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User satisfaction with family-based inpatient treatment for adolescent anorexia nervosa: retrospective views of patients and parents

机译:对青少年厌食症的基于家庭住院治疗的用户满意度:患者和父母的回顾性景色

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Research is scarce on patient and parent satisfaction with family-based treatment for adolescent anorexia nervosa (AN), especially family-based treatment adapted to inpatient settings. The purpose of this study was to describe and compare patient and parent satisfaction with an inpatient family-based treatment program for adolescent AN, and to investigate whether the level of satisfaction with treatment was associated with eating disorder outcome. Former patients and their parents were contacted approximately five years (4.5?±?1.7, range: 1.3-7.0) after discharge from family-based inpatient treatment. Ninety-four participants (patients: n?=?34, mothers: n?=?40, fathers: n?=?20) from 46/58 (79.3%) families took part in the study. Former patients and both parents completed treatment satisfaction questionnaires. Outcome at follow-up was assessed by the Eating Disorder Examination Questionnaire and body mass index (kg/m2). Overall, mothers and fathers reported a high level of satisfaction with treatment, while the former patients' satisfaction was moderate. There were no significant differences between treatment satisfaction scores for mothers and fathers. However, the former patients' treatment satisfaction scores were significantly lower than the parents' scores on several of the items. Correlations between eating disorder outcome parameters and treatment satisfaction were small, except for fathers' satisfaction with treatment and weight outcome at follow-up. Family-based treatment adapted to inpatient settings is a novel treatment approach for adolescents with AN that require hospitalization. Inclusion and empowerment of parents are considered crucial in outpatient family-based treatment, but may be just as important in inpatient programs. Mothers and fathers alike reported high levels of satisfaction with treatment, which may constitute an important factor in the success of family-based treatment. Family-based inpatient treatment for adolescents with severe AN who have failed to respond to outpatient treatment seemed to be highly valued by parents and viewed by adolescents as acceptable. Parental satisfaction with their child's treatment is likely to be an important factor for treatment implementation and adherence both in outpatient and inpatient settings.
机译:对患者和父母满意的研究稀缺,对青少年厌食症(AN)的基于家族的治疗,特别是适用于住院环境的基于家庭的治疗方法。本研究的目的是将患者和父母满意描述与青少年AN的基于住院生的治疗方案进行描述和比较,并调查治疗的满足程度是否与饮食失调结果相关。从家庭的住院治疗中排出后,前五年(4.5?±1.7,范围:1.3-7.0)接触了前患者及其父母。九十四名参与者(患者:N?= 34,母亲:N?=?40,父亲:N?=?20)从46/58(79.3%)家庭参加了这项研究。前患者和父母双方完成治疗满意度问卷。随访的结果是通过饮食障碍检查问卷和体重指数(KG / M2)进行评估。总体而言,母亲和父亲报告治疗的高度满意度,而前患者的满意度适中。母亲和父亲治疗满意度分数没有显着差异。然而,前患者的治疗满意度得分明显低于父母在几个物品上的分数。进食障碍结果参数和治疗满意度之间的相关性小,除了父亲对治疗和后续体重结果的满意度。适用于住院环境的家庭基础是一种新的青少年治疗方法,需要住院。纳入和赋予父母的权力被认为是关键基于家庭的待遇至关重要,但可能在住院计划中同样重要。母亲和父亲同样地报告了对治疗的高度满意度,这可能构成了基于家庭的治疗成功的重要因素。基于家族的住院治疗患有严重的青少年未能应对门诊治疗的青少年似乎受到父母的高度重视,并被青少年视为可接受的。与孩子的治疗父母满意度可能是在门诊和住院环境中治疗和遵守的重要因素。

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