Université de Lorraine, 54000, Nancy, France; Centre Hospitalier de Jury, Maison des Adolescents de Metz, 57000, Metz, France.
Université de Lorraine, 54000, Nancy, France; Centre Hospitalier de Jury, Maison des Adolescents de Metz, 57000, Metz, France.
Appetite. 2019 Oct 1;141:104305. doi: 10.1016/j.appet.2019.05.036. Epub 2019 May 30.
Bulimia nervosa (BN) is a serious psychiatric disorder, with potentially dangerous complications. Family relationships play an important role in the way the condition develops or is perpetuated. The present study aims to better grasp the role of food in family interactions amongst teenagers with BN. Eleven interviews were carried out with five teenagers with BN aged from 16 to 18 and their parents, using photo-elicitation to carry out the qualitative investigation. A photograph of the table after a family meal, produced by the subject, was used as the basis for discussion. Interpretative Phenomenological Analysis was used to process the data. Our results were organised along two axes. The first describes the relationship between parent and child (the sharing of disarray about food between parent and child, food and the issue of children becoming autonomous from parents, food as a catalyser of conflict amongst other stressors). The second showcases relationships in the family as a group (the dining table as a likeness of family functioning, food at a crossroads between sharing and solitude). Our study showed that the dynamics in these families present differences from those of teenagers with anorexia nervosa, which must be taken into account. It confirmed the necessity of a systemic approach in addition to individual therapy (centred on the managing of emotions), and the benefits of creating occasions of family interaction which do not involve food to re-establish communication in the family relationships (including those with siblings).
神经性贪食症(BN)是一种严重的精神疾病,可能会导致危险的并发症。家庭关系在疾病的发展或持续中起着重要作用。本研究旨在更好地理解食物在患有 BN 的青少年家庭互动中的作用。采用照片引发法对 5 名年龄在 16 至 18 岁的 BN 青少年及其父母进行了 11 次访谈,进行了定性研究。以青少年拍摄的家庭餐后餐桌照片作为讨论基础。采用解释现象学分析对数据进行处理。我们的研究结果沿着两个轴展开。第一个轴描述了父母和孩子之间的关系(父母和孩子之间对食物的混乱分享、食物和孩子从父母那里独立的问题、食物作为其他压力源的催化剂)。第二个轴展示了家庭作为一个群体的关系(餐桌作为家庭功能的相似物、食物在分享和孤独之间的十字路口)。我们的研究表明,这些家庭的动态与厌食症青少年的家庭动态存在差异,这一点必须考虑到。它证实了除了个体治疗(以情绪管理为中心)之外,还需要采用系统方法,以及创造不涉及食物的家庭互动机会的必要性,以重新建立家庭关系(包括与兄弟姐妹的关系)中的沟通。