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Fifty\u2010four female adolescents and their parents, treated with family\u2010based treatment after inpatient admission, and 49 non\u2010clinical age\u2010matched adolescents and their parents were compared at assessment and 6\u00a0months after session 20. At baseline, AN group mothers and fathers reported poorer family function. AN adolescents were notably similar to controls, reporting poorer function in only one domain. There were no changes for adolescents, an improvement for mothers in the AN group, but an increase in perceived impairment for fathers in both groups, with AN fathers more affected. The similarity in adolescent reports and the increase for fathers over time may indicate that normal adolescent family processes occur even in the midst of serious illness. There is a need to provide intervention to ameliorate the impact of treatment on parents. 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