Coopey Emily, Johnson George
Centre for Applied Psychology, School of Psychology, University of Birmingham, Birmingham, UK.
Avon and Wiltshire Mental Health Partnership NHS Trust, Bristol, UK.
J Eat Disord. 2022 Jul 12;10(1):101. doi: 10.1186/s40337-022-00609-7.
Research indicates that family therapy for anorexia nervosa (FT-AN) and multi-family therapy (MFT) are effective treatments for adolescents experiencing anorexia nervosa (AN). However, less is known about young people's experiences of these two treatments, as there is limited qualitative research, and to date no qualitative research within an inpatient setting. It is argued that the lack of such insight limits the development of services for young people experiencing AN.
Five young people were recruited to the study from a specialist inpatient unit who were receiving treatment on the AN pathway which included both FT-AN and MFT. Semi structured interviews were undertaken and analysed using Interpretative Phenomenological Analysis.
Four superordinate themes and ten subthemes were developed from the data. The four superordinate themes were: 'Process of Understanding', 'Reviving Connection', 'Emerging from the Eating Disorder and 'Development of I'.
There appeared to be two overarching concepts: the role of the individual and the role of others, that helpfully framed the results. The superordinate themes: 'Emerging from the Eating Disorder' and 'Development of I' focused on the development of the individual. Conversely, the superordinate themes: 'The Process of Understanding' and 'Reviving Connection' were centred on the relationships existing within the family system. The results could help inform future service developments regarding inpatient provision and service design. The most widely used and recognised treatment for anorexia nervosa in young people is family therapy for anorexia nervosa (FT-AN). An alternative treatment is multi-family therapy (MFT). Both treatments are deemed to be effective and usually happen in the community. However, some hospitals provide these treatments while the young people are in-patients. There is no research exploring young people's experiences of these two treatments while in an in-patient unit. Young people who had received both FT-AN and MFT in an inpatient setting were asked to share their experiences of these two treatments. Their stories were analysed by a researcher. The analysis identified four themes: 'Process of Understanding', 'Reviving Connection', 'Emerging from the Eating Disorder and 'Development of I'. The results highlighted that the young people appeared to place more value on the role of others and perhaps others changing enabled them to change. The research highlighted the benefit in others' understanding and therefore how improving societal understanding more broadly would be helpful. The young people reflected that both they and their parents benefited from FT-AN and MFT in an in-patient setting and it is proposed that this could help inform future service developments regarding inpatient provision.
研究表明，神经性厌食症家庭治疗（FT-AN）和多家庭治疗（MFT）是治疗青少年神经性厌食症（AN）的有效方法。然而，对于年轻人在这两种治疗中的体验了解较少，因为定性研究有限，且迄今为止在住院环境中尚无定性研究。有人认为，缺乏这种见解限制了为患有AN的年轻人提供服务的发展。
从一个专科住院单元招募了五名年轻人，他们正在接受包括FT-AN和MFT在内的AN治疗途径的治疗。进行了半结构化访谈，并使用解释现象学分析进行分析。
从数据中得出了四个上位主题和十个下位主题。四个上位主题是：“理解过程”、“恢复联系”、“摆脱饮食失调”和“自我发展”。
似乎有两个总体概念：个人的角色和他人的角色，这有助于构建结果。上位主题“摆脱饮食失调”和“自我发展”侧重于个人的发展。相反，上位主题“理解过程”和“恢复联系”则以家庭系统中存在的关系为中心。这些结果有助于为未来关于住院服务提供和服务设计的服务发展提供信息。年轻人中最广泛使用和认可的神经性厌食症治疗方法是神经性厌食症家庭治疗（FT-AN）。另一种治疗方法是多家庭治疗（MFT）。这两种治疗都被认为是有效的，通常在社区中进行。然而，一些医院在年轻人住院期间提供这些治疗。目前尚无研究探讨年轻人在住院单元中对这两种治疗的体验。询问了在住院环境中接受过FT-AN和MFT的年轻人分享他们对这两种治疗的体验。他们的故事由一名研究人员进行分析。分析确定了四个主题：“理解过程”、“恢复联系”、“摆脱饮食失调”和“自我发展”。结果突出表明，年轻人似乎更重视他人的角色，也许他人的改变使他们能够改变。该研究强调了他人理解的益处，因此更广泛地提高社会理解会有所帮助。年轻人反映，他们和他们的父母在住院环境中都从FT-AN和MFT中受益，并且有人提出这有助于为未来关于住院服务提供的服务发展提供信息。
