Thomson Samuel, Marriott Michael, Telford Katherine, Law Hou, McLaughlin Jo, Sayal Kapil
1Nottinghamshire Healthcare NHS Trust, UK.
Clin Child Psychol Psychiatry. 2014 Jan;19(1):43-57. doi: 10.1177/1359104512465741. Epub 2012 Dec 3.
Adolescents with anorexia nervosa rarely present themselves as having a problem and are usually reliant on parents to recognise the problem and facilitate help-seeking. This study aimed to investigate parents' experiences of recognising that their child had an eating problem and deciding to seek help.
A qualitative study with interpretative phenomenological analysis applied to semi-structured interviews with eight parents of adolescents with a diagnosis of anorexia nervosa.
Parents commonly attributed early signs of anorexia nervosa to normal adolescent development and they expected weight loss to be short-lived. As parents' suspicions grew, close monitoring exposing their child's secretive attempts to lose weight and the use of internet searches aided parental recognition of the problem. They avoided using the term anorexia as it made the problem seem 'real'. Following serial unsuccessful attempts to effect change, parental fear for their child's life triggered a desire for professional help.
Parents require early advice and support to confirm their suspicions that their child might have anorexia nervosa. Since parents commonly approach the internet for guidance, improving awareness of useful and accurate websites could reduce delays in help-seeking.
神经性厌食症青少年很少主动表明自己存在问题,通常依赖父母来识别问题并促使其寻求帮助。本研究旨在调查父母识别孩子存在饮食问题并决定寻求帮助的经历。
一项定性研究,采用解释现象学分析方法,对八名被诊断为神经性厌食症青少年的父母进行半结构式访谈。
父母通常将神经性厌食症的早期迹象归因于青少年的正常发育,他们预期体重减轻是短暂的。随着父母怀疑的增加,密切监测发现孩子秘密减肥的行为,以及利用互联网搜索,有助于父母识别问题。他们避免使用“厌食症”这个词,因为这会让问题显得“真实”。在一系列改变孩子行为的尝试失败后,父母对孩子生命的担忧引发了寻求专业帮助的愿望。
父母需要早期的建议和支持,以确认他们对孩子可能患有神经性厌食症的怀疑。由于父母通常会通过互联网寻求指导,提高对有用且准确网站的认知可以减少寻求帮助的延迟。