Being me and being us - adolescents’ experiences of treatment for eating disorders

Journal of Eating Disorders

Sanna Aila Gustafsson¹  Lars Kjellin¹  Kerstin Neander¹  Katarina Lindstedt¹ 

[1] Psychiatric Research Centre, Faculty of Medicine and Health, Örebro University, Örebro, SE-701 82, Sweden

关键词: Qualitative research;    Patients’ perspective;    Family involvement;    Adolescents;    Treatment;    Eating disorders;   

Others  :  1149605
DOI  :  10.1186/s40337-015-0051-5

 received in 2014-11-03, accepted in 2015-03-12,  发布年份 2015

【 摘 要 】

Background

This qualitative study addresses adolescents’ perception of treatment for eating disorders. The importance of involving parents in treatment of young people with eating disorders, especially young people with Anorexia Nervosa, is emphasized in a number of studies. Even so, this form of treatment does not work for everybody, not even within a limited diagnostic group. Previous research has revealed that many young people are not entirely satisfied with their treatment. However, there is a lack of knowledge concerning the perspectives of adolescents in outpatient treatment, whose treatment often involves family. The aim of the present study was to investigate how young people with experience from adolescent outpatient treatment for eating disorders, involving family-based and individual based interventions, perceive their time in treatment.

Methods

This study was conducted using a hermeneutic phenomenological approach. Fifteen participants were recruited in collaboration with four specialized eating disorder units and interviewed with the purpose to gather narratives.

Results

The analysis revealed that the adolescents sometimes felt more or less forced into treatment, and strong ambivalent feelings about if and how to participate in treatment permeated the adolescents’ narratives. The common factors which emerged in the narratives were assembled under the two major themes: Having to involve family in treatment - in one way or another and Making progress in treatment - a matter of trust.

Conclusions

It is of great importance to involve family in treatment in order to understand the problems of the adolescents in their context and be able to take advantage of the resource that parents constitute. However, in certain situations, it is necessary to prioritise individual treatment interventions so that instead of sorting out difficult family situations the therapist focuses on enhancing the young people’s resilience, thus enabling them to tackle problematic situations in life.

【 授权许可】

   
2015 Lindstedt et al.; licensee BioMed Central.

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