{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T13:05:26Z","timestamp":1770469526296,"version":"3.49.0"},"reference-count":41,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,1,7]],"date-time":"2025-01-07T00:00:00Z","timestamp":1736208000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Euro Eating Disorders Rev"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Family\u2010based treatment (FBT) is promising for treating adolescents with anorexia nervosa, but long\u2010term remission rates are modest. Home treatment (HT) as a supplement to FBT aims to enhance sustainability and effectiveness by supporting recovery within the family. This study compares the cost\u2010effectiveness of FBT alone versus FBT with additional HT for adolescents with anorexia nervosa.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>This cost\u2010effectiveness analysis is based on a non\u2010randomized pilot study, which examined the effectiveness of HT for adolescents with anorexia nervosa, disregarding the financial aspects. HT involved therapeutic interventions delivered in the patient's home environment, while FBT involved structured therapy sessions at the psychiatric clinic. Data from 61 patients were analysed, with 40 receiving FBT\u00a0+\u00a0HT and 21 receiving FBT only. Costs included FBT sessions, HT sessions, and inpatient treatment. Effectiveness was measured by weight restoration at thresholds of expected body weight (EBW)\u00a0&gt;\u00a085% and EBW\u00a0&gt;\u00a095%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>FBT\u00a0+\u00a0HT promoted greater weight restoration within three months compared to FBT alone (70% vs. 52% at EBW\u00a0&gt;\u00a085%; 38% vs. 29% at EBW\u00a0&gt;\u00a095%). FBT\u00a0+\u00a0HT was more cost\u2010effective, with lower average costs per patient meeting weight restoration criteria (8243 vs. 20,446 Swiss francs at EBW\u00a0&gt;\u00a085%; 15,387 vs. 37,485 Swiss francs at EBW\u00a0&gt;\u00a095%). Inpatient treatment accounted for most of the cost, with FBT\u00a0+\u00a0HT reducing hospitalisation needs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>FBT with additional HT is a more cost\u2010effective treatment for adolescents with anorexia nervosa. Although the cost\u2010effectiveness index was relatively high, effective treatment could reduce the long\u2010term burdens of this disorder. Larger long\u2010term studies are needed to validate these findings and assess sustained cost\u2010effectiveness.<\/jats:p><\/jats:sec>","DOI":"10.1002\/erv.3170","type":"journal-article","created":{"date-parts":[[2025,1,8]],"date-time":"2025-01-08T07:20:26Z","timestamp":1736320826000},"page":"608-615","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Cost\u2010Effectiveness Analysis of Family\u2010Based Treatment With Additional Home Treatment for Adolescent Anorexia Nervosa"],"prefix":"10.1002","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-0363-0716","authenticated-orcid":false,"given":"Lena Maria","family":"Mayr","sequence":"first","affiliation":[{"name":"Department of Child and Adolescent Psychiatry University of Zurich  Zurich Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole","family":"Besse\u2010Fl\u00fctsch","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry University of Zurich  Zurich Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lukasz","family":"Smigielski","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry University of Zurich  Zurich Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susanne","family":"Walitza","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry University of Zurich  Zurich Switzerland"},{"name":"Neuroscience Center Zurich Swiss Federal Institute of Technology and University of Zurich  Zurich Switzerland"},{"name":"Zurich Center for Integrative Human Physiology University of Zurich  Zurich Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dagmar","family":"Pauli","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry University of Zurich  Zurich Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,1,7]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2014.02.006"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.24252"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337\u2010023\u201000861\u20105"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1024\/1422\u20104917\/a000267"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1024\/1422\u20104917\/a000377"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-662-58418-7_48"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.107.036806"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20309"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920\u2010014\u20100454\u2010z"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.10258"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12939\u2010022\u201001804\u20103"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006842\u2010199401000\u201000003"},{"key":"e_1_2_8_14_1","first-page":"268","article-title":"Hinweise zur Behandlung im h\u00e4uslichen Milieu (Hometreatment)","volume":"13","author":"Eisert M.","year":"1985","journal-title":"Zeitschrift f\u00fcr Kinder\u2010 und Jugendpsychiatrie und Psychotherapie"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/2050\u20102974\u20101\u201012"},{"issue":"5","key":"e_1_2_8_16_1","article-title":"Family Therapy Approaches for Anorexia Nervosa","volume":"5","author":"Fisher C. 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