Parental caregiver burden and recovery of adolescent anorexia nervosa after multi-family therapy
Parental caregiver burden and recovery of adolescent anorexia nervosa after multi-family therapy
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DOI：
10.1080/10640266.2019.1678980
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发表时间：
2019-10-18
期刊：
影响因子：
3.3
通讯作者：
Nilsson, Karin
中科院分区：
文献类型：
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作者：
Dennhag, Inga;Henje, Eva;Nilsson, Karin
本研究调查了在青少年神经性厌食症和未另行说明的进食障碍（EDNOS）的辅助多家庭治疗期间，父母养育负担是否发生变化，以及基线时的照顾者负担和治疗期间照顾者负担的变化是否与治疗结果相关。24名女性13到16岁岁，他们的父母，参加了这项研究。由母亲使用饮食失调症状影响量表测量护理人员负担（n？=？23)父亲（n？22）。通过青少年体重指数、整体功能水平和进食障碍检查问卷4.0自评进食障碍症状来衡量治疗结果。治疗期间，所有患者的结局均得到改善，总体护理者负担显著降低。当分解在照顾者的负担方面，减少父母的孤立感，被发现与改善体重指数和儿童？s全球评估量表。当分别分析父亲和母亲时，我们发现母亲的内疚感和父亲对基线失调行为的感知负担与治疗结果相关。未来的研究需要澄清照顾者负担作为治疗结果的潜在中介的作用。
This study investigated whether parental caregiving burden changed during adjunct multi-family therapy of adolescent anorexia nervosa and eating disorders not otherwise specified (EDNOS) and whether caregiver burden at baseline and changes in caregiver burden during treatment were associated with treatment outcome. Twenty-four females, 13 to 16?years old, and their parents, participated in the study. Caregiver burden was measured with the Eating Disorders Symptom Impact Scale, by mothers (n?=?23) and fathers (n?=?22). Treatment outcome was measured by adolescent body mass index, level of global functioning and self-rated eating disorder symptoms by the Eating Disorders Examination Questionnaire 4.0. All patient outcomes improved and overall caregiver burden decreased significantly during treatment. When broken down in aspects of caregiver burden the decrease in parental perceived isolation, was found to be associated with improvement of BMI and Children?s Global Assessment Scale. When analyzing fathers and mothers separately, we found that maternal feelings of guilt and paternal perceived burden of dysregulated behaviors at base-line were correlated to treatment outcome. Future studies are needed to clarify the role of caregiver burden as a potential mediator of treatment results.