CPG for Eating Disorders

Summary of the Evidence(See summary of the evidence for psychological treatment)CPG 30CPG 30CPG 30CPG 30CPG 30CPG 30SRSE 311++SRSE 311++SRSE 311++SRSE 311++SRSE 311++There is insufficient evidence to determine that conjoint or separate FT inchildren and adolescents is effective by the end of treatment and at posttreatmentfollow-up. (Eisler, 2000 267 ; Robin, 1999 272 ).There is limited evidence to determine that FT is superior to standard treatmentsin terms of achieving weight gain by the end of treatment and at post-treatmentfollow-up. (Crisp, 1991 263 ; Dare, 2001 264 ).In children and adolescents, there is insufficient evidence to determine that FTand body awareness therapy together are superior to FT alone (Wallin, 2000) 273 .There is limited evidence to determine that individual supportive psychotherapyis superior to FT in terms of weight gain in adults with AN at one year posttreatmentfollow-up (Russell, 1987) 265 .There is limited evidence to determine that FT is superior to supportivepsychotherapy at one-year follow-up in terms of weight gain and number ofrecoveries when administered to patients with AN (evolution under 3 years anddisorder onset age under 19 years) (Russell, 1987) 265 .There is insufficient evidence to determine group education in the family ismore effective than conjoint FT in terms of weight restoration in children andadolescents under inpatient treatment. (Geist, 2000) 268 .FT (including family of origin) can be more effective in young people with adisease of shorter duration.There are no studies that explore FT in adults including the insertion family(spouse and children) and not only the family of origin.There is no evidence to determine that FT helps adults with AN in chronicstages.Over time, different forms of FT produce good results in adolescents with AN.There is scarce evidence to determine that interventions involving the familyare more effective in patients under the age of 15 than in older patients.Recommendations(See also recommendations 9.GP.1. to 9.GP.11.)B 9.6.1.1.1. FT is indicated in children and adolescents with AN. (Adopted fromrecommendation 6.2.9.14. of the NICE guide).124CLINICAL PRACTICE GUIDELINE FOR EATING DISORDERS