Parental engagement in an early intervention program for anorexia nervosa: a qualitative study

Area of Science:

• Psychiatry
• Clinical Psychology
• Family Therapy

Background:

• Anorexia nervosa (AN) is a severe, chronic condition necessitating early, effective interventions.
• Family involvement is vital for adolescent AN treatment, but early parental engagement dynamics are unclear.

Purpose of the Study:

• To explore the processes of parental involvement in early care for adolescents with AN.
• Investigate parental engagement within a family-based day program (EVAFAM).

Main Methods:

• Qualitative study utilizing semi-structured interviews.
• 15 parents (7 fathers, 8 mothers) of adolescents in the EVAFAM program were interviewed.

Main Results:

• Identified three engagement processes: parental grieving, active reconstruction into therapeutic partners, and relationship with the care framework.
• Engagement is fostered by knowledge and structure, yet challenged by emotional strain and uncertainty.
• Early intervention facilitates a shift from denial to active participation, indicating engagement is a progressive construction.

Conclusions:

• Understanding parental engagement trajectories informs tailored interventions for families of adolescents with AN.
• Key support levers include acknowledging emotional transitions, providing practical tools, and reinforcing institutional alliances.
• Enhancing family-centered care is crucial for adolescents with AN and their families.