TY - JOUR
T1 - Transdiagnostic Theory and Application of Family-Based Treatment for Youth With Eating Disorders
AU - Loeb, Katharine L.
AU - Lock, James
AU - Greif, Rebecca
AU - le Grange, Daniel
N1 - Funding Information:
Work on this paper was supported in part by grants from the NIH (K23MH074506, PI: Loeb; R01MH079979, PI: Le Grange; K24MH074467, PI: Lock). The authors thank Terri Bacow for her comments on the manuscript and Lauren Alfano for her evaluation of the case reported in the paper. James Lock and Daniel le Grange receive royalties from Guilford Press for the sale of the published treatment manuals mentioned in this report.
PY - 2012/2
Y1 - 2012/2
N2 - This paper describes the transdiagnostic theory and application of family-based treatment (FBT) for children and adolescents with eating disorders. We review the fundamentals of FBT, a transdiagnostic theoretical model of FBT and the literature supporting its clinical application, adaptations across developmental stages and the diagnostic spectrum of eating disorders, and the strengths and challenges of this approach, including its suitability for youth. Finally, we report a case study of an adolescent female with eating disorder not otherwise specified (EDNOS) for whom FBT was effective. We conclude that FBT is a promising outpatient treatment for anorexia nervosa, bulimia nervosa, and their EDNOS variants. The transdiagnostic model of FBT posits that while the etiology of an eating disorder is unknown, the pathology affects the family and home environment in ways that inadvertently allow for symptom maintenance and progression. FBT directly targets and resolves family level variables, including secrecy, blame, internalization of illness, and extreme active or passive parental responses to the eating disorder. Future research will test these mechanisms, which are currently theoretical.
AB - This paper describes the transdiagnostic theory and application of family-based treatment (FBT) for children and adolescents with eating disorders. We review the fundamentals of FBT, a transdiagnostic theoretical model of FBT and the literature supporting its clinical application, adaptations across developmental stages and the diagnostic spectrum of eating disorders, and the strengths and challenges of this approach, including its suitability for youth. Finally, we report a case study of an adolescent female with eating disorder not otherwise specified (EDNOS) for whom FBT was effective. We conclude that FBT is a promising outpatient treatment for anorexia nervosa, bulimia nervosa, and their EDNOS variants. The transdiagnostic model of FBT posits that while the etiology of an eating disorder is unknown, the pathology affects the family and home environment in ways that inadvertently allow for symptom maintenance and progression. FBT directly targets and resolves family level variables, including secrecy, blame, internalization of illness, and extreme active or passive parental responses to the eating disorder. Future research will test these mechanisms, which are currently theoretical.
UR - http://www.scopus.com/inward/record.url?scp=84856059387&partnerID=8YFLogxK
U2 - 10.1016/j.cbpra.2010.04.005
DO - 10.1016/j.cbpra.2010.04.005
M3 - Article
AN - SCOPUS:84856059387
SN - 1077-7229
VL - 19
SP - 17
EP - 30
JO - Cognitive and Behavioral Practice
JF - Cognitive and Behavioral Practice
IS - 1
ER -