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基于家庭的青少年神经性厌食症治疗中家庭餐会话中父母策略的使用:与治疗结果的关联。

Parental strategies used in the family meal session of family-based treatment for adolescent anorexia nervosa: Links with treatment outcomes.

机构信息

Loughborough University Centre for Research into Eating Disorders, Loughborough University, Loughborough, UK.

Eating Disorder Service, The Children's Hospital, Westmead, Sydney, Australia.

出版信息

Int J Eat Disord. 2017 Apr;50(4):433-436. doi: 10.1002/eat.22647. Epub 2016 Nov 7.

DOI:10.1002/eat.22647
PMID:28393398
Abstract

OBJECTIVE

Examine relationships between parental mealtime strategies used in the family meal session of family-based treatment (FBT) and adolescent outcomes at EOT (session 20).

METHOD

Eighteen families with an adolescent receiving FBT-AN participated. Parental strategies during videoed family meals were assessed using a family mealtime coding system. Change scores were calculated for both adolescent %EBW and EDE scores.

RESULTS

Increased use of parental direct and non-direct eating prompts during the family meal was associated with greater adolescent weight gain at EOT. Use of parental mealtime strategies was not associated with any significant change in adolescent eating psychopathology at EOT.

DISCUSSION

Parental verbal eating prompts during the family meal may be effective in promoting short-term weight gain. During the family meal session, parents should be encouraged to maintain a direct focus on their adolescent child's eating behaviour which may assist their child with food consumption and potential weight gain. Further research examining food-based interactions among parents and their adolescent child with AN is needed. © 2016 Wiley Periodicals, Inc.(Int J Eat Disord 2017; 50:433-436).

摘要

目的

探讨家庭治疗(FBT)中家庭餐会话中父母用餐策略与治疗结束时(第 20 次治疗)青少年结果之间的关系。

方法

18 个接受 FBT-AN 的青少年家庭参与了本研究。使用家庭用餐编码系统评估了视频记录的家庭用餐中父母的策略。青少年 %EBW 和 EDE 评分的变化分数也被计算出来。

结果

家庭用餐时父母直接和非直接的饮食提示使用增加与治疗结束时青少年体重增加有关。在治疗结束时,父母使用的用餐策略与青少年饮食心理病理学的任何显著变化都没有关系。

讨论

家庭用餐时父母的口头饮食提示可能在促进短期体重增加方面有效。在家庭用餐期间,应鼓励父母直接关注其青少年孩子的饮食行为,这可能有助于孩子进食和潜在的体重增加。需要进一步研究父母和患有 AN 的青少年之间基于食物的相互作用。© 2016 威利父子出版公司(国际饮食失调杂志 2017 年;50:433-436)。

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