Modifications to Enhance Outcomes of Family-Based Treatment for Anorexia Nervosa: A Scoping Review
Round 1
Reviewer 1 Report
Comments and Suggestions for AuthorsThis is a very important topic and I am impressed by the work the authors have done. It is so important to keep looking for ways to improve outcomes for those with eating disorders and their families.
The introduction could be improved by adding to the one sentence in line #s 42 and 43. It is best to avoid one sentence paragraphs. The range of 28% to 50% recovery rate at end of treatment needs more explanation. The findings of specific studies will be helpful here.
The objective of the study as stated in line #s 53 to 55 is very clear.
The Methods section is very strong offering details of the inclusion and exclusion criteria.
The Results section is also very good. Figure 1, the prisma flow diagram, is very helpful. Table 1, the overview of included studies, is also very clear.
The sections describing the types of modifications of FBT are succinct and well-written. It's good to know that teleconferencing can be very useful. I commend the authors for examining 12 different modifications.
In Line #130 not sure what is meant by "uptake." Is "delivery" a better word?
In line #160, not sure what is meant by "apartment"
Line #206, "thorough" should be "through"
Line #268, "Study found" should be "This study found"
Line # 276, "which" should be "whom"
Line #s 297-298 needs to be a complete sentence.
Line #413 is a one-sentence paragraph and is better attached to the previous paragraph.
The Summing Up paragraph on page 11 is especially important as an overview, especially due to the previous level of detail.
I would consider reordering paragraphs at the end of the article. The last 2 paragraphs in the Discussion section are better placed in the Conclusion, after the existing concluding paragraph.
Overall, very strong work.
Comments on the Quality of English LanguageNo problem here.
Author Response
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Author Response File: 
Author Response.pdf
Reviewer 2 Report
Comments and Suggestions for AuthorsAnorexia nervosa is one common psychiatric disorder among adolescence, which often causes many problems for both young people and their parents. Family-based treatment is often used to treat anorexia nervosa. This method has significantly improved the anorexia nervosa to achieve the recovery. However, this method still has limitation due to the relative low recovery rates. Therefore, different treatments are required to strive to elevate the recovery rates. Modifications to family-based treatment have been developed and tested recently, which shows potentials to increase the recovery rates. However, reviews focusing on whether related modifications can the recovery percentage are still not reported yet. Authors in this manuscript searched current literatures related to such modifications to provide updated overview on empirically tested modifications to family-based treatment for anorexia nervosa in young people. Authors filtered publications to narrow down the theme, very focusing on recovery results of modifications. Inclusion criteria and exclusion criteria were employed to choose published studies for this review manuscript. This manuscript can provide valuable information in treatment of anorexia nervosa. After reading through this review, from my own perspective, I think it is organized and written well. English is also good, and there is no problem found. It can be accepted for publication after minor revisions. Below are my comments.
1. In Figure 1, these words including “included”, “identification”, and “screening” are not looking good, and some letters are not intact. Adjust them to make more normal.
2. For Table 1, I think line spacing between sentences is too big, making the table look inaesthetic. Besides, such big line spacing makes the table oversized.
3. lines 136-138, this sentence is not easily understandable.
Author Response
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Author Response File: Author Response.pdf
Reviewer 3 Report
Comments and Suggestions for AuthorsThe manuscript by Pedersen SH and co-authors provides an updated review of a number of modifications to the standard family-based treatment (FBT) of anorexia nervosa (AN). The manuscript also reviews the differences in the outcome of such modifications compared to the standard FBT. The manuscript identifies that certain modifications do achieve a better outcome compared to the standard FBT. The manuscript is well written covering the relevant literature reports and gives an updated overview of the effectiveness of various modifications of FBT.
Author Response
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Author Response File: Author Response.pdf
