An open trial of Acceptance-based Separated Family Treatment (ASFT) for adolescents with anorexia nervosa.
An open trial of Acceptance-based Separated Family Treatment (ASFT) for adolescents with anorexia nervosa.
复制标题
针对神经性厌食症青少年的基于接受的分离家庭治疗 (ASFT) 的公开试验。
DOI：
10.1016/j.brat.2015.03.011
复制
发表时间：
2015
影响因子：
4.1
通讯作者：
Merwin,RhondaM
中科院分区：
文献类型：
--
作者：
Timko,CAlix;Zucker,NancyL;Herbert,JamesD;Rodriguez,Daniel;Merwin,RhondaM
以家庭为基础的治疗在治疗青少年神经性厌食症方面得到了最多的经验支持；然而，相当大比例的青少年及其家庭对基于家庭的手动治疗(FBT)没有反应。这项公开试验的目的是对一种创新的基于家庭的厌食症治疗方法进行初步评估：基于接受的离散家庭治疗(ASFT)。治疗以接受和承诺疗法(ACT)为基础，以单独的形式提供，并包括ACT信息技能计划。患有厌食症或亚阈值厌食症的青少年(12-18岁)及其家人在24周内接受了20次治疗。结果指标包括父母和青少年报告的进食障碍症状，预期体重的百分比，以及心理接受/回避的变化。一半的青少年(48.0%)在治疗结束时达到完全缓解的标准，29.8%的青少年达到部分缓解的标准，21.3%的青少年没有改善。总体而言，青少年进食障碍症状显著减少，并达到预期体重。治疗导致父母和青少年的心理接受都朝着预期的方向发生了变化。这项公开试验为ASFT治疗青少年厌食症的可行性、可接受性和有效性提供了初步证据。并对今后的研究方向进行了讨论。
Family based-treatments have the most empirical support in the treatment of adolescent anorexia nervosa; yet, a significant percentage of adolescents and their families do not respond to manualized family based treatment (FBT). The aim of this open trial was to conduct a preliminary evaluation of an innovative family-based approach to the treatment of anorexia: Acceptance-based Separated Family Treatment (ASFT). Treatment was grounded in Acceptance and Commitment Therapy (ACT), delivered in a separated format, and included an ACT-informed skills program. Adolescents (ages 12–18) with anorexia or sub-threshold anorexia and their families received 20 treatment sessions over 24 weeks. Outcome indices included eating disorder symptomatology reported by the parent and adolescent, percentage of expected body weight achieved, and changes in psychological acceptance/avoidance. Half of the adolescents (48.0%) met criteria for full remission at the end of treatment, 29.8% met criteria for partial remission, and 21.3% did not improve. Overall, adolescents had a significant reduction in eating disorder symptoms and reached expected body weight. Treatment resulted in changes in psychological acceptance in the expected direction for both parents and adolescents. This open trial provides preliminary evidence for the feasibility, acceptability, and efficacy of ASFT for adolescents with anorexia. Directions for future research are discussed.