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  11. Family-based Treatment In Higher Levels Of Care: A Systematic Review And Meta-analysis

Family-Based Treatment in Higher Levels of Care: A Systematic Review and Meta-Analysis

Samantha A Everhart1, Sohyun C Han2, Ramon Durazo-Arvizu3

  • 1Department of Pediatrics, The Medical College of Wisconsin, Milwaukee, Wisconsin, USA.

European Eating Disorders Review : the Journal of the Eating Disorders Association
|May 13, 2025

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View abstract on PubMed

Summary
This summary is machine-generated.

Family-Based Treatment (FBT) adapted for higher levels of care (HLOC) effectively treats eating disorders in children and adolescents. Research shows these adapted FBT programs improve weight, eating disorder symptoms, and family functioning.

Area of Science:

  • Child and Adolescent Psychiatry
  • Clinical Psychology
  • Eating Disorder Treatment Research

Background:

  • Family-Based Treatment (FBT) is the established outpatient standard for pediatric eating disorders.
  • Higher Levels of Care (HLOC) programs, including inpatient and partial hospitalization, increasingly integrate FBT principles.
  • Adaptations aim to enhance treatment effectiveness within more intensive settings.

Purpose of the Study:

  • Systematically review existing research on FBT adaptations in HLOC settings.
  • Describe the outcomes associated with these adapted FBT programs.
  • Identify gaps in the current evidence base.

Main Methods:

  • Systematic literature search across PsycINFO, PubMed, and Cochrane Library.
  • Adherence to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
Keywords:
adolescentsanorexiachildreneating disorders

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  • Inclusion of 40 articles: 35 studies and 5 program descriptions.

    • Main Results:

    • Included treatments spanned 17 inpatient and 23 partial hospitalization/intensive outpatient programs.
    • Findings from 30 quantitative and 5 qualitative studies support treatment effectiveness.
    • Positive outcomes observed in weight restoration, eating disorder symptom reduction, mental health, and family functioning.

    Conclusions:

    • Growing evidence supports the efficacy of FBT adapted for HLOC, particularly for weight and eating disorder symptom improvement.
    • Further research, including controlled trials with adequate follow-up, is recommended.
    • FBT adaptations demonstrate suitability and effectiveness in intensive treatment settings.
    family‐based treatment
    higher levels of care