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  1. Article ; Online: Feasibility and acceptability of a pilot studying investigating multi-family parent-only guided self-help family-based treatment for adolescent anorexia nervosa.

    Matheson, Brittany E / Van Wye, Eliza / Whyte, Aileen / Lock, James

    The International journal of eating disorders

    2024  

    Abstract: Objective: Family-based treatment (FBT) is an efficacious treatment for adolescent anorexia nervosa (AN). A parent-only guided self-help version of FBT (GSH-FBT) demonstrated preliminary efficacy in pilot investigations. To address challenges in access ... ...

    Abstract Objective: Family-based treatment (FBT) is an efficacious treatment for adolescent anorexia nervosa (AN). A parent-only guided self-help version of FBT (GSH-FBT) demonstrated preliminary efficacy in pilot investigations. To address challenges in access to care, we adapted GSH-FBT into a parent-only multi-family group format (MF-GSH-FBT) delivered via videoconferencing.
    Method: This report details the feasibility and acceptability of a parent-only group-based multi-family GSH-FBT (MF-GSH-FBT) for adolescent AN delivered virtually. The MF-GSH-FBT intervention consisted of 12 weekly 60-min sessions facilitated by a clinician in addition to online FBT video content and recommended readings. Adolescents and parents completed assessments at baseline and post-treatment. Parents reported their child's weight each week.
    Results: A total of 13 adolescents (15.57 + 1.63 years; 92% female; 23% Hispanic) with AN and their parents enrolled and initiated treatment. Four consecutive cohorts of groups of 3-4 families were completed from April 2022 to April 2023. Across cohorts, parents attended 85% of sessions. Most parents rated the treatment sessions as helpful (79%; agree/strongly agree) and felt supported by the other group members (84%). All parents (100%) reported MF-GSH-FBT helped their child, and most (90%) reported their child had improved by end-of-treatment. On average, adolescents gained 3.53 kg (SD: 3.76) from pre- to post-treatment, with percent estimated mean body weight increasing 5% on average. Parental self-efficacy also increased from baseline to end-of-treatment.
    Discussion: MF-GSH-FBT for AN appears feasible and acceptable to parents participating in this pilot study. Challenges with recruitment and adolescent data collection remain questions for future investigation.
    Public significance: This study describes initial pilot testing of a virtual guided self-help family-based treatment for adolescents with anorexia nervosa delivered in a multi-family group format. This treatment aims to enhance access to family-based treatment for anorexia nervosa whilst providing additional support to parents.
    Language English
    Publishing date 2024-02-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 603170-5
    ISSN 1098-108X ; 0276-3478
    ISSN (online) 1098-108X
    ISSN 0276-3478
    DOI 10.1002/eat.24182
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Family-based treatment (FBT) for loss of control (LOC) eating in youth: Current knowledge and future directions.

    Matheson, Brittany E / Bohon, Cara / Le Grange, Daniel / Lock, James D

    Eating disorders

    2023  Volume 32, Issue 1, Page(s) 1–12

    Abstract: Loss of control (LOC) eating in youth is a common disordered eating behavior and associated with negative health and psychological sequalae. Family-based treatment (FBT) is an efficacious treatment for adolescent anorexia nervosa and bulimia nervosa (BN) ...

