Social function in adolescent eating disorders: lived experience framework for clinical practice.

IF 3.5 3区医学 Q1 PSYCHIATRY

BJPsych Open Pub Date : 2025-09-22 DOI:10.1192/bjo.2025.10816

Dasha Nicholls, Daniella Boules, Nikita Julius, Emerie Sheridan, Victoria Burmester

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引用次数: 0

Abstract

Background: 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.

Aims: To adapt Schmidt and Treasure's cognitive interpersonal model of anorexia nervosa to incorporate developmental and transdiagnostic components.

Method: 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.

Results: 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.

Conclusions: 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.

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青少年饮食失调的社会功能：临床实践的生活经验框架。

背景：社会功能越来越多地被证明是饮食失调的风险、维持和结果的一个因素，但在青少年饮食失调的理论模型和治疗方法中却没有得到强调。目的：对Schmidt和Treasure的神经性厌食症认知人际模型进行改进，以纳入发展和诊断成分。方法：对接触儿童和青少年饮食失调社区服务的12-16岁（含12-16岁）青少年及其父母进行定性访谈，并进行专题分析。结果：出现了五个关键主题，它们相互依赖于情绪调节和应对的第六个主题。这些主题是：同伴关系，变化和不确定性，思维方式，外表和成就为基础的价值观，以及家庭关系。结论：在这一人群中，同伴关系不同于家庭关系，其统一的主题是情绪调节和应对。该框架可以指导临床评估和制定或调整干预措施，以解决所确定的主题。需要进行研究以了解主题在治疗反应和结果中的作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BJPsych Open Medicine-Psychiatry and Mental Health

CiteScore

6.30

自引率

3.70%

发文量

610

审稿时长

16 weeks

期刊介绍： Announcing the launch of BJPsych Open, an exciting new open access online journal for the publication of all methodologically sound research in all fields of psychiatry and disciplines related to mental health. BJPsych Open will maintain the highest scientific, peer review, and ethical standards of the BJPsych, ensure rapid publication for authors whilst sharing research with no cost to the reader in the spirit of maximising dissemination and public engagement. Cascade submission from BJPsych to BJPsych Open is a new option for authors whose first priority is rapid online publication with the prestigious BJPsych brand. Authors will also retain copyright to their works under a creative commons license.