Straight, Bumpy, or Detoured: Three roads through family-based treatment for Anorexia Nervosa - a qualitative study of parents' experiences.

IF 3 1区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychotherapy Research Pub Date : 2025-09-23 DOI:10.1080/10503307.2025.2554891

Signe Holm Pedersen, Stine Bay, Mette Bentz, Julie Midtgaard

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引用次数: 0

Abstract

Objective: To explore parents' experiences of Family-Based Treatment (FBT) for Anorexia Nervosa (AN).

Method: Twenty semi-structured interviews with parents of young people (YP) in FBT at end of treatment (EOT), analysed via a combination of thematic and narrative analysis.

Results: The analysis identified three distinct themes, starting from a shared point of crisis marked by acute concern for their child's health and urgent need for intervention. Parents then travelled different routes shaped by challenges, support, and meanings they made over time. The Straight Road reflected strong alignment with FBT; parents found the process demanding but ultimately experienced strengthened relationships through shared recovery. The Bumpy Road was defined by initial disagreements with FBT and efforts to negotiate a more collaborative role for the YP, leading to deepened family relations. The Detoured Road was shaped by misalignment with FBT, often involving unmet support needs and relational strain not fully resolved by EOT.

Conclusion: Findings suggest that alignment with the principles of FBT plays a central role in shaping parental experiences. However, parents commonly described intense caregiving and strained family ties. Findings highlight the importance of assessing and supporting parental alignment with FBT, as misalignment may exacerbate caregiving strain and disrupt family dynamics.

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笔直，坎坷，还是迂回：神经性厌食症家庭治疗的三条道路——对父母经历的定性研究。

目的：探讨家长对神经性厌食症（AN）的家庭治疗经验。方法：对治疗结束时FBT青少年（YP）的父母进行20次半结构化访谈，采用主题分析和叙事分析相结合的方法进行分析。结果：分析确定了三个不同的主题，从一个共同的危机点开始，其特点是对孩子健康的严重关切和迫切需要干预。随着时间的推移，父母们经历了不同的挑战、支持和意义。笔直的道路反映了与FBT的强烈一致性；父母们发现这个过程要求很高，但最终通过共同康复，他们的关系得到了加强。坎坷之路是由最初与FBT的分歧和为YP争取更多合作角色的努力所定义的，从而加深了家庭关系。迂回的道路是由于与FBT的错位而形成的，通常涉及未满足的支持需求和EOT不能完全解决的关系紧张。结论：研究结果表明，与FBT原则的一致性在塑造父母体验中起着核心作用。然而，父母们通常描述了紧张的照顾和紧张的家庭关系。研究结果强调了评估和支持父母与FBT一致的重要性，因为不一致可能会加剧照顾压力并破坏家庭动态。

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

Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

7.80

自引率

10.30%

发文量

期刊介绍： Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.