Eating Disorder Service, The Sydney Children's Hospital Network, Australia.
School of Psychology, The University of Sydney, Australia.
Eur Eat Disord Rev. 2018 Jan;26(1):29-37. doi: 10.1002/erv.2562. Epub 2017 Oct 16.
This longitudinal study explored family functioning and relationship quality for adolescents with severe anorexia nervosa (AN). An important outcome given healthy family functioning supports effective adolescent development. Fifty-four female adolescents and their parents, treated with family-based treatment after inpatient admission, and 49 non-clinical age-matched adolescents and their parents were compared at assessment and 6 months after session 20. At baseline, AN group mothers and fathers reported poorer family function. AN adolescents were notably similar to controls, reporting poorer function in only one domain. There were no changes for adolescents, an improvement for mothers in the AN group, but an increase in perceived impairment for fathers in both groups, with AN fathers more affected. The similarity in adolescent reports and the increase for fathers over time may indicate that normal adolescent family processes occur even in the midst of serious illness. There is a need to provide intervention to ameliorate the impact of treatment on parents. Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association.
本纵向研究探讨了患有严重厌食症（AN）的青少年的家庭功能和关系质量。鉴于健康的家庭功能支持有效的青少年发展，这是一个重要的结果。54 名女性青少年及其父母在住院治疗后接受家庭为基础的治疗，并与 49 名非临床年龄匹配的青少年及其父母在评估时和第 20 次治疗结束后 6 个月进行了比较。在基线时，AN 组的母亲和父亲报告家庭功能较差。AN 青少年与对照组非常相似，仅在一个领域报告功能较差。青少年没有变化，AN 组的母亲有所改善，但两组的父亲感知功能障碍增加，AN 组的父亲受影响更大。青少年的报告相似，随着时间的推移父亲的报告增加，这可能表明即使在严重疾病中，正常的青少年家庭过程也会发生。需要提供干预措施来减轻治疗对父母的影响。版权所有 © 2017 约翰威立父子公司和饮食失调协会。
