to behavioral ED intervention strategies. ABFT, however, has not been tested in adolescents with binge-spectrum EDs. Thus, the current study is the first to evaluate a 16-week adapted ABFT treatment for adolescents with EDs ( N = 8, M age = 16.00, 71.43% female, 71.43% White) fusing together behavioral treatment for EDs with ABFT for highest possible impact. Eight families were treated in an open pilot trial to examine treatment feasibility, acceptability, and preliminary efficacy on FF and eating pathology. Overall, findings were promising. ABFT + B treatment was feasible and acceptable and showed preliminary evidence that it could improve FF and ED behaviors. Future research will test this intervention in a larger sample and further examine the role of FF in maintaining ED symptoms.
Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
فهرسة مساهمة: Keywords: adolescent; attachment-based family therapy; binge eating
تواريخ الأحداث: Date Created: 20230629 Date Completed: 20231225 Latest Revision: 20231225
رمز التحديث: 20231225
DOI: 10.1177/13591045231187433
PMID: 37384823
قاعدة البيانات: MEDLINE
الوصف
تدمد:1461-7021
DOI:10.1177/13591045231187433