INSERM, U-669, PSIGIAM, Maison des Adolescents, 97 Boulevard de Port Royal, Paris, F-75679, France.
Appetite. 2012 Jun;58(3):1099-105. doi: 10.1016/j.appet.2012.02.045. Epub 2012 Feb 25.
Obesity in adolescence is a major public health issue. Family relationships have an important role, whether in the onset of the condition, its maintenance, or the way in which the problem is approached. Food and family relationships are two major elements in therapeutic care. The subject of the present study is the investigation of the place of food within family relationships among obese adolescents, so as to tailor care strategies. Twelve semi-structured interviews were conducted among adolescents presenting obesity and their parents. The investigation was qualitative, and used photo-elicitation. A photograph produced by the subject is used as the basis for narrative, and the verbal material obtained is analysed using Interpretative Phenomenological Analysis. The results can be categorised along two axes. The first describes the place of food in the one-to-one parent-child relationship; the second describes the organisation of the family group. This study evidenced two possible lines of approach in understanding the place of food in these families. There are major interrelations between food and relationships within the family, so that implications for therapy can be drawn: taking account of bonding between parent and child, and therapeutic orientation towards family functioning rather than towards individual eating patterns.
青少年肥胖是一个主要的公共卫生问题。家庭关系起着重要的作用，无论是在疾病的发生、维持，还是在解决问题的方式上。食物和家庭关系是治疗护理的两个主要因素。本研究的主题是调查肥胖青少年家庭关系中食物的位置，以便制定护理策略。对 12 名肥胖青少年及其父母进行了半结构化访谈。该研究采用定性方法，并使用照片诱发。由研究对象拍摄的一张照片被用作叙述的基础，然后使用解释现象学分析方法对获得的口头材料进行分析。结果可以沿着两个轴进行分类。第一个描述了食物在一对一的亲子关系中的位置；第二个描述了家庭群体的组织。这项研究证明了理解这些家庭中食物位置的两种可能方法。食物和家庭关系之间存在着重大的相互关系，因此可以为治疗提供依据：既要考虑到父母与孩子之间的联系，又要以家庭功能为治疗方向，而不是以个人的饮食模式为治疗方向。