    Abstract Loss of control (LOC) eating in youth is a common disordered eating behavior and associated with negative health and psychological sequalae. Family-based treatment (FBT) is an efficacious treatment for adolescent anorexia nervosa and bulimia nervosa (BN) but has not been formally evaluated for adolescents with LOC eating. This study is a secondary data analysis from a randomized controlled clinical trial (NCT00879151) testing FBT for 12-18-year-olds with BN. Data were reanalyzed to examine outcomes for LOC eating episodes, regardless of episode size. Abstinence rates, defined as zero LOC eating episodes (objective or subjective binge episodes) in the previous month, were calculated at the end-of-treatment (EOT), 6-month, and 12-month follow-up time points. Among 51 adolescent participants (M + SD: 15.94 + 1.53 y; 92% female; 23.5% Hispanic; 76.5% Caucasian), FBT significantly reduced LOC eating episodes, with 49% achieving LOC eating abstinence at EOT. At 6-month follow-up, 41% achieved LOC eating abstinence. Of those providing 12-month follow-up data, 73% achieved abstinence. This preliminary exploration suggests that FBT may be effective for youth with LOC eating, regardless of episode size. Additional research is needed to replicate these findings and extend treatments with developmental adaptations for younger children with LOC eating.
    MeSH term(s) Adolescent ; Child ; Female ; Humans ; Male ; Anorexia Nervosa/psychology ; Anorexia Nervosa/therapy ; Bulimia Nervosa/psychology ; Bulimia Nervosa/therapy ; Hispanic or Latino ; Treatment Outcome ; White ; Family Therapy
    Language English
    Publishing date 2023-06-25
    Publishing country United States
    Document type Randomized Controlled Trial ; Journal Article
    ZDB-ID 1209799-8
    ISSN 1532-530X ; 1064-0266 ; 1067-1633
    ISSN (online) 1532-530X
    ISSN 1064-0266 ; 1067-1633
    DOI 10.1080/10640266.2023.2229091
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Evidence Based Update on Psychosocial Treatments for Eating Disorders in Children and Adolescents.

    Datta, Nandini / Matheson, Brittany E / Citron, Kyra / Van Wye, Eliza Margaret / Lock, James D

    Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53

    2022  Volume 52, Issue 2, Page(s) 159–170

    Abstract: Eating disorders (EDs) are life-threatening psychiatric illnesses that occur in adolescents. Unfortunately, limited randomized controlled trials exist to address EDs in this vulnerable population. The current review updates a ... ...

    Abstract Eating disorders (EDs) are life-threatening psychiatric illnesses that occur in adolescents. Unfortunately, limited randomized controlled trials exist to address EDs in this vulnerable population. The current review updates a prior
    MeSH term(s) Adolescent ; Child ; Humans ; Psychotherapy ; Cognitive Behavioral Therapy ; Feeding and Eating Disorders/therapy ; Family Therapy ; Binge-Eating Disorder
    Language English
    Publishing date 2022-08-11
    Publishing country England
    Document type Review ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2073310-0
    ISSN 1537-4424 ; 1537-4416
    ISSN (online) 1537-4424
    ISSN 1537-4416
    DOI 10.1080/15374416.2022.2109650
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Family-based treatment via videoconference: Clinical recommendations for treatment providers during COVID-19 and beyond.

    Matheson, Brittany E / Bohon, Cara / Lock, James

    The International journal of eating disorders

    2020  Volume 53, Issue 7, Page(s) 1142–1154

    Abstract: The necessity to employ distance-based methods to deliver on-going eating disorder care due to the novel coronavirus (COVID-19) pandemic represents a dramatic and urgent shift in treatment delivery. Yet, TeleHealth treatments for eating disorders in ... ...

    Abstract The necessity to employ distance-based methods to deliver on-going eating disorder care due to the novel coronavirus (COVID-19) pandemic represents a dramatic and urgent shift in treatment delivery. Yet, TeleHealth treatments for eating disorders in youth have not been adequately researched or rigorously tested. Based on clinical experience within our clinic and research programs, we aim to highlight the common challenges clinicians may encounter in providing family-based treatment (FBT) via TeleHealth for children and adolescents with anorexia nervosa and bulimia nervosa. We also discuss possible solutions and offer practical considerations for providers delivering FBT in this format. Additional research in TeleHealth treatment for eating disorders in youth may lead to improved access, efficiency, and effectiveness of FBT delivered via videoconferencing.
    MeSH term(s) Adolescent ; Anorexia Nervosa/therapy ; Betacoronavirus ; Bulimia Nervosa/therapy ; COVID-19 ; Child ; Coronavirus Infections/prevention & control ; Family Therapy/methods ; Female ; Humans ; Pandemics/prevention & control ; Pneumonia, Viral/prevention & control ; SARS-CoV-2 ; Telemedicine/methods ; Videoconferencing
    Keywords covid19
    Language English
    Publishing date 2020-06-13
    Publishing country United States
    Document type Journal Article
    ZDB-ID 603170-5
    ISSN 1098-108X ; 0276-3478
    ISSN (online) 1098-108X
    ISSN 0276-3478
    DOI 10.1002/eat.23326
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: A Review of Childhood Behavioral Problems and Disorders in the Development of Obesity: Attention Deficit/Hyperactivity Disorder, Autism Spectrum Disorder, and Beyond.

