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January 18, 2026European Eating Disorders Review0 citationsOpen Access

Effectiveness of Family Intervention Programs Based on the Interpersonal Cognitive Model of Anorexia: Systematic Review and Meta‐Analysis

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YMYOLANDA QUILES MARCOSAMALVARO RUIZ MACIÁSPSofía Payá‐López

Key Points

  • To investigate the effectiveness of family intervention programs based on the Interpersonal Cognitive Model for anorexia nervosa.
  • Systematic search of databases until December 2024
  • Meta-analysis of 15 identified studies
  • Evaluation of patient and carer outcomes
  • Comparison of intervention with control groups
  • Moderator analyses on intervention formats and patient age
  • No significant differences in BMI, eating disorder symptoms, or emotional well-being for patients
  • Carers showed significant improvements in emotional well-being and caregiving skills post-treatment
  • Benefits for carers were maintained at follow-up
  • Face-to-face format of intervention led to greater improvements in caregiving skills
  • Younger patients correlated with higher emotional well-being in carers

Abstract

ABSTRACT Introduction This paper aims to examine family intervention programs based on the Cognitive‐Interpersonal Maintenance Model of anorexia nervosa (AN) and their impact on patients and carers. Method A systematic search was undertaken across several databases through 20 December 2024 in accordance with Preferred Reporting Items for Systematic reviews and Meta‐Analyses. Results 15 studies were identified. Meta‐analyses of patient outcomes revealed no significant differences in BMI, eating disorder symptomatology, or emotional well‐being between intervention and control groups at post‐treatment or 12‐month follow‐up. In contrast, carers showed significant improvements in emotional well‐being and expressed emotion at post‐treatment, with benefits maintained at follow‐up, and enhanced caregiving skills. These family intervention programs yielded better results in the evaluated variables among carers compared to the other programs with which they were compared. Moderator analyses suggested that these interventions are more effective in improving caregiving skills if they are delivered in a face‐to‐face format and improve caregivers' emotional well‐being and accommodation to a greater extent when patients are younger. Conclusions The present findings highlight the positive impact of family intervention programs based on this model on carers, particularly in enhancing their emotional well‐being, expressed emotion and care skills. Future studies should continue to refine these programs to optimise benefits for all stakeholders involved.

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Cite This Study

MARCOS et al. (2026) studied this question.

synapsesocial.com/papers/696c7877eb60fb80d1396b88https://doi.org/10.1002/erv.70078
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