Department of Paediatrics, University of Melbourne, Melbourne, Victoria, Australia.
Heart Research Group, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.
J Paediatr Child Health. 2022 Sep;58(9):1642-1647. doi: 10.1111/jpc.16070. Epub 2022 Jun 25.
Family-based treatment (FBT) has the greatest evidence base for the treatment of adolescents with anorexia nervosa (AN). However, little is known about the long-term outcomes for patients who receive FBT. The current study aimed to investigate the long-term psychological health of former patients who received FBT for AN during adolescence.
Former patients diagnosed and treated for AN at the Royal Children's Hospital and Monash Children's Hospital (N = 36) in Melbourne, Australia completed self-report questionnaires to assess eating, exercising, mood and the impact of the coronavirus (COVID-19) pandemic. Patient scores were compared to healthy controls (N = 29) and normative data.
The eating and exercising behaviours of the patients who formerly had AN were comparable to controls. However, the former patients experience significantly greater levels of depression, anxiety, and stress than the controls (P < 0.05). The COVID-19 pandemic appeared to impact the former patients and controls to a similar extent across quantifiable criteria.
This study extends previous research highlighting FBT as an effective intervention for adolescents with AN. Positive short- and long-term patient outcomes can be achieved with this form of treatment.
家庭为基础的治疗（FBT）是治疗青少年厌食症（AN）的最有证据支持的方法。然而，对于接受 FBT 的患者的长期结局知之甚少。本研究旨在调查曾接受 FBT 治疗的青少年 AN 患者的长期心理健康状况。
在澳大利亚墨尔本的皇家儿童医院和蒙纳士儿童医院（N=36）接受 AN 诊断和治疗的前患者完成了自我报告问卷，以评估饮食、运动、情绪以及冠状病毒（COVID-19）大流行的影响。患者的分数与健康对照组（N=29）和常模数据进行了比较。
曾患有 AN 的患者的饮食和运动行为与对照组相当。然而，前患者的抑郁、焦虑和压力水平明显高于对照组（P<0.05）。COVID-19 大流行似乎以类似的方式影响了前患者和对照组的可量化标准。
这项研究扩展了以前的研究，强调了 FBT 作为治疗青少年 AN 的有效干预措施。这种治疗方法可以实现积极的短期和长期患者结局。
