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Accepted (AM)Open Access (License Unspecified), Open
Journal article
An open trial of Acceptance-based Separated Family Treatment (ASFT) for adolescents with anorexia nervosa
Behaviour research and therapy, v 69, pp 63-74
Jun 2015
PMCID: PMC4869854
PMID: 25898341
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
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.
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Details
- Title
- An open trial of Acceptance-based Separated Family Treatment (ASFT) for adolescents with anorexia nervosa
- Creators
- C Alix Timko - University of the SciencesNancy L Zucker - Duke UniversityJames D Herbert - Drexel UniversityDaniel Rodriguez - La Salle UniversityRhonda M Merwin - Duke University
- Publication Details
- Behaviour research and therapy, v 69, pp 63-74
- Publisher
- Elsevier
- Grant note
- R21 MH085975 / NIMH NIH HHS R21MH085975 / NIMH NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- [Retired Faculty]
- Web of Science ID
- WOS:000355054500008
- Scopus ID
- 2-s2.0-84927747351
- Other Identifier
- 991019168325704721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Psychology, Clinical