a Department of Psychiatry and UCSF Weill Institute for Neurosciences , University of California, San Francisco , San Francisco , California , USA.
b Insight Behavioral Health Center , Chicago , Illinois , USA.
Eat Disord. 2018 Mar-Apr;26(2):149-163. doi: 10.1080/10640266.2017.1330319. Epub 2017 Jun 1.
Although family-based therapy (FBT) is a well-established treatment for anorexia nervosa, its implementation and effectiveness in clinical settings has been neglected. A group of seven therapists at a community-based eating disorders clinic were trained in skills-enhanced FBT and provided treatment to 11 youth with anorexia nervosa. Family-based skills training, which borrowed heavily from dialectical behavior therapy, was introduced in four additional sessions and then integrated throughout the remainder of FBT. FBT was perceived as appropriate and acceptable by all participants. Therapists reported high treatment fidelity. There was a large improvement in weight and moderate improvement in caregiver-reported eating disorder psychopathology but no clinically significant change by youth report. This study provides preliminary data on the implementation and effectiveness of FBT in the community.
尽管家庭为基础的治疗（FBT）是一种成熟的治疗方法，用于治疗神经性厌食症，但其在临床环境中的实施和有效性一直被忽视。在一个基于社区的饮食失调诊所，一组七名治疗师接受了强化 FBT 技能培训，并为 11 名神经性厌食症青年提供了治疗。家庭为基础的技能培训，大量借鉴了辩证行为疗法，在另外四节课中引入，然后贯穿于 FBT 的其余部分。FBT 被所有参与者认为是合适和可接受的。治疗师报告了很高的治疗一致性。体重有了很大的改善，照顾者报告的饮食障碍心理病理学有了适度的改善，但青年报告没有临床意义上的变化。本研究提供了 FBT 在社区实施和有效性的初步数据。
