Faculty of Social Work, University of Calgary, Calgary, Alberta, Canada.
Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA.
Eur Eat Disord Rev. 2020 Jan;28(1):55-65. doi: 10.1002/erv.2695. Epub 2019 Jul 11.
This exploratory study is the first to examine family-based treatment (FBT) adherence and association to treatment outcome in the context of a large-scale, multi-centre study for the treatment of adolescents with anorexia nervosa.
One hundred and ninety recorded FBT sessions from 68 adolescents with anorexia nervosa and their families were recruited across multiple sites (N = 6). Each site provided 1-4 tapes per family over four treatment time points, and each was independently rated for therapist adherence.
There were differences in adherence scores within and between sites. ANOVA produced a main effect for site, F(5, 46) = 8.6, p < .001, and phase, F(3, 42) = 12.7, p < .001, with adherence decreasing in later phases. Adherence was not associated to end of treatment percent ideal body weight after controlling for baseline percent ideal body weight (r = .088, p = .48).
Results suggest that FBT can be delivered with adherence in phase one of treatment. Adherence was not associated with treatment outcome as determined using percent ideal body weight.
本探索性研究首次在一项针对青少年神经性厌食症的大型多中心治疗研究中，考察了家庭为基础的治疗（FBT）的依从性及其与治疗结果的关联。
从 68 名患有神经性厌食症的青少年及其家庭中招募了 190 次记录的 FBT 治疗过程，涉及多个治疗地点（N=6）。每个治疗地点在四个治疗时间点向每个家庭提供 1-4 次治疗录音，这些录音都由独立的治疗师进行评估。
治疗地点和治疗阶段之间的治疗师依从性评分存在差异。方差分析显示治疗地点（F(5, 46)=8.6, p<0.001）和治疗阶段（F(3, 42)=12.7, p<0.001）存在主效应，随着治疗阶段的推进，治疗师的依从性逐渐下降。在控制基线理想体重百分比后，治疗结束时的理想体重百分比（r=0.088, p=0.48）与治疗依从性无相关性。
结果表明，在治疗的第一阶段，FBT 可以保持较高的治疗依从性。治疗依从性与使用理想体重百分比来确定的治疗结果没有相关性。
