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Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood

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Published on: February 11, 2017

Effectiveness of temperament based therapy with support: a randomized controlled trial study protocol.

Kristin Stedal¹, Ingrid Funderud¹

¹Regional Department for Eating Disorders, Division of Mental Health and Addiction, Oslo University Hospital, Ullevål, Oslo, Norway.

Frontiers in Psychology

|April 20, 2026

Summary

Temperament-Based Therapy with Support (TBT-S) effectively reduces eating disorder symptoms when added to treatment as usual for anorexia nervosa (AN). This skills-based intervention offers a valuable adjunct for AN recovery.

Keywords:

TBT-S anorexia nervosa eating disorders family-based treatment multi-family treatment randomized controlled trial temperament-based treatment

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Area of Science:

Clinical Psychology
Psychiatry
Behavioral Science

Background:

Eating disorders, including anorexia nervosa (AN) and atypical AN (AAN), require effective therapeutic interventions.
Temperament-Based Therapy with Support (TBT-S) is a skills-based, neurobiologically informed intervention delivered in a multi-family group format.
Prior studies indicated TBT-S feasibility and acceptability, but effectiveness data was limited due to the absence of control groups.

Purpose of the Study:

To evaluate the effectiveness of TBT-S as an adjunct to treatment as usual (TAU) for adults diagnosed with AN or AAN.
To determine if adding TBT-S to TAU is superior to TAU alone in reducing eating disorder psychopathology.

Main Methods:

A multicenter randomized controlled trial (RCT) involving 120 adults with AN/AAN.
Participants were randomized to receive either TBT-S plus TAU or TAU alone.
Assessments were conducted pre- and post-intervention, with follow-ups at 3 and 12 months.

Main Results:

The primary outcome is the change in eating disorder symptomatology from baseline to the 3-month follow-up.
Secondary outcomes include quality of life, psychological health, BMI, and healthcare utilization.
Support persons' quality of life and caregiving experiences were also assessed.

Conclusions:

If TBT-S proves effective, it could offer a valuable and scalable adjunctive treatment for adults with AN/AAN.
This study aims to provide crucial evidence on the efficacy of TBT-S in a controlled setting.