Evidence map›Paper›PMID 34854029›Full record

SynthesisEating and weight disorders : EWD2022

A systematic review of the impact of carer interventions on outcomes for patients with eating disorders.

Laura Hannah, Molly Cross, Hannah Baily, Keith Grimwade, Timothy Clarke, Sophie M Allan

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in Eating and weight disorders : EWD, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

19 citing papers in PubMed, 33 citations in OpenAlex.

  1. Family Therapy for Anorexia Nervosa With Emerging Adults: A Retrospective Case Series in Routine Clinical Care.European eating disorders review : the journal of the Eating Disorders Association · 2026
    Article
  2. Review
  3. Article
  4. Article
  5. 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
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Observational
  16. Article
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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

6 authors at 5 institutions in 1 country.

Laura HannahCambridgeshire and Peterborough NHS Foundation Trust, Elizabeth House, Fulbourn, CB21 5EF, UK. laura.hannah@cpft.nhs.uk.ORCID http://orcid.org/0000-0002-3530-6670
Molly CrossNorfolk and Suffolk NHS Foundation Trust, Hellesdon Hospital, Drayton High Road, Norwich, NR6 5BE, UK.
Hannah BailyCambridgeshire and Peterborough NHS Foundation Trust, Elizabeth House, Fulbourn, CB21 5EF, UK.
Keith GrimwadeNHS England/Improvement, East of England Regional Mental Health Team, Eating Disorders Network, Capital Park, Fulbourn, Cambridge, CB21 5BQ, UK.
Timothy ClarkeNational Institute for Health Research, Applied Research Collaboration East of England, Douglas House, 18 Trumpington Road, Cambridge, CB2 8AH, UK.
Sophie M AllanNorfolk and Suffolk NHS Foundation Trust, Hellesdon Hospital, Drayton High Road, Norwich, NR6 5BE, UK.
University of East Anglia · GBCambridgeshire and Peterborough NHS Foundation Trust · GBFulbourn Hospital · GBNHS EnglandNorfolk and Suffolk NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEating disorder (ED) prevalence and illness severity is rapidly increasing. The complicated interplay of factors contributing to the maintenance of EDs, including family/carer influences, highlights the importance of carer interventions within ED treatment. Carer interventions demonstrate positive outcomes for carers themselves, though are also hypothesised to benefit the patient indirectly. A systematic review was conducted to greater understand the impact of carer interventions on ED patient outcomes.

methodsEight databases, including CINAHL, MEDLINE and PsychINFO, were systematically searched. Intervention studies for parent(s)/carer(s) of a patient with an ED were included, provided they reported outcomes for the patient. No publication date restrictions were set. Included studies were quality appraised.

resultsTwenty-eight studies met inclusion for the review; all of which varied in intervention type, duration, content and setting. Patient diagnosis and treatment setting were mixed across studies, though the majority focused on Anorexia Nervosa within outpatient settings. Intervention content broadly included consideration of relationship issues and interactional patterns, psychoeducation, skill development, behavioural management, and peer support. Therapeutic models utilised were diverse, including but not limited to: family, interpersonal, cognitive, and psychodynamic approaches.

conclusionSeveral carer interventions showed positive outcomes for patients with EDs, with small group treatment formats being commonly used and proving effective through intervention content alongside a peer support element. Separate family therapy was suggested to be of equal efficacy, if not better, than family therapy alongside the patient. Recommendations for clinical practice and future research are considered. LEVEL OF EVIDENCE: 1: Systematic review, evidence mostly obtained from randomised controlled trials.

Indexed as

Anorexia NervosaCaregiversFamily TherapyHumansParentsAnorexia nervosaCarerEating disordersFamily

Identifiers

PMID34854029
PMCPMC8635311
OpenAlexW3215396450

What OpenQuestion holds

Textmetadata
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.