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Changes in meal-related anxiety predict treatment outcomes in an intensive family-based treatment program for adolescents with anorexia nervosa

Eating Disorders Nov 19, 2019

Smith KN, et al. - Researchers investigated the value of changes in meal-related anxiety for predicting outcomes in the context of a family-based partial hospitalization program for adolescents with anorexia nervosa. Using the Subjective Units of Distress Scale, 51 adolescents with anorexia nervosa or atypical anorexia rated anxiety before and after all treatment meals. As per regression analyses, participants experiencing a greater reduction in meal anxiety reported fewer eating disordered symptoms on the EDE at the end of treatment. Possibly because family-based treatment promotes adequate food intake despite meal anxiety (ie, parents ensure food intake), reductions in meal anxiety did not predict EBW at end of treatment. Findings thereby supported the relevant predictive value of reductions in meal-related anxiety for outcomes in family-based interventions.

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