Efectividad de la aplicación del programa Echomantra en una adolescente con anorexia nerviosa y su familiar: Un estudio de caso

IF 0.8 Q4 PSYCHOLOGY, DEVELOPMENTAL Revista de Psicologia Clinica con Ninos y Adolescentes Pub Date : 2023-01-01 DOI:10.21134/rpcna.2023.10.2.6
A. Ruiz, Y. Quiles, Eva María Muñoz León, María Roncero, M. Marco
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Abstract

Effectiveness of the application of the Echomantra in an adolescent girl with anorexia nervosa and her caregiver: A case study. The aim of the ECHOMANTRA program is to facilitate the transition from hospital back into the community. ECHOMANTRA is based on interventions for carers (Experienced Carers Helping Others, ECHO; Treasure et al. 2016) and patients (Maudsley Model of Anorexia Nervosa Treatment for Adults, MANTRA; Schmidt, et al., 2014). The aim of this study was to evaluate the effectiveness of the ECHOMANTRA program, applied together with the usual treatment, in a 15-yearold adolescent girl with anorexia nervosa (AN) and her mother. A single case design and pre-post measures were used, as well as follow-up at 3 and 6 months. The patient was assessed for: eating pathology (EDE-Q), emotional state (DASS-21), psychosocial adjustment (EQ-5D-5L and CIA 3.0) and motivation to change. In the mother: expressed emotion (FQ), symptom impact (EDSIS), accommodation to illness (EAISA), emotional state (DASS-21) and her caregiver skills (CSS) were assessed. Both programs consisted of 8 on-line sessions, which were conducted individually and on a weekly basis. The results showed a reduction in AN symptomatology, increased BMI, improved emotional state, motivation to change and psychosocial adjustment; and in the mother, improved emotional state and caregiving skills, and reduced accommodation to illness, expressed emotion and the impact of symptoms. These changes were maintained at follow-up. Both patient and family valued the program as satisfactory. Both the acceptability and efficiency of treatment for AN may be improved by using ECHOMANATRA to prepare for transition from inpatient care, by giving support to both patients and their carers.
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回声咒语计划在神经性厌食症青少年及其家庭中的应用效果:个案研究
应用Echomantra治疗神经性厌食症少女及其护理者的效果:个案研究。ECHOMANTRA方案的目的是促进从医院回到社区的过渡。ECHOMANTRA是基于对护理人员的干预(有经验的护理人员帮助他人,ECHO;Treasure et al. 2016)和患者(Maudsley成人神经性厌食症治疗模型,MANTRA;Schmidt等人,2014)。本研究的目的是评估ECHOMANTRA计划与常规治疗一起应用于一位患有神经性厌食症(AN)的15岁青春期女孩及其母亲的有效性。采用单一病例设计和前后措施,并在3个月和6个月进行随访。对患者进行饮食病理(ed - q)、情绪状态(DASS-21)、心理社会适应(EQ-5D-5L和CIA 3.0)和改变动机的评估。对母亲进行情绪表达(FQ)、症状影响(EDSIS)、疾病适应(EAISA)、情绪状态(DASS-21)和照顾者技能(CSS)评估。这两个项目都包括8个在线课程,每个课程每周单独进行一次。结果显示AN症状减轻,BMI增加,情绪状态改善,改变动机和心理社会适应;母亲的情绪状态和护理技能得到改善,对疾病的适应减少,表达情绪和症状的影响。这些变化在随访中保持不变。病人和家属都认为这个项目令人满意。通过使用ECHOMANATRA准备从住院治疗过渡,并为患者及其护理人员提供支持,可以提高AN治疗的可接受性和效率。
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来源期刊
CiteScore
4.40
自引率
3.60%
发文量
27
审稿时长
16 weeks
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