Service evaluation of multi-family therapy for anorexia groups between 2013-2021 in a specialist child and adolescent eating disorders service.

IF 1.8 4区 医学 Q3 PSYCHIATRY Clinical Child Psychology and Psychiatry Pub Date : 2024-01-01 Epub Date: 2023-07-27 DOI:10.1177/13591045231193249
See Heng Yim, Sam White
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Abstract

The aims of the service evaluation were to examine the effectiveness of multi-family therapy for anorexia nervosa (MFT-AN) on family relationships, as well as to understand families' experiences of MFT in a specialist child and adolescent eating disorders service between 2013-2021. Mixed-methods were used (t-tests and reflexive thematic analysis). Delivery was in-person in 2013-2019, and moved online from 2020 due to COVID-19. Responses from a total of 57 families and 190 people were analysed. MFT improved family functioning from pre-to post MFT as measured by the Systemic Clinical Observation in Routine Evaluation (SCORE-15). Sub-group analysis by family roles showed that at four-month follow-up, the effects were no longer significant among parents. On the contrary, preliminary analysis showed that although young people did not report any improvement at post-intervention, family functioning was reported to increase at follow-up. Four themes were constructed: being together as a family and as a group; individuality: everyone's recovery is different; MFT as an emotion 'hotpot', and in-person versus virtual groups: not a one-size-fits-all. More robust follow-up data are needed to ascertain the effects of online MFT-AN.

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2013-2021年期间,在儿童和青少年饮食失调症专科服务中对厌食症小组的多家庭治疗进行服务评估。
服务评估的目的是研究神经性厌食症多家庭治疗(MFT-AN)对家庭关系的有效性,并了解家庭在 2013-2021 年期间在儿童和青少年饮食失调症专科服务中对 MFT 的体验。研究采用了混合方法(t 检验和反思性主题分析)。2013 年至 2019 年期间采用面谈方式,2020 年起因 COVID-19 而改为在线方式。共对 57 个家庭和 190 人的回复进行了分析。根据常规评估中的系统临床观察(SCORE-15),从实施前到实施后,心理辅导改善了家庭功能。按家庭角色进行的分组分析表明,在四个月的随访中,对父母的影响不再显著。相反,初步分析表明,虽然青少年在干预后没有报告任何改善,但家庭功能在随访中却有所提高。研究构建了四个主题:作为一个家庭和一个团体在一起;个性:每个人的康复情况都不同;MFT 是情绪的 "火锅",以及面对面团体与虚拟团体:并非放之四海而皆准。要确定在线 MFT-AN 的效果,还需要更多可靠的后续数据。
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来源期刊
CiteScore
3.60
自引率
5.60%
发文量
130
期刊介绍: Clinical Child Psychology and Psychiatry brings together clinically oriented, peer reviewed work of the highest distinction from an international and multidisciplinary perspective, offering comprehensive coverage of clinical and treatment issues across the range of treatment modalities. Clinical Child Psychology and Psychiatry is interested in advancing theory, practice and clinical research in the realm of child and adolescent psychology and psychiatry and related disciplines. The journal directs its attention to matters of clinical practice, including related topics such as the ethics of treatment and the integration of research into practice. Multidisciplinary in approach, the journal includes work by, and is of interest to, child psychologists, psychiatrists and psychotherapists, nurses, social workers and all other professionals in the fields of child and adolescent psychology and psychiatry.
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