Level of family involvement as a predictor of outcome in eating disorder patients with and without provisional PTSD during residential treatment.

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Title: Level of family involvement as a predictor of outcome in eating disorder patients with and without provisional PTSD during residential treatment.
Authors: Brewerton, Timothy D. (AUTHOR), Suro, Giulia (AUTHOR), Gavidia, Ismael (AUTHOR), Perlman, Molly M. (AUTHOR)
Source: Eating Disorders. Mar/Apr2026, Vol. 34 Issue 2, p176-190. 15p.
Subjects: Treatment of eating disorders, Post-traumatic stress disorder, Pearson correlation (Statistics), Age of onset, Body mass index, Questionnaires, Family roles, Descriptive statistics, Multivariate analysis, Analysis of covariance, Chi-squared test, Severity of illness index, Anxiety, Eating disorders, State-Trait Anxiety Inventory, Research, Analysis of variance, Quality of life, Family support, Data analysis software, Psychological tests, Residential care, Mental depression, Adults
Abstract: Objective: Family involvement (FI) in the treatment of eating disorders (EDs) is critical for children/adolescents, yet its role during residential treatment (RT) in adults is uncharted. PTSD may play a role in influencing FI but is also unexplored. Method: We examined the role of FI in 2786 ED patients (89% F) admitted to RT with and without provisional PTSD. At discharge, staff rated the degree of FI as follows: 1) Not at all; 2) Slightly/somewhat; 3) Very much/extremely. Changes in ED, depression, anxiety, PTSD, and quality of life measures from admission to discharge were examined via multivariate analyses of covariance using degree of FI as an independent variable and age, gender, admission BMI, age of ED onset, and baseline symptom levels as covariates. Results: Patients with the highest FI were the youngest, had the lowest BMIs and the oldest ages of ED onset. Rates of provisional PTSD were greatest in individuals with no FI and least in those with the highest FI. Those with no FI did significantly worse on all measures than those with higher levels of FI. Conclusion: FI is an important component in ED treatment of adults in RT and is especially needed in patients with PTSD. [ABSTRACT FROM AUTHOR]
Copyright of Eating Disorders is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Label: Title
  Group: Ti
  Data: Level of family involvement as a predictor of outcome in eating disorder patients with and without provisional PTSD during residential treatment.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Brewerton%2C+Timothy+D%2E%22">Brewerton, Timothy D.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Suro%2C+Giulia%22">Suro, Giulia</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gavidia%2C+Ismael%22">Gavidia, Ismael</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Perlman%2C+Molly+M%2E%22">Perlman, Molly M.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Eating+Disorders%22">Eating Disorders</searchLink>. Mar/Apr2026, Vol. 34 Issue 2, p176-190. 15p.
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  Data: <searchLink fieldCode="DE" term="%22Treatment+of+eating+disorders%22">Treatment of eating disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Post-traumatic+stress+disorder%22">Post-traumatic stress disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Pearson+correlation+%28Statistics%29%22">Pearson correlation (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Age+of+onset%22">Age of onset</searchLink><br /><searchLink fieldCode="DE" term="%22Body+mass+index%22">Body mass index</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Family+roles%22">Family roles</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Multivariate+analysis%22">Multivariate analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Analysis+of+covariance%22">Analysis of covariance</searchLink><br /><searchLink fieldCode="DE" term="%22Chi-squared+test%22">Chi-squared test</searchLink><br /><searchLink fieldCode="DE" term="%22Severity+of+illness+index%22">Severity of illness index</searchLink><br /><searchLink fieldCode="DE" term="%22Anxiety%22">Anxiety</searchLink><br /><searchLink fieldCode="DE" term="%22Eating+disorders%22">Eating disorders</searchLink><br /><searchLink fieldCode="DE" term="%22State-Trait+Anxiety+Inventory%22">State-Trait Anxiety Inventory</searchLink><br /><searchLink fieldCode="DE" term="%22Research%22">Research</searchLink><br /><searchLink fieldCode="DE" term="%22Analysis+of+variance%22">Analysis of variance</searchLink><br /><searchLink fieldCode="DE" term="%22Quality+of+life%22">Quality of life</searchLink><br /><searchLink fieldCode="DE" term="%22Family+support%22">Family support</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+tests%22">Psychological tests</searchLink><br /><searchLink fieldCode="DE" term="%22Residential+care%22">Residential care</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Adults%22">Adults</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: Family involvement (FI) in the treatment of eating disorders (EDs) is critical for children/adolescents, yet its role during residential treatment (RT) in adults is uncharted. PTSD may play a role in influencing FI but is also unexplored. Method: We examined the role of FI in 2786 ED patients (89% F) admitted to RT with and without provisional PTSD. At discharge, staff rated the degree of FI as follows: 1) Not at all; 2) Slightly/somewhat; 3) Very much/extremely. Changes in ED, depression, anxiety, PTSD, and quality of life measures from admission to discharge were examined via multivariate analyses of covariance using degree of FI as an independent variable and age, gender, admission BMI, age of ED onset, and baseline symptom levels as covariates. Results: Patients with the highest FI were the youngest, had the lowest BMIs and the oldest ages of ED onset. Rates of provisional PTSD were greatest in individuals with no FI and least in those with the highest FI. Those with no FI did significantly worse on all measures than those with higher levels of FI. Conclusion: FI is an important component in ED treatment of adults in RT and is especially needed in patients with PTSD. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Eating Disorders is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/10640266.2025.2460290
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 15
        StartPage: 176
    Subjects:
      – SubjectFull: Treatment of eating disorders
        Type: general
      – SubjectFull: Post-traumatic stress disorder
        Type: general
      – SubjectFull: Pearson correlation (Statistics)
        Type: general
      – SubjectFull: Age of onset
        Type: general
      – SubjectFull: Body mass index
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Family roles
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Multivariate analysis
        Type: general
      – SubjectFull: Analysis of covariance
        Type: general
      – SubjectFull: Chi-squared test
        Type: general
      – SubjectFull: Severity of illness index
        Type: general
      – SubjectFull: Anxiety
        Type: general
      – SubjectFull: Eating disorders
        Type: general
      – SubjectFull: State-Trait Anxiety Inventory
        Type: general
      – SubjectFull: Research
        Type: general
      – SubjectFull: Analysis of variance
        Type: general
      – SubjectFull: Quality of life
        Type: general
      – SubjectFull: Family support
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Psychological tests
        Type: general
      – SubjectFull: Residential care
        Type: general
      – SubjectFull: Mental depression
        Type: general
      – SubjectFull: Adults
        Type: general
    Titles:
      – TitleFull: Level of family involvement as a predictor of outcome in eating disorder patients with and without provisional PTSD during residential treatment.
        Type: main
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            NameFull: Brewerton, Timothy D.
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            NameFull: Suro, Giulia
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            NameFull: Gavidia, Ismael
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            NameFull: Perlman, Molly M.
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            – D: 01
              M: 03
              Text: Mar/Apr2026
              Type: published
              Y: 2026
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              Value: 34
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            – TitleFull: Eating Disorders
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