Acceptability, feasibility and short-term outcomes of temperament based therapy with support (TBT-S): a novel 5-day treatment for eating disorders

Journal of Eating Disorders

Research

Christina E. Wierenga¹  Stephanie Knatz-Peck¹  Laura Hill²  Kristin Stedal³  Ingrid Funderud³ 

[1] Department of Psychiatry, Eating Disorder Treatment and Research Center, University of California San Diego, San Diego, CA, USA;Department of Psychiatry, Eating Disorder Treatment and Research Center, University of California San Diego, San Diego, CA, USA;Department of Psychiatry and Behavioral Health, The Ohio State University, Ohio, OH, USA;Division of Mental Health and Addiction, Regional Department for Eating Disorders, Oslo University Hospital, Ullevål HF, Oslo, Norway;

关键词: Anorexia nervosa;    Bulimia nervosa;    Eating disorders;    Family-based treatment;    Treatment;    Temperament based treatment;   

DOI  :  10.1186/s40337-023-00878-w

 received in 2023-05-30, accepted in 2023-08-28,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundTemperament Based Therapy with Support (TBT-S) aims to target the mechanisms underlying the aetiology and maintenance of eating disorders, and was developed as an adjunct to treatment as usual. There is limited research investigating acceptability, feasibility and possible benefits of TBT-S. Therefore, the primary aim of the current study was to assess treatment feasibility and acceptability at a tertiary specialized eating disorders service in Norway, with a secondary aim to explore possible benefits in clinical outcome.MethodsForty-one patients (mean age 25.3, range 18–43) and 58 supports were assessed pre- and post TBT-S. The majority of the patients were diagnosed with either anorexia nervosa or atypical anorexia nervosa. Participants completed an 18-item Patient and Support Satisfaction Questionnaire, in addition to a questionnaire assessing the usefulness of the different intervention components and strategies utilised in TBT-S, as well as a 4-item treatment satisfaction questionnaire. Measures of treatment efficacy were completed at both time-points, whereas treatment acceptability was only assessed post-treatment.ResultsFindings reveal that TBT-S is a feasible treatment with high client satisfaction. Preliminary outcome data were also encouraging, and in line with previous studies. There were no voluntary drop-outs. All participants, both patients and supports, reported that TBT-S helped them deal more effectively with their challenges. After completing treatment, there was a significant decrease in patients’ self-reported eating disorder psychopathology, psychosocial impairment and state anxiety, while trait anxiety remained unchanged. Patients also reported significantly improved social relationships, whereas supports reported a significant increase in (own) psychological health. There were no differences in family functioning.ConclusionsTBT-S is a promising new treatment for eating disorders with high acceptability scores and low treatment attrition. Future studies should aim to explore methods which can most appropriately measure the effect of TBT-S and the usefulness of the different components of this treatment. Randomised controlled trials are needed to assess treatment efficacy of TBT-S.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

【 图 表 】

Fig. 1

Fig. 5

Fig. 3