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首页> 外文期刊>Journal of Eating Disorders >Establishment of a multifamily therapy (MFT) service for young adults with a severe eating disorder – experience from 11 MFT groups, and from designing and implementing the model
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Establishment of a multifamily therapy (MFT) service for young adults with a severe eating disorder – experience from 11 MFT groups, and from designing and implementing the model

机译：为具有严重饮食失调的年轻成年人建立多重疗法（MFT）服务 - 从11个MFT组的经验，并从设计和实施模型

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Background:Eating disorders are serious illnesses leading to a substantially lowered quality of life not only for the patient but also for their family. They are difficult to treat, and many patients fail to complete their treatment. At the Regional Centre for Eating Disorders (RESSP) at Nordland Hospital in Bod?, in the north of Norway, it was apparent that many young adult patients maintained an active, ongoing relationship with their family of origin, and that parents and others were often highly involved in their life and illness. It was therefore desirable to develop a treatment model involving family members; specifically a multifamily therapy (MFT) group programme.Methods:The aim was to establish an MFT service at RESSP for young adult patients suffering from severe eating disorders. This involved, (1) work preparatory to the establishment of the new service, (2) the development and implementation of a suitable MFT model, and (3) sharing the skills and knowledge gained from our experiences to other professionals in the field, and in other settings. This work of development and change can be understood as a process of innovation and is here described within the framework of implementation theory. The work took place in a clinically naturalistic context at the centre.Results:The MFT model description is based on experience during its development as well as its final form. The stages of this development process and of the changes made in order to establish the new service are described, together with its core components. To date, 68 patients and 198 family members have participated. Dropout rate has been 7.4% and the majority of patients have continued in treatment after completion of the MFT groups. BMI measurements show a significant weight-gain for those with an underweight at start. 32 other professionals have been trained in the model, and a similar service started in 3 other units.Conclusion:The new model has been welcomed by patients and families alike. The MFT group programme has had a strikingly low dropout rate and a majority of patients have continued in treatment. BMI measurements show a significant weight-gain for those being underweight at start. Other therapists have been trained in the model, and similar services set up elsewhere. In order to document and increase the usefulness of the MFT treatment, a research project has been initiated to evaluate experience and outcomes both quantitatively and qualitatively.? The Author(s). 2020.
机译：背景：饮食障碍是严重的疾病，导致实质性降低的生活质量不仅适用于患者，而且还为他们的家人。它们难以治疗，许多患者未能完成治疗。在挪威北部的Nordland医院的区域饮食障碍（Ressp）的区域中心，很明显，许多年轻成年患者与他们的原籍家庭保持积极，持续的关系，父母和其他人经常是高度参与他们的生命和疾病。因此，希望开发涉及家庭成员的治疗模型;特别是多型疗法（MFT）组计划。方法是在患有严重饮食疾病的年轻成年患者的RESSP中建立MFT服务。这涉及，（1）工作准备建立新的服务，（2）制定和实施合适的MFT模型，（3）分享我们对该领域其他专业人员的经验中获得的技能和知识，以及在其他设置中。这种发展和变革的工作可以被理解为创新过程，并在这里描述了实现理论的框架内。该工作在Centre.Results：MFT模型描述基于其开发过程中的经验以及其最终形式。该开发过程的阶段和为了建立新服务而制定的更改，以及其核心组件。迄今为止，68名患者和198名家庭成员参加过。辍学率为7.4％，大多数患者在完成MFT组后继续治疗。 BMI测量为启动时具有超重的人显示出显着的体重增加。 32其他专业人员在模型中受过培训，并在其他3个单位中开始了类似的服务。结论：新模式受到患者和家庭的欢迎。 MFT集团计划具有惊人的辍学率，大多数患者继续治疗。 BMI测量显示出在启动时体重体重的显着体重增加。其他治疗师已在模型中培训，以及在其他地方设置的类似服务。为了记录和提高MFT治疗的有用性，已启动研究项目，以评估定量和定性的经验和结果。作者。 2020。

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