    Matheson, Brittany E / Eichen, Dawn M

    Current obesity reports

    2018  Volume 7, Issue 1, Page(s) 19–26

    Abstract: Purpose of review: Given the high rates of pediatric and adult obesity, it is imperative to identify early risk factors that might contribute to excess weight gain. This review aims to investigate the relationship between childhood behavioral problems ... ...

    Abstract Purpose of review: Given the high rates of pediatric and adult obesity, it is imperative to identify early risk factors that might contribute to excess weight gain. This review aims to investigate the relationship between childhood behavioral problems with the development and persistence of obesity. Specifically, this review highlights the association of obesity with (1) neurocognitive constructs, such as executive functioning and inhibition/impulsivity, and (2) disorders commonly diagnosed in childhood, including attention deficit/hyperactivity disorder (ADHD) and autism spectrum disorder (ASD).
    Recent findings: Consistent evidence supports a relationship between childhood behavioral problems, executive functioning, inhibition/impulsivity, ADHD, and ASD with obesity across the lifespan. Longitudinal studies suggest behavior problems, neurocognitive functioning deficits, and ADHD symptoms in childhood predict weight gain over time. Identifying risk factors in childhood that promote obesity may help develop targeted intervention and prevention programs. Additional research should elucidate mechanisms that account for these relationships.
    MeSH term(s) Attention Deficit Disorder with Hyperactivity ; Autism Spectrum Disorder ; Child ; Executive Function ; Humans ; Inhibition (Psychology) ; Obesity ; Problem Behavior
    Language English
    Publishing date 2018-02-07
    Publishing country United States
    Document type Journal Article ; Review
    ISSN 2162-4968
    ISSN (online) 2162-4968
    DOI 10.1007/s13679-018-0293-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Effect of telehealth implementation on an adolescent metabolic and bariatric surgery program.

    Herdes, Rachel E / Matheson, Brittany E / Tsao, Deborah D / Bruzoni, Matias / Pratt, Janey S A

    Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery

    2022  Volume 18, Issue 9, Page(s) 1161–1166

    Abstract: Background: Pediatric severe obesity is a worldwide health concern. Treatment with metabolic and bariatric surgery can reduce morbidity and mortality. The COVID-19 pandemic not only has had a significant effect on rates of pediatric obesity but also has ...

    Abstract Background: Pediatric severe obesity is a worldwide health concern. Treatment with metabolic and bariatric surgery can reduce morbidity and mortality. The COVID-19 pandemic not only has had a significant effect on rates of pediatric obesity but also has necessitated a rapid transition to virtual medicine.
    Objective: We aimed to identify and examine adolescent metabolic and bariatric surgery patient participation rates through our program's virtual telehealth programming as compared with prepandemic traditional in-person clinic appointments.
    Setting: This study took place at an academic pediatric quaternary care center.
    Methods: We evaluated 92 adolescent patients with a total of 2442 unique encounters between January 2018 and July 2021.
    Results: The rate of attendance was found to be greater for telehealth visits (83.1%) than for in-person appointments (70.5%) for all clinics regardless of appointment type (preoperative versus postoperative). Cancellation rates were lower for telehealth visits (9.9%) than for in-person appointments (22.5%).
    Conclusion: This study provides evidence that telehealth can be implemented successfully in an adolescent metabolic and bariatric surgery program and can improve attendance rates for all provider and appointment subtypes.
    MeSH term(s) Adolescent ; Bariatric Surgery ; COVID-19/epidemiology ; Child ; Humans ; Obesity, Morbid/surgery ; Pandemics ; Telemedicine
    Language English
    Publishing date 2022-05-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2274243-8
    ISSN 1878-7533 ; 1550-7289
    ISSN (online) 1878-7533
    ISSN 1550-7289
    DOI 10.1016/j.soard.2022.05.014
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Parent and clinician perspectives on virtual guided self-help family-based treatment (GSH-FBT) for adolescents with anorexia nervosa.

