Change processes during intensive day programme treatment for adolescent anorexia nervosa: a dyadic interview analysis of adolescent and parent views DOI Creative Commons

Amy Colla,

Julian Baudinet, Penny Cavenagh

и другие.

Frontiers in Psychology, Год журнала: 2023, Номер 14

Опубликована: Авг. 10, 2023

Day programmes for adolescent anorexia nervosa (AN) can function as an alternative to inpatient admissions and/or increase in outpatient treatment intensity. Processes of change during AN are currently poorly understood. This study aimed explore how adolescents with and their parents understood the helpful unhelpful factors processes that impacted them day programme treatment.A critical realist paradigm was used qualitatively views 16 participants. Participants were recruited from Intensive Treatment Programme (ITP) at Maudsley Center Child Adolescent Eating Disorders (MCCAED) end treatment. Dyadic Interview Analysis (DIA) compare contrast narratives seven adolescent-parent pairs after two inductive reflexive thematic analyses conducted group eight separately.Eight subthemes across three themes identified: 1) "Like me she didn't feel so alone anymore"-families connect staff, peers, each other; 2) "You have eat because ITP say so"-the provides families containment through its structure authority; 3) "I found I using skills learnt there like multiple aspects my life, not just around food"-families take new ideas generalize these into lives. These interconnected generated hope change. However, elements individually could be if one or more other missing. For example, staff firmness, which participants often (theme two), experienced harshness when did related individuals one).The findings conceptualized within recent descriptions regarding therapeutic change, including epistemic trust mentalization. characteristics, such intensity containment, well illness-specific processes, control collaboration, role peer support, potential family members experience impact adolescent's non-response traumatic, equally important consider.

Язык: Английский

Change processes during intensive day programme treatment for adolescent anorexia nervosa: a dyadic interview analysis of adolescent and parent views DOI Creative Commons

Amy Colla,

Julian Baudinet, Penny Cavenagh

и другие.

Frontiers in Psychology, Год журнала: 2023, Номер 14

Опубликована: Авг. 10, 2023

Day programmes for adolescent anorexia nervosa (AN) can function as an alternative to inpatient admissions and/or increase in outpatient treatment intensity. Processes of change during AN are currently poorly understood. This study aimed explore how adolescents with and their parents understood the helpful unhelpful factors processes that impacted them day programme treatment.A critical realist paradigm was used qualitatively views 16 participants. Participants were recruited from Intensive Treatment Programme (ITP) at Maudsley Center Child Adolescent Eating Disorders (MCCAED) end treatment. Dyadic Interview Analysis (DIA) compare contrast narratives seven adolescent-parent pairs after two inductive reflexive thematic analyses conducted group eight separately.Eight subthemes across three themes identified: 1) "Like me she didn't feel so alone anymore"-families connect staff, peers, each other; 2) "You have eat because ITP say so"-the provides families containment through its structure authority; 3) "I found I using skills learnt there like multiple aspects my life, not just around food"-families take new ideas generalize these into lives. These interconnected generated hope change. However, elements individually could be if one or more other missing. For example, staff firmness, which participants often (theme two), experienced harshness when did related individuals one).The findings conceptualized within recent descriptions regarding therapeutic change, including epistemic trust mentalization. characteristics, such intensity containment, well illness-specific processes, control collaboration, role peer support, potential family members experience impact adolescent's non-response traumatic, equally important consider.

Язык: Английский

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