Laporta-Herrero Isabel, Latorre Patricia
Facultad de Psicología, Universidad Nacional de Educación a Distancia (UNED), Spain.
Hospital Obispo Polanco, Spain.
Clin Child Psychol Psychiatry. 2020 Jan;25(1):5-15. doi: 10.1177/1359104519864121. Epub 2019 Jul 21.
Parents are often the first to detect the initial signs of anorexia nervosa (AN) and take necessary measures to ensure that their children receive appropriate treatment. The evaluation of AN in adolescence is complicated by taking into account the tendency to minimize and deny the symptoms by adolescents, and the difficulty of parents in detecting the main symptoms. We compared the adolescent and parent scores on measures of disordered eating at initial presentation. The sample consisted of 62 adolescents diagnosed with AN, who attended an eating disorder children's unit. Adolescents completed the Eating Attitudes Test (EAT-40) and their parents the Anorectic Behavior Observation Scale (ABOS). The questionnaire data were collected as part of the routine clinical practice and were obtained from clinical notes. The findings indicate no significant correlations between the EAT-40 and ABOS scores, or between AN subtypes according to parent observation of symptoms. There were significant differences between parents, with mothers reporting higher scores than fathers. This study highlights the importance of psychoeducation for parents on the early signs of AN, in order to improve recognition and diagnosis at initial assessment of their adolescent children in the early phases.
父母往往是最早发现神经性厌食症（AN）初始症状的人，并会采取必要措施确保他们的孩子得到适当治疗。由于青少年有尽量淡化和否认症状的倾向，以及父母难以察觉主要症状，青少年AN的评估变得复杂。我们比较了青少年和父母在初次就诊时饮食失调测量指标上的得分。样本包括62名被诊断为AN的青少年，他们在一家儿童饮食失调科就诊。青少年完成了饮食态度测试（EAT - 40），他们的父母完成了厌食行为观察量表（ABOS）。问卷数据是作为常规临床实践的一部分收集的，来自临床记录。研究结果表明，EAT - 40得分与ABOS得分之间，或根据父母对症状的观察得出的AN亚型之间没有显著相关性。父母之间存在显著差异，母亲报告的得分高于父亲。这项研究强调了对父母进行关于AN早期症状的心理教育的重要性，以便在早期阶段对其青少年子女进行初步评估时提高识别和诊断能力。
