Egan Sarah J, Neal Jamie, Ure Sarah, Callaghan Thomas, Ho Pheobe, Shafran Roz, Wade Tracey D
enAble Institute and School of Population Health, Faculty of Health Sciences, Curtin University, GPO Box U1987, Perth, WA, 6845, Australia.
Discipline of Psychology, School of Population Health, Curtin University, Perth, Australia.
J Eat Disord. 2023 Aug 17;11(1):138. doi: 10.1186/s40337-023-00860-6.
Perfectionism is significantly associated with symptoms of eating disorders in adolescents. Studies to date have not examined parent-supported CBT for perfectionism in eating disorders (CBT-P-ED). We co-designed the treatment and conducted a feasibility trial.
Eight parents of adolescents with eating disorders (M age = 48.75 years, 100% female) engaged in three co-design workshops to create a parent-supported CBT-P-ED self-help intervention. A further 10 parents (M age 41.8 years, 50% female) and their adolescent offspring (n = 10, M age 15.4 years, 60% female, 50% with self-reported diagnosis of anorexia nervosa) participated in a feasibility trial and provided feedback on the intervention.
The parents who engaged in the co-design workshops suggested several areas to optimise the perfectionism intervention, including using plain language, the impact of parental perfectionism, how to engage with their adolescent in treatment and the importance of increasing eating disorder specific material. Feedback from the feasibility trial suggested that the intervention was acceptable and feasible with 100% of parents and adolescents saying it was useful, and no attrition.
Parent-supported CBT-P-ED appears to be feasible. Future research is now required in a randomised controlled trial.
完美主义与青少年饮食失调症状显著相关。迄今为止的研究尚未考察针对饮食失调中完美主义的家长支持认知行为疗法（CBT-P-ED）。我们共同设计了该疗法并进行了可行性试验。
八位患有饮食失调症青少年的家长（平均年龄 = 48.75岁，100%为女性）参加了三次共同设计研讨会，以创建一种家长支持的CBT-P-ED自助干预措施。另外十位家长（平均年龄41.8岁，50%为女性）及其青少年子女（n = 10，平均年龄15.4岁，60%为女性，50%自我报告诊断为神经性厌食症）参与了可行性试验，并对该干预措施提供了反馈。
参与共同设计研讨会的家长提出了几个优化完美主义干预措施的方面，包括使用通俗易懂的语言、家长完美主义的影响、如何在治疗中与青少年互动以及增加饮食失调特定材料的重要性。可行性试验的反馈表明，该干预措施是可接受且可行的，100%的家长和青少年表示它很有用，且无人员流失。
家长支持的CBT-P-ED似乎是可行的。现在需要在随机对照试验中进行进一步研究。
