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在青少年神经性厌食症治疗密集日程治疗期间的变化过程:对青少年和家长观点的二次面试分析
Amy Colla1,2, Julian Baudinet3,4, Penny Cavenagh1,5
1School of Health and Social Care, University of Essex, Colchester, United Kingdom.
Frontiers in psychology
|August 28, 2023
概括
青少年神经性厌食症 (AN) 日间课程帮助家庭与工作人员和同龄人建立联系,提供结构和教学生活技能. 成功的治疗包括整合这些元素,尽管缺失的组件可能会阻碍青少年饮食障碍恢复的进展.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 家庭治疗 家庭治疗
背景情况:
- 日间课程为青少年神经性厌食症 (AN) 提供了住院护理的替代方案.
- 了解AN治疗中的变化过程至关重要.
- 本研究从参与者的角度探讨了青少年AN日间课程中有用和不有用的因素.
研究的目的:
- 探索青少年和家长对有帮助和无助因素的看法,在神经性厌食症治疗的日间方案治疗期间.
- 了解在密集型日间治疗机构中家庭所经历的变化过程.
主要方法:
- 使用批判现实主义范式进行定性研究.
- 16名参与者 (7名青少年-家长二元组) 来自密集治疗计划 (ITP).
- 双向面试分析 (DIA) 和青少年和家长叙述的感应主题分析.
主要成果:
- 家庭与工作人员,同龄人以及彼此联系在一起,培养归属感.
- 计划的结构和权力提供了控制,有助于遵守治疗.
- 参与者将学到的技能推广到与食物相关的问题之外,促进更广泛的生活变化.
- 连接,制和技能泛化等相互关联的主题产生了希望和变化.
结论:
- 这些发现与认识论信任的概念和治疗变化中的心态化相一致.
- 治疗强度,制,同行支持和家庭动态至关重要.
- 考虑疾病特异性因素和家庭成员的潜在创伤对于综合护理很重要.
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