Nilsen Jan-Vegard, Rø Øyvind, Halvorsen Inger, Oddli Hanne Weie, Hage Trine Wiig
Department of Psychology, University of Oslo, Oslo, Norway.
Regional Department for Eating Disorders, Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway.
J Eat Disord. 2021 Jan 6;9(1):7. doi: 10.1186/s40337-020-00360-x.
Family-based outpatient treatment is usually recommended as the treatment of choice when a child develops anorexia nervosa. However, some young persons will inevitably require higher levels of care. Qualitative research on family perspectives may help inform strategies to adapt family-based practices into intensified treatment settings. Our overarching aim was to investigate family members' perspectives following a family-based inpatient treatment program for adolescent anorexia nervosa and to discuss clinical implications for treatment providers.
A subsample of eight families taking part in a naturalistic outcome study at a specialized eating disorder unit participated in the study (8 patients, 14 parents, and 10 siblings). The thematic analyses were inductive, predominantly descriptive, and guided by a multi-perspective framework.
Five main themes were identified: 1: Expectations and evaluation of needs. Entering treatment from different vantage points, 2: Interactions with peers during the admission as highly beneficial or problematic, 3: Perspectives on staff expertise and the eating disorder unit's structure, 4: Influencing within family relationships in different ways, and 5: Being admitted is at best only half the job: reflections on leaving the eating disorder unit.
Our study offers insight into how former inpatients and their family members experienced an inpatient treatment program designed to align treatment with the central elements of an outpatient family-based treatment approach for adolescent anorexia nervosa. Overall, the findings support emerging research underlining the necessity of strengthening the family-based treatment approach within intensified treatment settings. Moreover, the results emphasized the need for more knowledge on how to optimize inpatient treatment as well as the importance of providing smooth transitions between care settings.
当儿童患上神经性厌食症时，通常推荐以家庭为基础的门诊治疗作为首选治疗方法。然而，一些年轻人不可避免地需要更高水平的护理。关于家庭观点的定性研究可能有助于为将基于家庭的治疗方法应用于强化治疗环境的策略提供信息。我们的总体目标是调查参与青少年神经性厌食症住院家庭治疗项目的家庭成员的观点，并讨论对治疗提供者的临床意义。
在一个专门的饮食失调治疗单元参与一项自然主义结果研究的八个家庭的子样本参与了该研究（8名患者、14名父母和10名兄弟姐妹）。主题分析是归纳性的，主要是描述性的，并由一个多视角框架指导。
确定了五个主要主题：1：对需求的期望和评估。从不同角度进入治疗；2：住院期间与同伴的互动非常有益或存在问题；3：对工作人员专业知识和饮食失调治疗单元结构的看法；4：以不同方式影响家庭关系；5：住院充其量只是完成了一半工作：对离开饮食失调治疗单元的反思。
我们的研究深入了解了以前的住院患者及其家庭成员如何体验一个旨在使治疗与青少年神经性厌食症门诊家庭治疗方法的核心要素相一致的住院治疗项目。总体而言，研究结果支持了新出现的研究，强调了在强化治疗环境中加强基于家庭的治疗方法的必要性。此外，结果强调需要更多关于如何优化住院治疗的知识，以及在不同护理环境之间提供平稳过渡的重要性。
