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Mod2 Art4 - Module 2 Article 4 TREATMENT HIGHLIGHTS EATING...

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TREATMENT HIGHLIGHTS EATING DISORDERS In the treatment of adolescents with anorexia nervosa, separated family therapy is found to be more ef- fective than conjoint family therapy in families where there is a high level of parental criticism toward the adolescent. Forty adolescents with anorexia nervosa (39 females and 1 male) were randomly assigned to receive either conjoint family therapy or separated family therapy [see box below]. Both treatments were of a 1-year duration, and were conducted on an outpatient basis. Levels of critical comments (ie, expressed emotion [EE]) 1 in the family, along with several other variables, were assessed at the start of treatment, at 3 and 6 months, and at the end of treatment. Patients were considered to have had a good outcome if their weight was within 15% of average body weight, men- struation had returned (if female and of menarchal age), and there was no evidence of bulimic pathology (based on bingeing, vomiting, laxative use). An intermediate outcome was defined as the same as a good outcome, but without the return of menstruation, and with bulimic behavior occurring less than once a week, if at all. Overall, when the level of EE was not considered, patients receiving either form of family intervention showed im- provement on a number of variables, including: bulimic symptoms, eating attitudes and behavior, mood, self-esteem, and obsessional phenomena.
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