Dept. of Psychology, Laurentian University, Sudbury, Ontario, Canada.
Eur Eat Disord Rev. 2013 Mar;21(2):108-14. doi: 10.1002/erv.2180. Epub 2012 May 3.
Family-based therapy is regarded as best practice for the treatment of eating disorders in adolescents. In family-based therapy, parents play a vital role in bringing their child or adolescent to health; however, little is known about the parent-related mechanisms of change throughout treatment. The present study examines parent and adolescent outcomes of family-based therapy as well as the role of parental self-efficacy in relation to adolescent eating disorder, depressed mood and anxiety symptoms. Forty-nine adolescents and their parents completed a series of measures at assessment, at 3-month post-assessment and at 6-month follow-up. Results indicate that, throughout treatment, parents experienced an increase in self-efficacy and adolescents experienced a reduction in symptoms. Maternal and paternal self-efficacy scores also predicted adolescent outcomes throughout treatment. These results are consistent with the philosophy of the family-based therapy model and add to the literature on possible mechanisms of change in the context of family-based therapy.
家庭为基础的治疗被认为是治疗青少年饮食失调的最佳实践。在家庭为基础的治疗中，父母在使孩子或青少年恢复健康方面发挥着至关重要的作用；然而，在整个治疗过程中，人们对与父母相关的变化机制知之甚少。本研究考察了家庭为基础的治疗的父母和青少年的结果，以及父母自我效能感与青少年饮食失调、抑郁情绪和焦虑症状的关系。49 名青少年及其父母在评估时、治疗后 3 个月和 6 个月随访时完成了一系列评估。结果表明，在整个治疗过程中，父母的自我效能感增强，青少年的症状减轻。母亲和父亲的自我效能感评分也预测了整个治疗过程中青少年的结果。这些结果与家庭为基础的治疗模式的理念一致，并为家庭为基础的治疗背景下可能的变化机制提供了文献依据。
