Espina 2000.
| Methods | RCT | |
| Participants | Country: Spain Diagnostic tool: DSM‐IV No. screened: No details No. randomised: Family therapy: 44; Group Therapy: 27 No. started trial: No details No. dropped out during intervention: Family therapy: 9; Group Therapy: 2 No. dropped out during follow‐up: No details No. analysed: No details NOTE: for this study most data are not given in totals by intervention group but by subgroup: Group 1: Anorexia Restricting (FT); Group 2: Anorexia Purging (FT); Group 3: Anorexia Purging (GT). There was also a bulimia nervosa subgroup but data for them are not provided. Mean age in years (SD): Family therapy: Anorexia Restricting 18.66 (3.99); Anorexia Purging 19.17 (4.09); Group Therapy: Anorexia Purging 20.30 (6.41) Age range: No detail Gender %: Family therapy: Anorexia Restricting Male 7.1%; Female 92.9%; Anorexia Purging Male 0%; Female 100%, Group therapy: Anorexia Purging Male 0%; Female 100% Subtype: In the family therapy 14 are of the restricting type, 12 are of the purging type; In the group therapy group 100% are of the purging type Age of onset in years: Family therapy: Anorexia Restricting 15.64 (2.9); Anorexia Purging 16.08 (2.64); Group therapy: Anorexia Purging 16.6 (3.17) Duration of illness in months: Family therapy: Anorexia Restricting 33.59 months (30.88); Anorexia Purging 34.92 months (20.08); Group therapy: Anorexia Purging 35.80 months (37.41) Baseline weight: No detail Baseline BMI (% of those less than 17.5):Family therapy: Anorexia Restricting 35.7%; Anorexia Purging 41.7%; Group therapy: Anorexia Purging 40% Baseline eating disorder scale score: No detail Baseline purging: No detail Comorbidity: No detail Details on living arrangements: No detail Family education/employment/income: No detail Recruitment strategy: No detail Exclusion criteria: No detail |
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| Interventions | Setting of care: Outpatient Training/qualification of care provider(s): Unclear Treatment manual: Unclear Supervision of treatment: Unclear Adherence to treatment: Unclear Intervention group 1 Description: Systemic family therapy (Selvini 1978; Minuchin 1974; Minuchin 1978) Length: Unclear Intervention group 2 Description: Patient support group + group therapy Length: Unclear | |
| Outcomes | Eating psychopathology EDI (Garner 1983; Garner 1991) EAT (Garner 1979) Anorectic Behavior Observation Scale (Vandereycken 1992) Body Shape Questionnaire (Cooper 1987a; Cooper 1987b) Bulimic Investigatory Test Edinburg (Henderson 1987) Behavioural indices BMI Menstruation General Psychopathology BPRS‐E (Lukoff 1986) SCL‐90‐R (Derogatis 1992) Depression BDI (Beck 1961) Self Anxiety Scale (Zung 1971) Global pathology and interpersonal functioning Social Adjustment Scale (Weissman 1976) | |
| Notes | Foreign‐language article, partially translated only. Included in family therapy vs standard care/treatment as usual Family therapy categorised as Systemic family therapy Funded by: University of the Basque Country (Spain) | |
| Risk of bias | ||
| Bias | Authors' judgement | Support for judgement |
| Random sequence generation (selection bias) | Unclear risk | No detail: Stated ‘random allocation’ with no detail |
| Allocation concealment (selection bias) | Unclear risk | No detail |
| Blinding of participants and personnel (performance bias) All outcomes | High risk | Therapists and participants cannot be blinded in trials of family‐based therapy |
| Blinding of outcome assessment (detection bias) All outcomes | Low risk | Quote: “Outcome assessors blind to treatment allocation” |
| Incomplete outcome data (attrition bias) All outcomes | High risk | No detail on dropouts. No ITT analysis. |
| Selective reporting (reporting bias) | Unclear risk | Authors report that they collected data on both dropouts and eating disorder psychopathology, but the data are not reported in a format that is useable for analysis |
| Other bias | Unclear risk |
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