Mediators and Moderator of treatment

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Moderator of Treatment

Mediator and moderator of treatment analyses are a crucial step in the development of augmentation to family-based therapies. The study helps understand for whom the intervention and under what situations do the San Antonio wound care specialists treatments have different effects.

The moderator of treatment analysis also determines why and how to exert their impacts. The illumination of moderators and mediators is an ongoing evolution of family-based therapies. Some randomized trials have executed moderator and mediator analyses regarding adolescent eating disorders and have shown significant benefits. 

Eating Disorder Severity 

The Body Mass Index has been regarded as a reliable indicator of treatment outcome in many eating disorder presentations. However, the cognitive severity of ED presentations is equally crucial in identifying the treatment outcomes in family-based therapies. For example, in specific research, behavioral and cognitive symptomatology at baseline projected the development of family-based treatment for Bulimia nervosa. In an additional study of the role of cognitive symptomatology in children with Anorexia nervosa, the results showed that eating-related obesity moderates weight-based results. 

Psychiatric Comorbidity 

The occurrence of comorbid symptomatology in the entire family-based therapy has been shown to have adverse effects on the overall treatment results. For example,  psychiatric comorbidity in family-based treatment has been linked with higher rates of treatment dropout and poor overall outcomes in some studies, according to Murray & Le Grange (2014). Apart from patient comorbidity, the main focus on empowering parental input throughout the treatment course makes parental comorbidity influential in family-based therapy, mainly if ED symptomatology occurs in the parents. 

Early Treatment response

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According to San Antonio wound care specialists, the first three to six weeks of treatment are an essential window for the individuals undergoing family-based therapies. Progress during these initial stages effectively predicts the overall outcome of the treatment technique. For example, for adolescents with ED, early progress shown by gaining about 3% of the expected weight after a few sessions can comprehensively indicate the family-based therapy’s overall outcome. Therefore, this window may have a specific point to assess the treatment to help guide clinical thinking regarding the potential of augmentative techniques. 

Therapeutic and Collegial Alliance

Despite the difficulty in nurturing family-based therapies and the continued amplification of parental role in the treatment course, a confounding relationship between the family-based therapy clinicians and parents is seen in the entire treatment process. However, different results emerge in identifying the extent to which outcome is affected by the therapeutic alliance. Even though a robust therapeutic association is characterized by early treatment and reduced dropout levels, the strong relationship alone is not enough to bring about full symptoms remission and gives no link to sustained illness remission at the end of the treatment course. 

Many studies have highlighted that family-based intervention is crucial in treating eating disorders in children and adolescents. These therapies can be modified to meet the needs of every individual. Emphasis needs to be put on the ways of implementing the intervention. Despite it being an effective treatment method, it only works when it is implemented comprehensively. The treatment will only work when the family members are committed to following the therapists’ guidelines.

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