Obstacles and facilitators of therapeutic alliance among adolescents with anorexia nervosa, their parents and their psychiatrists: A qualitative study.
Anorexia nervosa
adolescents
qualitative research
therapeutic alliance
Journal
Clinical child psychology and psychiatry
ISSN: 1461-7021
Titre abrégé: Clin Child Psychol Psychiatry
Pays: England
ID NLM: 9604507
Informations de publication
Date de publication:
Jan 2020
Jan 2020
Historique:
pubmed:
28
10
2019
medline:
14
4
2020
entrez:
26
10
2019
Statut:
ppublish
Résumé
Therapeutic alliance is one of the most important aspects of treatment of adolescents with anorexia nervosa. Little is known about the facilitators and obstacles of its process in this situation. We aimed to explore the experience of therapeutic alliance in inpatient treatment among adolescents with anorexia nervosa, their parents and their psychiatrists. This qualitative study, using semi-structured interviews, took place in France. Data collection by Forty-one participants were included, 15 teenaged girls, 18 parents and 8 psychiatrists. Analysis showed two themes: (1) what facilitates an alliance in treatment - with four facilitators: (a) human qualities, (b) an active role in the treatment, (c) taking time and (d) taking care of the entire family and (2) what impedes an alliance in treatment with four obstacles: (a) being too close or too distant, (b) focusing on weight, (c) control and constraints and (d) psychiatrization. Collaborative work between paediatricians and psychiatrists could facilitate therapeutic alliance with parents. Definition of therapeutic alliance in this situation should be enlarged to include the adolescent-parent relationship. It is necessary to construct specific items to integrate these specific aspects to existing scales.
Sections du résumé
BACKGROUND
BACKGROUND
Therapeutic alliance is one of the most important aspects of treatment of adolescents with anorexia nervosa. Little is known about the facilitators and obstacles of its process in this situation. We aimed to explore the experience of therapeutic alliance in inpatient treatment among adolescents with anorexia nervosa, their parents and their psychiatrists.
METHODS
METHODS
This qualitative study, using semi-structured interviews, took place in France. Data collection by
RESULTS
RESULTS
Forty-one participants were included, 15 teenaged girls, 18 parents and 8 psychiatrists. Analysis showed two themes: (1) what facilitates an alliance in treatment - with four facilitators: (a) human qualities, (b) an active role in the treatment, (c) taking time and (d) taking care of the entire family and (2) what impedes an alliance in treatment with four obstacles: (a) being too close or too distant, (b) focusing on weight, (c) control and constraints and (d) psychiatrization.
CONCLUSION
CONCLUSIONS
Collaborative work between paediatricians and psychiatrists could facilitate therapeutic alliance with parents. Definition of therapeutic alliance in this situation should be enlarged to include the adolescent-parent relationship. It is necessary to construct specific items to integrate these specific aspects to existing scales.
Identifiants
pubmed: 31648525
doi: 10.1177/1359104519882765
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM