Nicholls Dasha, Boules Daniella, Julius Nikita, Sheridan Emerie, Burmester Victoria
Division of Psychiatry, Department of Brain Sciences, Imperial College London, London, UK.
BJPsych Open. 2025 Sep 22;11(5):e224. doi: 10.1192/bjo.2025.10816.
Social function is increasingly demonstrated as a factor in risk, maintenance and outcome of eating disorders, but not emphasised in theoretical models of, and treatment approaches to, adolescent eating disorders.
To adapt Schmidt and Treasure's cognitive interpersonal model of anorexia nervosa to incorporate developmental and transdiagnostic components.
Qualitative interviews with young people aged 12-16 years (inclusive), who are in contact with child and adolescent community eating disorders services, and their parents, subjected to thematic analysis.
Five key themes emerged that were mutually dependent on a sixth theme of emotion regulation and coping. These themes were: peer relationships, change and uncertainty, thinking styles, appearance and achievement-based values, and family relationships.
Peer relationships emerged as distinct from family relationships in this population, and a unifying theme was emotion regulation and coping. The framework could guide clinical assessment and the development or adaptation of interventions to address the themes identified. Research is needed to understand the role of the themes in treatment response and outcomes.
社会功能日益被证明是饮食失调风险、维持及结果的一个因素，但在青少年饮食失调的理论模型和治疗方法中未得到重视。
调整施密特和特雷热的神经性厌食症认知人际模型，纳入发展性和跨诊断性成分。
对12至16岁（含）与儿童及青少年社区饮食失调服务机构有接触的年轻人及其父母进行定性访谈，并进行主题分析。
出现了五个关键主题，它们相互依赖于第六个主题——情绪调节与应对。这些主题是：同伴关系、变化与不确定性、思维方式、基于外表和成就的价值观以及家庭关系。
在这一人群中，同伴关系与家庭关系不同，一个统一的主题是情绪调节与应对。该框架可指导临床评估以及针对所确定主题的干预措施的制定或调整。需要开展研究以了解这些主题在治疗反应和结果中的作用。
