Onnis 2012.
Methods | RCT | |
Participants | Country: Italy
Diagnostic tool: DSM‐IV‐TR
No. screened: No detail
No. randomised: Total: 28 (16 BN, 12 AN); SFT:14 (AN + BN; MNT:14 (AN + BN)
No. started trial: Done
No dropped out during intervention: Done
No dropped out during follow‐up: Done
No. analysed (observed case): Done Mean age in years (SD): SFT: 18; MNT: 19.3 Age range in years: Total: Done Gender %: Female 100% Subtype purging %: No detail Subtype restricting %: No detail Age of onset: Done Duration of illness: SFT: 1.8 years; MNT: 2.1 years Baseline weight: SFT: 39.7; MNT: 36.4 Baseline BMI: SFT: 14.5; MNT: 14.2 Baseline eating disorder scale score: EDI ‐ No detail Baseline purging: No detail Comorbidity: Done Details on living arrangements: Done Family education/employment/income: SFT: 1 upper‐middle, 3 middle, 2 lower‐middle SES; MNT: 1 upper‐middle, 3 middle, 2 lower‐middle Recruitment strategy: Recrutied from non‐hospitalised patients connected to the Service for Eating Disorders of the Department of Neuropsychiatic Sciences for Child Development Exclusion criteria: Unclear |
|
Interventions | Setting of care: Outpatient
Training/qualification of care provider(s): No detail
Treatment manual: No detail
Supervision of treatment: No detail
Adherence to treatment: No detail
Intervention group 1
Description: Minuchin's structural family therapy
Length: 20 ‐ 25 sessions (over 12 months; 1 session every 2 weeks)
Intervention group 2
Description: Treatment as usual Comprised Medical Nutritional Therapy and "possibly supported by psychiatric counselling" (pg. 40) Length: No detail |
|
Outcomes |
Eating psychopathology
EDI EAT ‐ Data not reported Behavioural indices BMI Family Functioning Unclear |
|
Notes | Mixed AN and BN sample. Based on the following quote "subdivided, with a randomisation distribution, into two homogeneous, experimental and control groups, of 14 patients each" (pg 40), we made the assumption that the 4:3 distribution (16 BN:12 AN) at inclusion was replicated in the experimental and control conditions (8 BN:6 AN per condition) | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Quote: "... the patients were randomly assigned to the two experimental and control groups." No further 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 | Unclear risk | No detail |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | Some separated AN and BN data reported, and some conjoint. SDs not reported |
Selective reporting (reporting bias) | High risk | Not all measures have been reported (e.g. EAT). Unclear presentation of data. No useable data. |