Pinto Sarah, Minier Lisa, Hirot France, Drecq Pauline, Godart Nathalie, Huas Caroline
Fondation Santé des Etudiants de France (FSEF), Service Hospitalo-Universitaire de Santé Mentale de l'Adolescent et du Jeune Adulte (SHU-SMAJA), Paris, France.
Université Paris-Saclay, UVSQ, Inserm, CESP, Villejuif, 94807, France.
BMC Psychiatry. 2025 Mar 11;25(1):221. doi: 10.1186/s12888-025-06647-0.
Care providers working with adolescents with anorexia nervosa (AN) encounter difficulties inherent in the illness (denial, ambivalence) and those related to the fact that it is most often the parents who bring adolescents to care units. Our aim was to study attitudes towards care among adolescents with AN treated in a specialised day hospital using an analysis of letters written before and after treatment.
Adolescents (12-20 years old) treated for AN in a specialised day hospital, providing multidisciplinary care while enabling a return to schooling inside the facility were included. We analysed 50 admission letters and 23 goodbye letters using general inductive analysis. A mirror analysis was conducted.
In the admission letters, symptoms, calls for help, and reports on the adolescents' care trajectories were central themes. Among the categories noted in both the admission and the goodbye letters, some were similar, some mirrored others and a few differed.
This study highlights how ambivalence and motivations towards care, recovery and illness all interact. It also shows the evolution of the adolescents' positions via their narratives on their experience of care, the constraints involved and its benefits for them. The results are discussed in a care perspective.
与神经性厌食症（AN）青少年患者打交道的护理人员面临着该疾病固有的困难（否认、矛盾心理），以及与通常是父母将青少年带到护理机构这一事实相关的困难。我们的目的是通过分析在专门日间医院接受治疗的AN青少年患者治疗前后所写的信件，研究他们对护理的态度。
纳入在专门日间医院接受AN治疗的青少年（12 - 20岁），该医院提供多学科护理，同时使患者能够在院内继续上学。我们使用一般归纳分析法分析了50封入院信和23封出院信。进行了镜像分析。
在入院信中，症状、求助呼声以及青少年护理轨迹报告是核心主题。在入院信和出院信中都提到的类别中，有些是相似的，有些相互映照，还有一些有所不同。
本研究突出了矛盾心理以及对护理、康复和疾病的动机是如何相互作用的。它还通过青少年对其护理经历、其中涉及的限制及其对他们的益处的叙述，展示了青少年立场的演变。从护理角度对结果进行了讨论。