    Matheson, Brittany E / Datta, Nandini / Welch, Hannah / Citron, Kyra / Couturier, Jennifer / Lock, James D

    Eating and weight disorders : EWD

    2022  Volume 27, Issue 7, Page(s) 2583–2593

    Abstract: Purpose: Guided self-help (GSH) treatments have the capacity to expand access to care, decrease costs, and increase dissemination compared to traditional therapist-directed treatment approaches. However, little is known about parent and clinician ... ...

    Abstract Purpose: Guided self-help (GSH) treatments have the capacity to expand access to care, decrease costs, and increase dissemination compared to traditional therapist-directed treatment approaches. However, little is known about parent and clinician perspectives about the acceptability of GSH for adolescents with eating disorders.
    Methods: This study utilized a mixed methods approach to obtain qualitative and quantitative data regarding clinician and participants' experiences with GSH. Parent participants were enrolled in a randomized trial comparing GSH family-based treatment (GSH-FBT) to family-based treatment delivered via videoconferencing (FBT-V) for adolescents (12-18 years old) with a DSM-5 diagnosis of anorexia nervosa (AN). Parent participants provided qualitative feedback using the Helping Alliances Questionnaire about their experience of treatment. Clinician participants were six master's or PhD-level therapists. These clinicians were trained in and provided both treatments (GSH-FBT and FBT-V). They provided responses to questionnaires and participated in a 1-h focus group about their experience as treatment providers.
    Results: Regardless of treatment condition, parents listed more improvement than worsening of symptoms in their child with AN. Clinicians reported lower scores on competency and comfort metrics with GSH-FBT compared to FBT-V. Qualitatively, clinicians reported both advantages and disadvantages of delivering GSH-FBT.
    Conclusion: Further studies are needed to better understand how GSH interventions can be disseminated to patients and families, particularly those with limited access to specialized eating disorder treatment centers. Level of evidence Level I, data collected as part of a randomized controlled trial.
    MeSH term(s) Adolescent ; Anorexia Nervosa/therapy ; Child ; Family Therapy/methods ; Health Behavior ; Humans ; Parents ; Treatment Outcome
    Language English
    Publishing date 2022-04-23
    Publishing country Germany
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 2038625-4
    ISSN 1590-1262 ; 1124-4909
    ISSN (online) 1590-1262
    ISSN 1124-4909
    DOI 10.1007/s40519-022-01401-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Bariatric Surgery in Children and Adolescents with Cognitive Impairment and/or Developmental Delay: Current Knowledge and Clinical Recommendations.

    Matheson, Brittany E / Colborn, Danielle / Bohon, Cara

    Obesity surgery

    2019  Volume 29, Issue 12, Page(s) 4114–4126

    Abstract: Bariatric surgery is an effective treatment for children and adolescents with severe obesity. However, outcomes in youth with cognitive impairments and/or developmental delays are understudied. This paper reviewed the literature on bariatric surgery ... ...

