Eating Disorders Research Unit, King's College London, UK.
Eur Eat Disord Rev. 2012 Jan;20(1):e17-22. doi: 10.1002/erv.1075. Epub 2011 Jul 6.
Carers of people with eating disorders are uncertain about how best to help and express the need for information. Fifty per cent of carers (usually parents) exhibit clinically significant anxiety and/or depression. This may result from a difficulty coping with the manifestations of anorexia nervosa (AN) in the sufferer. In turn, eating disorder symptoms can be maintained by family reactions to the illness. Thus, carer's own symptoms, plus their uncertainty about how to help, impinge upon the AN sufferer, exacerbating their symptoms and behaviours. In this paper, we describe an intervention which uses cognitive behavioural therapy principles to alleviate carer's depression and anxiety and motivational interviewing to target behaviours that maintain eating disorder symptoms, for example high expressed emotion and poor communication. This is given in the form of an educational workshop for two families.
照顾进食障碍患者的人不确定如何最好地提供帮助并表达对信息的需求。百分之五十的照顾者(通常是父母)表现出明显的焦虑和/或抑郁。这可能是由于难以应对患者神经性厌食症(AN)的表现。反过来,进食障碍症状可能会因家庭对疾病的反应而持续存在。因此,照顾者自身的症状以及他们对如何帮助的不确定性,会对 AN 患者产生影响,使他们的症状和行为恶化。在本文中,我们描述了一种干预措施,该措施使用认知行为治疗原则来减轻照顾者的抑郁和焦虑,并使用动机性访谈来针对维持进食障碍症状的行为,例如高表达情绪和沟通不良。这是以两个家庭教育工作坊的形式提供的。