Evidence map›Paper›PMID 25685349›Full record

ArticleJournal of eating disorders2015

Family-based treatment with transition age youth with anorexia nervosa: a qualitative summary of application in clinical practice.

Gina Dimitropoulos, Victoria E Freeman, Brooke Allemang, Jennifer Couturier, Gail McVey, James Lock, Daniel Le Grange

Open access · goldAbstract read
In one paragraph

Article in Journal of eating disorders, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
7.6field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 78 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Family therapy for emerging adults with anorexia nervosa: Expert opinion on evidence, practice considerations, and future directions.European eating disorders review : the journal of the Eating Disorders Association · 2026
    Review
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  6. Observational
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  10. Review
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  12. Article
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  18. Open Trial of Family-Based Treatment of Anorexia Nervosa for Transition Age Youth.Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 2018
    Article
  19. Family-Based Therapy for Young Adults with Anorexia Nervosa Restores Weight.The International journal of eating disorders · 2016
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 7 institutions in 2 countries.

Gina DimitropoulosFactor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario Canada ; Eating Disorders Program, University Health Network, 200 Elizabeth Street, Toronto, ON M5G 2C4 Canada.
Victoria E FreemanEating Disorders Program, University Health Network, 200 Elizabeth Street, Toronto, ON M5G 2C4 Canada.
Brooke AllemangSickle Cell and Thalassemia Transition Clinic, The Hospital for Sick children, Toronto, ON Canada.
Jennifer CouturierChild and Adolescent Psychiatry, McMaster Children's Hospital, Hamilton, Canada.
Gail McVeyCommunity Health Systems Resource Group, The Hospital for Sick Children, Toronto, ON Canada ; Ontario Community Outreach Program for Eating Disorders, Toronto, ON Canada.
James LockDepartment of Psychiatry and Behavioral Sciences, Stanford School of Medicine, Stanford, CA USA.
Daniel Le GrangeEating Disorders Program Department of Psychiatry and Department of Pediatrics, University of California, San Francisco, CA USA.
Hospital for Sick Children · CAMcMaster Children's Hospital · CASickKids Foundation · CAStanford Medicine · USUniversity Health Network · CAUniversity of California, San Francisco · USUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFamily based treatment (FBT) has been empirically investigated in adolescents between the ages of 12 and 19 years of age. Although parental control over eating symptoms and the weight gain process are temporary and necessary due to serious medical complications, FBT may be developmentally inappropriate when working with older adolescents. To date, there are no studies identifying how the principles of this model are used differentially across different stages of adolescence. This study aimed to identify how clinicians informed by FBT employ this model with transition age youth (TAY) (16-21) with an eating disorder.

methodsUsing content analysis, seven individual interviews and six focus groups were conducted with 34 clinicians from specialized Eating Disorder Treatment programs across Ontario, Canada.

resultsParticipants consistently reported modifying FBT to increase its developmental appropriateness with TAY in the following ways: working more collaboratively with the patient, increasing individual time spent with the patient prior to the family meeting, providing greater opportunities for the individual to practice eating without parental support and introducing relapse prevention in the latter phase of the treatment.

conclusionsIn all adaptations of the model, participants in focus groups and individual interviews cited the age of the individual with the eating disorder, their level of autonomy and independence in all areas of their lives, and their pending transfer of care from paediatric to adult eating disorder programs as main factors that influenced the modification of FBT with TAY. While adaptations were made across all three phases of FBT, adherence to the model progressively declined over the course of treatment with adaptations increasing significantly in the later phases. Future research is needed to evaluate the effectiveness of an adapted version of FBT with TAY.

Indexed as

AdolescentsAnorexia nervosaCliniciansDevelopmental stageFamily-based treatmentFamily supportParentsQualitative researchTransitionTransition age youth

Identifiers

PMID25685349
PMCPMC4329223
OpenAlexW2101219646

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.