Nilsen Jan-Vegard, Hage Trine Wiig, Rø Øyvind, Halvorsen Inger, Oddli Hanne Weie
1Department of Psychology, University of Oslo, Oslo, Norway.
2Regional Department for Eating Disorders, Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway.
J Eat Disord. 2020 May 4;8:18. doi: 10.1186/s40337-020-00293-5. eCollection 2020.
Recommended treatment for adolescent anorexia nervosa (AN) is usually family-based and an overarching treatment aim is to empower the parents to manage the difficult meals and aid their child toward recovery. While family-based treatment prioritize collaborating with the parents, understanding the young persons' views on recovery is also important. Understanding the young person's views and ideas is relevant as this may facilitate the therapeutic alliance and thus aid the therapeutic process. The purpose of the present study was to investigate the reflections of young persons with a lived experience of anorexia nervosa, and what factors they consider important for the recovery process. All participants had been provided with a family-based inpatient treatment program, a program inspired by the core features of outpatient family-based treatment.
Participants ( = 37) presented with an extensive treatment history, including outpatient and inpatient treatment for AN. Interview transcripts were analyzed by applying a predominantly inductive thematic approach to generate themes across participants.
The qualitative analysis generated a thematic structure entailing three levels. The superordinate theme, "Recovery is a long and winding journey: recognizing the need for support and highlighting the need for action", captured three main themes, "Realizing you have a problem", "Being involved in important relationships", and "Giving treatment a real chance".
Our results demonstrated that although young persons with a lived experience of anorexia nervosa recognized the importance of support from others, they placed a distinctive emphasis on self-responsibility and determination. We recommend clinicians working within the recommended family-based treatment frameworks be curious about young patient's subjective perspectives of the recovery process, as connecting with their views can potentially strengthen therapeutic relationships and facilitate change.
Recommended treatment for adolescent anorexia nervosa is usually family-based. These recommendations are supported by decades of research. In family-based treatment the overarching aim is to empower the young person's parents to manage and take charge of the difficult situation caused by the eating disorder. As recommended family-based treatments usually prioritize collaborating with the parents, it is important to be curious on the adolescents own views of what is regarded as important for the recovery process. The present study offers insights into factors considered important to the recovery process by young persons with lived experience of AN. Although voicing the importance of enlisting support from families, friends, and loved ones, the young participants distinctly emphasized their own responsibility, motivation and self-determination as critical factors for recovery. Inspired by our findings, we recommend that clinicians address the young patient's own preferred ideas for recovery during treatment.
青少年神经性厌食症（AN）的推荐治疗通常是以家庭为基础的，一个总体治疗目标是使父母有能力应对艰难的用餐问题，并帮助他们的孩子康复。虽然以家庭为基础的治疗将与父母合作作为优先事项，但了解年轻人对康复的看法也很重要。了解年轻人的观点和想法是相关的，因为这可能促进治疗联盟，从而有助于治疗过程。本研究的目的是调查有神经性厌食症生活经历的年轻人的想法，以及他们认为对康复过程重要的因素。所有参与者都接受了一个以家庭为基础的住院治疗项目，该项目受到门诊家庭治疗核心特征的启发。
参与者（n = 37）有广泛的治疗史，包括针对神经性厌食症的门诊和住院治疗。通过采用主要是归纳性的主题方法对访谈记录进行分析，以生成参与者之间的主题。
定性分析产生了一个包含三个层次的主题结构。上级主题“康复是一段漫长而曲折的旅程：认识到支持的必要性并强调行动的必要性”包含三个主要主题，“意识到自己有问题”、“参与重要关系”和“真正给治疗一个机会”。
我们的结果表明，虽然有神经性厌食症生活经历的年轻人认识到他人支持的重要性，但他们特别强调自我责任和决心。我们建议在推荐的以家庭为基础的治疗框架内工作的临床医生对年轻患者对康复过程的主观观点保持好奇，因为与他们的观点建立联系可能会加强治疗关系并促进改变。
青少年神经性厌食症的推荐治疗通常是以家庭为基础的。这些建议得到了数十年研究的支持。在以家庭为基础的治疗中，总体目标是使年轻人的父母有能力管理和应对由饮食失调引起的困难局面。由于推荐的以家庭为基础的治疗通常优先与父母合作，因此对青少年自己认为对康复过程重要的观点保持好奇很重要。本研究深入了解了有神经性厌食症生活经历的年轻人认为对康复过程重要的因素。尽管年轻人表示家庭、朋友和亲人的支持很重要，但他们明确强调自己的责任、动力和自我决定是康复的关键因素。受我们研究结果的启发，我们建议临床医生在治疗过程中关注年轻患者自己喜欢的康复想法。
