Are single-parent families different from two-parent families in the treatment of adolescent bulimia nervosa using family-based treatment?
About this resource
OBJECTIVE: To examine whether family-based treatment (FBT) for adolescent bulimia nervosa (BN), which emphasizes family involvement in helping to reduce binge eating and purging behaviors, is differentially efficacious in single-parent families versus two-parent families. METHOD: Forty-one adolescents (97.6% female; 16.0 +/- 1.7 years old) with either BN (n = 18) or subthreshold BN (n = 23) were randomized to FBT as part of a larger randomized controlled trial studying treatments for adolescent BN. RESULTS: Two-parent (n = 27; 65.9%) and single-parent (n = 14; 34.2%) families were compared on demographic variables, presence of comorbid psychiatric illnesses, and symptoms of BN at baseline, post, and 6-month follow-up. ANOVA and chi-square analyses revealed no statistically significant differences between two-parent and single-parent families on any variables with the exception of ethnicity, for which a greater proportion of Caucasians and Hispanic families had two- parent families compared with African-American families (chi(2) = 8.68, p = .01). DISCUSSION: These findings suggest that FBT may be an appropriate and efficacious treatment for single-parent families as well as two-parent families, despite the reliance on parental intervention to reduce bulimic symptoms and normalize eating patterns.
An experimental exploration of behavioral and cognitive-emotional aspects of intolerance of uncertainty in eating disorder patients
Objective: Intolerance of uncertainty (IU) is an important concept in eating disorders (ED).Read more
A systematic review of evidence for psychological treatments in eating disorders: 2005-2012
OBJECTIVE: To update new evidence for psychotherapies in eating disorders (EDs) since 2005-September 2012.Read more
Treatment of bulimia nervosa with fluvoxamine: A randomized controlled trial
Bulimia nervosa (BN) is one of the most common eating disorders in industrialized societies.Read more
Getting beneath the phenotype of anorexia nervosa: The search for viable endophenotypes and genotypes
Treatment for anorexia nervosa has changed little from that described by Gull over a century ago.Read more