Augmentative Approaches in Family‐Based Treatment for Adolescents with Restrictive Eating Disorders: A Systematic Review

Abstract

ObjectiveTo systematically review the literature reporting outcomes of augmentative family‐based treatment (FBT) interventions for adolescents with restrictive eating disorders (EDs).MethodArticles were identified through a systematic search of five electronic databases (PsycINFO, MEDLINE, EMBASE, CINAHL, Cochrane Database).ResultsThirty articles were included, reporting on FBT augmentations featuring adjunctive treatment components, modified treatment structure and/or content with adherence to FBT principles, and adaptations allowing FBT delivery in different settings. All reported significant improvements in weight and/or ED symptoms at end‐of‐treatment, although few compared augmentative and standard FBT interventions and good quality follow‐up data was generally lacking.ConclusionsThere is early evidence for the effectiveness of augmentative FBT‐based approaches in facilitating weight and/or ED symptom improvements for adolescents with restrictive EDs. There remains a lack of robust evidence demonstrating superior effects of such approaches over standard FBT, and further controlled studies are required to expand on the current evidence. Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/142429/1/erv2577.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/142429/2/erv2577_am.pd