Unge med anoreksi og deres søsken: Hvordan påvirket sykdommen dagliglivet i akuttfasen og ved oppfølging etter ca. 4,5 år

Inger Halvorsen, Annika Rø, Jan-Vegard Nilsen, Øyvind Rø
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Abstract

Few studies include siblings’ experiences with anorexia nervosa (AN). Aims: Describe patients’ and siblings’ retrospective views on how AN influenced their life in the acute phase of illness and at 4.5-years follow-up. Method: 34 former patients and 13 siblings that had participated in family-based inpatient treatment for AN completed questionnaires at follow-up. Results: Patients reported high, and siblings moderate, levels of negative influences of AN, including schoolwork, leisure, worries and conflicts in the family. The majority of siblings had been afraid their ill sibling would not recover, or die, from AN. However, most former patients and siblings replied that the illness also had provided valuable experiences. Recovery from AN at follow-up was associated with lower levels of negative influences on former patients’ and siblings’ lives. Implications: Knowledge on patients’ and siblings’ experiences is important to improve support and help them to cope with the illness and the resulting family distress. Keywords: anorexia nervosa, eating disorders, follow-up, siblings, influence of illness
很少有研究包括兄弟姐妹神经性厌食症(AN)的经历。目的:描述患者及其兄弟姐妹在急性期和4.5年随访期间对AN如何影响其生活的回顾性看法。方法:34例曾参加AN家庭住院治疗的患者及13例兄弟姐妹在随访时填写问卷。结果:患者报告了高水平的AN负面影响,而兄弟姐妹报告了中等水平的AN负面影响,包括学业、休闲、担忧和家庭冲突。大多数兄弟姐妹都担心他们生病的兄弟姐妹不会康复,或者死于AN。然而,大多数以前的病人和兄弟姐妹回答说,这种疾病也提供了宝贵的经验。在随访中AN的恢复与对前患者和兄弟姐妹生活的负面影响程度较低相关。启示:了解患者和兄弟姐妹的经历对于改善支持和帮助他们应对疾病和由此产生的家庭痛苦是重要的。关键词:神经性厌食症,进食障碍,随访,兄弟姐妹,疾病影响
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