Table 19.
Adolescent focused psychotherapy/psychodynamic for Anorexia Nervosa
| Certainty assessment | Impact | Certainty | Importance | ||||||
|---|---|---|---|---|---|---|---|---|---|
| № of studies | Study design | Risk of bias | Inconsistency | Indirectness | Imprecision | Other considerations | |||
| Remission (assessed with: normal weight and EDE score) | |||||||||
| 2 | randomised trials | not serious | not serious | not serious | not serious | none | RCT of Adolescent Focused Psychotherapy versus FBT (n = 121, 11male, 110 female, age 12–18). 12/60 (20%) remitted at end of treatment in AFT group versus 21/61 (34.4%) in FBT group. No significant differences in terms of remission. No differences in remission in another RCT (n = 37). 52.6% in FBT reached 50th percentile weight vs. 41.2 in individual (p < 0.05). |
⨁⨁⨁⨁ HIGH |
CRITICAL |
| not serious | not serious | not serious | not serious | none | Those in FBT had greater change on EDE scores at end of treatment. |
⨁⨁⨁⨁ HIGH |
CRITICAL | ||
| Weight | |||||||||
| 2 | Case Reports | very serious a,b | not serious | not serious | not serious | none | Two case reports describing three cases total (age 12–16 years, all female) in which psychodynamic therapy over 1–2 years of therapy resulted in weight restoration. |
⨁◯◯◯ VERY LOW |
CRITICAL |