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病例报告:对神经性贪食症女儿的母亲进行心理治疗的综合方法。

Case Report: An integrative approach to psychotherapy for the mother of a daughter with bulimia nervosa.

作者信息

Zhang Qiu Yuan, Wang Hong Yi, Liu Yan Hong, Yan Hui

机构信息

Education and Science Department, Jiangsu Second Normal University, Nanjing, China.

Humanistic Management Department, Hebei Chinese Medicine University, Shijiazhuang, China.

出版信息

Front Psychiatry. 2025 Aug 19;16:1595758. doi: 10.3389/fpsyt.2025.1595758. eCollection 2025.

DOI:10.3389/fpsyt.2025.1595758
PMID:40904576
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12401911/
Abstract

Caregivers is a crucial factor in recovery and psychological intervention of individuals with eating disorders which are often-overlooked. This study explores the role of integrative therapy in promoting the psychological development of the mother of a daughter with bulimia nervosa, improving family structure, and facilitating the patient's recovery. A 43-month, 54-session intervention was conducted with the mother of a woman with eating disorder using an integrative therapy approach primarily based on Bowen family systems therapy, drawing, and narrative therapy. The mother demonstrated improvements in emotional expressiveness, psychological distress, caregiving burden, and family structure, while her daughter experienced a reduction in eating disorder symptoms, improvement in the mother-daughter relationship, and restoration of social functioning, enabling the establishment of personal intimate relationships. In this context, the therapeutic value of integrative therapy deserves further attention. Meanwhile, the issue of mental health management is also reflected in this paper.

摘要

照顾者是饮食失调患者康复和心理干预中的一个关键因素,但常常被忽视。本研究探讨了综合疗法在促进神经性贪食症女儿的母亲的心理发展、改善家庭结构以及促进患者康复方面的作用。采用主要基于鲍恩家庭系统疗法、绘画和叙事疗法的综合疗法,对一名饮食失调女性的母亲进行了为期43个月、共54次的干预。母亲在情绪表达、心理困扰、照顾负担和家庭结构方面都有改善,而她的女儿饮食失调症状减轻,母女关系改善,社会功能恢复,能够建立个人亲密关系。在此背景下,综合疗法的治疗价值值得进一步关注。同时,本文也反映了心理健康管理问题。

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本文引用的文献

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BMC Nurs. 2024 Dec 20;23(1):940. doi: 10.1186/s12912-024-02608-2.
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Guidelines for Orthodontic Management of Individuals With Mental Illness Using Psychiatric Medication: A Systematic Review.使用精神科药物的精神疾病患者正畸治疗管理指南:一项系统评价
Cureus. 2023 Jun 18;15(6):e40604. doi: 10.7759/cureus.40604. eCollection 2023 Jun.
3
"Balancing within a closed family system": a grounded theory study of how family life is affected by having a family member with an eating disorder.
“在封闭家庭系统中保持平衡”:一项关于家庭成员患有饮食失调症如何影响家庭生活的扎根理论研究
J Eat Disord. 2022 Oct 10;10(1):147. doi: 10.1186/s40337-022-00669-9.
4
Differentiation of self: A scoping review of Bowen Family Systems Theory's core construct.自我分化:鲍文家庭系统理论核心概念的范围综述
Clin Psychol Rev. 2022 Feb;91:102101. doi: 10.1016/j.cpr.2021.102101. Epub 2021 Nov 13.
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Training Public Sector Clinicians in Competency-Based Clinical Supervision: Methods, Curriculum, and Lessons Learned.对公共部门临床医生进行基于胜任力的临床督导培训:方法、课程及经验教训
J Contemp Psychother. 2021;51(3):227-237. doi: 10.1007/s10879-021-09499-3. Epub 2021 Apr 7.
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Suicide attempts among people with eating disorders and adverse childhood experiences: Results from a nationally representative sample of adults.饮食障碍患者和不良童年经历者的自杀尝试:一项全国性成年人代表性样本研究结果。
Int J Eat Disord. 2021 Mar;54(3):326-335. doi: 10.1002/eat.23457. Epub 2020 Dec 29.
7
Parents know best: Caregiver perspectives on eating disorder recovery.父母最了解:照顾者对饮食失调康复的看法。
Int J Eat Disord. 2020 Aug;53(8):1252-1260. doi: 10.1002/eat.23200. Epub 2019 Nov 19.
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Prevalence of mental disorders in China: a cross-sectional epidemiological study.中国精神障碍的患病率:一项横断面流行病学研究。
Lancet Psychiatry. 2019 Mar;6(3):211-224. doi: 10.1016/S2215-0366(18)30511-X. Epub 2019 Feb 18.
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Am Psychol. 2016 Nov;71(8):820-830. doi: 10.1037/amp0000100.
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