Dare C, Le Grange D, Eisler I, Rutherford J
Institute of Psychiatry, United Kingdom.
Int J Eat Disord. 1994 Nov;16(3):211-26. doi: 10.1002/1098-108x(199411)16:3<211::aid-eat2260160302>3.0.co;2-x.
This paper reports part of the data from a comparative trial of two forms of family intervention for the management of eating disorders in adolescents. Measures of family process at the beginning of treatment included Expressed Emotion (EE) and the Family Adaptability and Cohesion Evaluation Scales (FACES). EE in the families of both anorexic and bulimic patients were, on the whole, at low levels. The low levels of parental Critical Comments might be taken to represent the conflict avoiding character of the families of psychosomatic patients. However, the families showed low levels of Emotional Overinvolvement, which contradicts the clinical descriptions. The FACES scores revealed patterns that were superficially contradictory to the accepted clinical descriptions in that the patients appeared to have perceived their families as not close and as highly structured. The parents experienced their family structure as more similar to the clinical descriptions, scoring their families as more flexible and cohesive than do the patients. The FACES ideals for family organization scored by patients and parents more nearly equate with the clinical descriptions of enmeshment and lack of boundary structure. The relationship between the research findings and the clinical evaluation will be discussed.
本文报告了一项针对青少年饮食失调症的两种家庭干预形式的对比试验的部分数据。治疗开始时的家庭过程测量包括表达性情绪（EE）和家庭适应性与凝聚性评估量表（FACES）。总体而言，厌食症和贪食症患者家庭中的表达性情绪水平较低。父母批评性评论的低水平可能被视为代表了心身疾病患者家庭的冲突回避特征。然而，这些家庭的情感过度卷入水平较低，这与临床描述相矛盾。FACES得分显示出的模式表面上与公认的临床描述相矛盾，因为患者似乎认为他们的家庭不亲密且结构高度僵化。父母对其家庭结构的感受与临床描述更为相似，他们给自己家庭的评分比患者给出的评分更灵活、更有凝聚力。患者和父母对家庭组织的FACES理想评分更接近于对纠缠和缺乏边界结构的临床描述。将讨论研究结果与临床评估之间的关系。
