Lillan Halsaa

• Wergeland, Gro Janne Henningsen; Ghaderi, Ata; Fjermestad, Krister Westlye; Enebrink, Pia; Halsaa, Lillan & Njardvik, Urdur [Show all 9 contributors for this article] (2024). Family therapy and cognitive behavior therapy for eating disorders in children and adolescents in routine clinical care: a systematic review and meta-analysis. European Child and Adolescent Psychiatry. ISSN 1018-8827. doi: 10.1007/s00787-024-02544-1. Full text in Research Archive Show summary

  Family therapy for eating disorders (ED) is well-established and represents the treatment choice for ED in children and adolescents according to guidelines, with cognitive behavior therapy (CBT) as a second line treatment. There is limited knowledge about how these treatments work in routine clinical care. The goal of the present meta-analysis is to investigate the effectiveness of family therapy and CBT for various EDs in children and adolescents when carried out in routine clinical care. Ovid MEDLINE, Embase OVID, and PsycINFO were searched for articles published until December 2023. The outcome of family therapy and CBT, methodological quality, risk of bias, and moderators of treatment outcome were examined and benchmarked by meta-analytically comparing with ED efficacy studies. Forty-four effectiveness studies comprising 3251 family therapy or CBT patients were included. Large to very large within-group effect sizes (ES) were found for ED-psychopathology (0.80) and weight measures for AN (1.64) at post treatment. The attrition rate was 15%. Risk of bias was considerable. Moderate to large ES were found for family therapy and CBT, respectively. The benchmarking analysis showed that effectiveness studies had comparable ESs to efficacy studies (0.80 and 0.84 for the ED-psychopathology at post treatment). The findings support family therapy and CBT for ED in children and adolescents as effective treatments when delivered in routine clinical care, with effects comparable with those found in efficacy studies. The evidence needs to be interpreted with caution because of the risk of bias in a high proportion of studies.PROSPERO [CRD42023441794].

• Kommisrud, Kristin; Söderström, Kerstin; Halsaa, Lillan & Halsa, Astrid Dagmar (2019). ”Jeg er ikke noe offer for mamma”: Ungdoms søken etter mening og sammenheng i dobbeltrollen som pårørende og BUP-pasient. Fokus på familien/ Nordisk tidsskrift for familie- og relasjonsarbeid. ISSN 0332-5415. 47(2), p. 82–101. doi: 10.18261/issn.0807-7487-2019-02-02. Full text in Research Archive Show summary

  Artikkelen tar utgangspunkt i unge jenters erfaringer som pasient i psykisk helsevern,samtidig som de har en forelder med rus- eller psykisk lidelse. Fokuset er på deres selv-narrativer, og hvilken forståelse de har av hvordan foreldrenes vansker påvirker det deselv strever med. En kvalitativ intervjustudie med ni unge jenter i denne doble rollensom pasient og pårørende, viser at de forstår egne vansker som forårsaket av ytre psyko-sosiale belastninger, men at de ikke nødvendigvis ser en sammenheng mellom egne ogforeldrenes vansker. Funnene viser kompliserte relasjons- og identitetsprosesser hvorinformantene formidler fortellinger som ivaretar familierelasjoner, gir mening og sam-menheng og en positiv identitet. Vi mener å se at fortellingene er påvirket av hvordanforeldre har forholdt seg til belastningene, hvordan ungdommene har blitt hjulpet, og avde overordnede kulturelle narrativene om familieliv, normalitet og psykisk sykdom. Nøkkelord: psykisk helsevern, barn som pårørende, foreldre med rus-/psykiske lidelser, sense of coherence, narrative, familiefokusert praksis.

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