Adolescent Anorexia: Guiding Principles and Skills for the Dietetic Support of Family-Based Treatment

Abstract

Continuing Professional Education (CPE) Information The Continuing Professional Education (CPE) quiz for this article is available for free to Academy members through the MyCDRGo app (available for iOS and Android devices) and through www.jandonline.org (click on “CPE” in the menu and then “Academy Journal CPE Articles”). Log in with your Academy of Nutrition and Dietetics or Commission on Dietetic Registration username and password, click “Journal Article Quiz” on the next page, then click the “Additional Journal CPE quizzes” button to view a list of available quizzes. Non-members may take CPE quizzes by sending a request to [email protected] There is a fee of $45 per quiz (includes quiz and copy of article) for non-member Journal CPE. CPE quizzes are valid for 1 year after the issue date in which the articles are published. Registered dietitian nutritionists (RDNs) play a significant role in the treatment of adolescent eating disorders; however, there are limited clinical practice parameters to guide providers. Anorexia nervosa (AN) is a life-threatening illness that typically begins in early- to mid-adolescence and can be associated with a chronic lifetime course of illness. The importance of renourishment efforts during the first 5 years of illness is critical. 1 Lock J. Le Grange D. Treatment Manual for Anorexia Nervosa: A Family-Based Approach. 2nd ed. Guilford Press, New York, NY2015 Google Scholar Family-based treatment (FBT) is an empirically supported psychotherapy approach designed as a first-line treatment that empowers families to address and reverse the factors maintaining AN. 2 Waterhouse T. Jacob M. Practice Paper of the American Dietetic Association: Nutritional Intervention in the Treatment of Eating Disorders. J Am Diet Assoc. 2011; 111: 1236-1241 Abstract Full Text Full Text PDF PubMed Google Scholar FBT studies have not utilized RDNs, despite their central involvement as a member of the eating disorder treatment team in standard clinical practice. RDNs can help families with home-based refeeding, as they can help to facilitate greater energy density and food variety, sooner rather than later, which are associated with best prognosis. 2 Waterhouse T. Jacob M. Practice Paper of the American Dietetic Association: Nutritional Intervention in the Treatment of Eating Disorders. J Am Diet Assoc. 2011; 111: 1236-1241 Abstract Full Text Full Text PDF PubMed Google Scholar The goal of this paper is to propose initial guidelines for the integration of nutrition services in the provision of FBT using FBT-informed principles. The Continuing Professional Education (CPE) quiz for this article is available for free to Academy members through the MyCDRGo app (available for iOS and Android devices) and through www.jandonline.org (click on “CPE” in the menu and then “Academy Journal CPE Articles”). Log in with your Academy of Nutrition and Dietetics or Commission on Dietetic Registration username and password, click “Journal Article Quiz” on the next page, then click the “Additional Journal CPE quizzes” button to view a list of available quizzes. Non-members may take CPE quizzes by sending a request to [email protected] There is a fee of $45 per quiz (includes quiz and copy of article) for non-member Journal CPE. CPE quizzes are valid for 1 year after the issue date in which the articles are published.