This article presents of a broader clinical research into the effectiveness of integrated treatments in teenage eating disorders, carried out at the Complex Operative Unit of Psychotherapy (Unità Operativa Complessa of U.O.C.) of the Department of Psychiatric Sciences and Psychological Medicine in collaboration with the Department of Neuropsychiatric Sciences for Child Development (Dipartimento di Scienze Neuropsichiatriche dell’Età Evolutiva), both at the “Sapienza” University of Rome. The hypothesis of this research project is that in diagnosticable situations such as anorexia or bulimia, an integrated and multidisciplinary treatment, which combines medical-nutritional interventions and family psychotherapy, allows better results than a single kind of treatment, which is the usual medical-nutritional intervention supported by psychiatric counseling. Twenty eight cases (16 of bulimia and 12 of anorexia) were selected and thed subdivides, with a randomized distribution, into two (experimental and control) homogeneous groups of 14 patients. The grouping variables were the diagnosis, the disorder’s seriousness and duration, BMI, gender, age, family composition and social status. The variables which have been examined in this article are the clinical parameters, which were valuated in accordance with the DSM IV-TR criteria, and relational parameters which were explored through the use of the W.F.T. Test (Wiltwyck Family Tasks). These parameters were tested at beginning as well as at the end of the therapies, in both the experimental group and the control group. Statistical analysis has shown that the experimental group, which was followed with the integral treatment, experienced a significant improvement of the parameters as related to dysfunctional family interaction modalities, and that this improvement was correlated to the positive evolution of the clinical parameters. This improvement was not present or not the same degree in the control group. The results, moreover, demonstrate the effectiveness of an integrated systemic treatment based on a complex approach compared to e reductionist approach.

Family relationship and eating disorders. The effectiveness of an integrated approach in the treatment of adolescent anorexia and bulimia: results of a case-control systemic research / Onnis, Luigi; E., Barbara; M., Bernardini; S., Di Giacomo; A., Giambartolomei; A., Leonelli; A. M., Mulè; P. G., Nicoletti; A., Vietri. - In: EATING AND WEIGHT DISORDERS. - ISSN 1124-4909. - STAMPA. - 17 (1):1(2012), pp. 36-48. [10.3275/8652]

Family relationship and eating disorders. The effectiveness of an integrated approach in the treatment of adolescent anorexia and bulimia: results of a case-control systemic research.

ONNIS, Luigi;
2012

Abstract

This article presents of a broader clinical research into the effectiveness of integrated treatments in teenage eating disorders, carried out at the Complex Operative Unit of Psychotherapy (Unità Operativa Complessa of U.O.C.) of the Department of Psychiatric Sciences and Psychological Medicine in collaboration with the Department of Neuropsychiatric Sciences for Child Development (Dipartimento di Scienze Neuropsichiatriche dell’Età Evolutiva), both at the “Sapienza” University of Rome. The hypothesis of this research project is that in diagnosticable situations such as anorexia or bulimia, an integrated and multidisciplinary treatment, which combines medical-nutritional interventions and family psychotherapy, allows better results than a single kind of treatment, which is the usual medical-nutritional intervention supported by psychiatric counseling. Twenty eight cases (16 of bulimia and 12 of anorexia) were selected and thed subdivides, with a randomized distribution, into two (experimental and control) homogeneous groups of 14 patients. The grouping variables were the diagnosis, the disorder’s seriousness and duration, BMI, gender, age, family composition and social status. The variables which have been examined in this article are the clinical parameters, which were valuated in accordance with the DSM IV-TR criteria, and relational parameters which were explored through the use of the W.F.T. Test (Wiltwyck Family Tasks). These parameters were tested at beginning as well as at the end of the therapies, in both the experimental group and the control group. Statistical analysis has shown that the experimental group, which was followed with the integral treatment, experienced a significant improvement of the parameters as related to dysfunctional family interaction modalities, and that this improvement was correlated to the positive evolution of the clinical parameters. This improvement was not present or not the same degree in the control group. The results, moreover, demonstrate the effectiveness of an integrated systemic treatment based on a complex approach compared to e reductionist approach.
2012
Eating disorders; family relationship; systemic therapy; integrative model; effectiveness evaluation; clinical research
01 Pubblicazione su rivista::01a Articolo in rivista
Family relationship and eating disorders. The effectiveness of an integrated approach in the treatment of adolescent anorexia and bulimia: results of a case-control systemic research / Onnis, Luigi; E., Barbara; M., Bernardini; S., Di Giacomo; A., Giambartolomei; A., Leonelli; A. M., Mulè; P. G., Nicoletti; A., Vietri. - In: EATING AND WEIGHT DISORDERS. - ISSN 1124-4909. - STAMPA. - 17 (1):1(2012), pp. 36-48. [10.3275/8652]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/412068
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