Wewetzer C, Deimel W, Herpertz-Dahlmann B, Mattejat F, Remschmidt H
Clinic for Child and Adolescent Psychiatry of the Philipps-University, Marburg, FRG.
Eur Child Adolesc Psychiatry. 1996 Apr;5(1):18-24. doi: 10.1007/BF00708210.
In a group of 22 formerly anorectic inpatients (follow-up 3.8 years after treatment) and in a control group of 24 paralleled young women, the subjective perception of the family structure was assessed using the "Subjective Family Image (SFI)", in order to investigate the question whether the family structure of former anorectics differs from the controls and whether individual development of the former inpatients is associated with the experienced family structure. Empirical results are in favor of the following two hypotheses: 1) Compared to the control group, formerly anorectic inpatients experience family relationships as more complicated and less satisfying. The quality of family relationships in the patient group is reduced, even at the time of follow-up. 2) Individual outcome (individual course of the illness) and quality of family relationships at time of follow-up are associated. Patients with a good outcome experience family relationships as more positive than patients with a poor outcome. The accordance of these findings to other empirical results and their implications for clinical practice are discussed.
在一组22名曾患厌食症的住院患者（治疗后随访3.8年）和一组24名对照的年轻女性中，使用“主观家庭形象（SFI）”评估对家庭结构的主观认知，以研究曾患厌食症者的家庭结构是否与对照组不同，以及这些住院患者的个体发展是否与所经历的家庭结构相关。实证结果支持以下两个假设：1）与对照组相比，曾患厌食症的住院患者认为家庭关系更复杂且满意度更低。即使在随访时，患者组的家庭关系质量也有所下降。2）随访时的个体结果（疾病的个体病程）与家庭关系质量相关。预后良好的患者比预后不良的患者对家庭关系的感受更积极。讨论了这些发现与其他实证结果的一致性及其对临床实践的意义。
