作为个体和集体——青少年对进食障碍治疗的体验。
Being me and being us - adolescents' experiences of treatment for eating disorders.
机构信息
Psychiatric Research Centre, Faculty of Medicine and Health, Örebro University, SE-701 82 Örebro, Sweden.
出版信息
J Eat Disord. 2015 Mar 25;3:9. doi: 10.1186/s40337-015-0051-5. eCollection 2015.
BACKGROUND
This qualitative study addresses adolescents' perception of treatment for eating disorders. The importance of involving parents in treatment of young people with eating disorders, especially young people with Anorexia Nervosa, is emphasized in a number of studies. Even so, this form of treatment does not work for everybody, not even within a limited diagnostic group. Previous research has revealed that many young people are not entirely satisfied with their treatment. However, there is a lack of knowledge concerning the perspectives of adolescents in outpatient treatment, whose treatment often involves family. The aim of the present study was to investigate how young people with experience from adolescent outpatient treatment for eating disorders, involving family-based and individual based interventions, perceive their time in treatment.
METHODS
This study was conducted using a hermeneutic phenomenological approach. Fifteen participants were recruited in collaboration with four specialized eating disorder units and interviewed with the purpose to gather narratives.
RESULTS
The analysis revealed that the adolescents sometimes felt more or less forced into treatment, and strong ambivalent feelings about if and how to participate in treatment permeated the adolescents' narratives. The common factors which emerged in the narratives were assembled under the two major themes: Having to involve family in treatment - in one way or another and Making progress in treatment - a matter of trust.
CONCLUSIONS
It is of great importance to involve family in treatment in order to understand the problems of the adolescents in their context and be able to take advantage of the resource that parents constitute. However, in certain situations, it is necessary to prioritise individual treatment interventions so that instead of sorting out difficult family situations the therapist focuses on enhancing the young people's resilience, thus enabling them to tackle problematic situations in life.
背景
本定性研究探讨了青少年对饮食失调治疗的看法。许多研究强调了让父母参与治疗青少年饮食失调的重要性，尤其是患有神经性厌食症的青少年。即便如此，这种治疗形式并非对每个人都有效，即使在有限的诊断群体中也是如此。先前的研究表明，许多年轻人对自己的治疗并不完全满意。然而，对于接受涉及家庭的门诊治疗的青少年的观点缺乏了解，他们的治疗通常涉及家庭。本研究旨在调查有过涉及家庭为基础和个体为基础干预的青少年门诊饮食失调治疗经历的年轻人如何看待自己的治疗时间。
方法
本研究采用了一种诠释现象学的方法。通过与四个专门的饮食失调单位合作，招募了 15 名参与者进行访谈，以收集叙述。
结果
分析显示，青少年有时会感到或多或少被迫接受治疗，对是否以及如何参与治疗的强烈矛盾情绪贯穿于青少年的叙述中。叙述中出现的共同因素被归纳为两个主要主题：以某种方式让家人参与治疗和在治疗中取得进展——信任的问题。
结论
为了了解青少年在其背景下的问题并利用父母构成的资源，让家人参与治疗是非常重要的。然而，在某些情况下，必须优先考虑个体治疗干预，以便治疗师专注于增强年轻人的适应能力，从而使他们能够应对生活中的问题情况，而不是解决困难的家庭情况。
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