    Abstract Bariatric surgery is an effective treatment for children and adolescents with severe obesity. However, outcomes in youth with cognitive impairments and/or developmental delays are understudied. This paper reviewed the literature on bariatric surgery within this population. Fourteen studies published from 1975 to 2019 were identified. The majority (93%) of studies included patients with genetic disorders. Most studies reported no peri-operative complications (69%) and improved health outcomes (79%), with variable weight-loss results (29.2-86.2% excess weight loss). No significant differences were reported for youth with and without cognitive impairment and/or developmental delay in two studies. Limited available data suggest bariatric surgery may promote weight loss and improve health comorbidities for youth, irrespective of cognitive or developmental functioning. Clinical recommendations for working with patients and families are included.
    MeSH term(s) Adolescent ; Bariatric Surgery ; Child ; Cognitive Dysfunction/complications ; Developmental Disabilities/complications ; Humans ; Pediatric Obesity/complications ; Pediatric Obesity/surgery
    Language English
    Publishing date 2019-10-21
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Review
    ZDB-ID 1070827-3
    ISSN 1708-0428 ; 0960-8923
    ISSN (online) 1708-0428
    ISSN 0960-8923
    DOI 10.1007/s11695-019-04219-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Family‐based treatment via videoconference

    Matheson, Brittany E. / Bohon, Cara / Lock, James

    International Journal of Eating Disorders

    Clinical recommendations for treatment providers during COVID ‐19 and beyond

    2020  Volume 53, Issue 7, Page(s) 1142–1154

    Keywords Psychiatry and Mental health ; covid19
    Language English
    Publisher Wiley
    Publishing country us
    Document type Article ; Online
    ZDB-ID 603170-5
    ISSN 1098-108X ; 0276-3478
    ISSN (online) 1098-108X
    ISSN 0276-3478
    DOI 10.1002/eat.23326
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article ; Online: A Pilot Study Investigating the Feasibility and Acceptability of a Parent-Only Behavioral Weight-Loss Treatment for Children with Autism Spectrum Disorder.

    Matheson, Brittany E / Drahota, Amy / Boutelle, Kerri N

    Journal of autism and developmental disorders

    2019  Volume 49, Issue 11, Page(s) 4488–4497

    Abstract: Evidence-based weight-loss treatments for children with autism spectrum disorder (ASD) are lacking. Therefore, a parent-based weight-loss treatment for children with ASD (PBT-ASD) was developed. A pilot study was conducted to test the initial efficacy, ... ...

    Abstract Evidence-based weight-loss treatments for children with autism spectrum disorder (ASD) are lacking. Therefore, a parent-based weight-loss treatment for children with ASD (PBT-ASD) was developed. A pilot study was conducted to test the initial efficacy, feasibility, and acceptability of this intervention. Parents of 20 children with ASD and overweight/obesity (mean age = 9.90 (SD = 2.31) years; 90% male; 40% Hispanic) participated in a 16-session PBT-ASD. The PBT-ASD program was found to be feasible and acceptable. Both children and parents lost weight from pre- to post-treatment (p's < .05). Parent-reported child physical activity and vegetable consumption increased at post-treatment (p's < .05). This pilot study provides a proof-of-concept for PBT-ASD. Randomized controlled trials with larger samples and follow-up are needed.
    MeSH term(s) Adolescent ; Adult ; Autism Spectrum Disorder/complications ; Autism Spectrum Disorder/therapy ; Behavior Therapy/methods ; Body Weight ; Child ; Child, Preschool ; Eating ; Exercise ; Feasibility Studies ; Female ; Humans ; Male ; Obesity/complications ; Obesity/therapy ; Overweight/complications ; Overweight/therapy ; Parents/psychology ; Patient Acceptance of Health Care ; Pilot Projects ; Treatment Outcome ; Weight Loss
    Language English
    Publishing date 2019-08-14
    Publishing country United States
    Document type Clinical Trial ; Journal Article
    ZDB-ID 391999-7
    ISSN 1573-3432 ; 0162-3257
    ISSN (online) 1573-3432
    ISSN 0162-3257
    DOI 10.1007/s10803-019-04178-8
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