Department of Psychiatry & Behavioral Science, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Department of Psychiatry, University of California, San Diego, San Diego, California, USA.
Int J Eat Disord. 2022 Jun;55(6):826-831. doi: 10.1002/eat.23710. Epub 2022 Mar 30.
Previous research examining family functioning in eating disorder (ED) treatment has focused primarily on outpatient settings. However, few studies have examined this aspect in partial hospitalization programs. To address this gap, this study examined family functioning over the course of an ED partial hospitalization program (PHP) in adolescent females (M(SD) age = 15.66 (1.50)).
Participants (n = 105) completed the Family Assessment Device and Eating Disorder Examination Questionnaire at treatment admission, 1-month post-admission, and discharge.
Results from repeated measures analysis of variance indicated adolescents perceived an improvement in family functioning regarding Communication, Affective Responsiveness, and Behavioral Control through 1-year follow-up (p values < .05). Neither family functioning at admission nor change in family functioning in the first month correlated with any outcomes (weight, ED symptoms, and remission).
Results support that family functioning does not contribute to ED severity, and that treatment can improve adolescent perception of family functioning. Given the importance of involving the family in ED treatment, identifying mediators of treatment outcomes is critical to improve treatment efficacy.
Adolescents in a partial hospital program (PHP) for eating disorders (EDs) perceived improvements in their family communication, behavior, and ability to process appropriate emotions from admission to 1-year post-treatment, although these aspects did not significantly predict treatment outcomes. The findings provide helpful information for future research on adolescents with EDs in higher levels of care and underscore the importance of exploring mechanisms of family-based treatment in PHP.
之前研究家庭功能在饮食失调症（ED）治疗中的作用主要集中在门诊环境。然而，很少有研究在部分住院治疗计划中检验这一方面。为了解决这一差距，本研究在青少年女性的 ED 部分住院治疗计划（PHP）中考察了家庭功能的变化（M（SD）年龄= 15.66（1.50））。
参与者（n=105）在治疗入院时、入院后 1 个月和出院时完成了家庭评估工具和饮食失调检查问卷。
重复测量方差分析的结果表明，青少年在 1 年随访中感知到家庭功能在沟通、情感反应和行为控制方面有所改善（p 值<.05）。入院时的家庭功能和第一个月的家庭功能变化均与任何结果（体重、ED 症状和缓解）无关。
结果支持家庭功能不影响 ED 严重程度，并且治疗可以改善青少年对家庭功能的感知。鉴于在 ED 治疗中让家庭参与的重要性，确定治疗结果的中介因素对于提高治疗效果至关重要。
接受 ED 治疗的青少年在住院治疗计划（PHP）中感知到他们的家庭沟通、行为和处理适当情绪的能力有所改善，从入院到治疗后 1 年，但这些方面并未显著预测治疗结果。这些发现为未来在更高水平的护理中对青少年 ED 进行研究提供了有用的信息，并强调了探索 PHP 中基于家庭的治疗机制的重要性。
