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Two models of multiple family therapy in the treatment of adolescent anorexia nervosa: a systematic review

机译:多种家庭疗法治疗青少年神经性厌食症的两种模型:系统评价

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Multiple family therapy (MFT) is a therapeutic method that brings together several families affected by the same pathology. Although from an ideological and conceptual point of view, MFT is often linked to family therapy and group therapy, it is difficult to define it with precision, a weakness which may in turn hinder research on therapeutic effectiveness. This is most notable in the field of eating disorders (ED) where, in spite of MFT's great popularity, research evidence remains limited. Within the context of a systematic review of the literature on MFT in the treatment of anorexia nervosa, the purpose of this article is to provide a theoretical and clinical framework for describing two MFT models, in an attempt to explore their common and distinct concepts, principles, techniques, and factors of change. The first program is a day treatment adaptation of the Maudsley family-based MFT approach, developed in Belgium at the Therapeutic Centre for Adolescents suffering from Eating Disorders: it focuses on the management of ED symptoms, using a strong cognitive behavioral orientation. The second is an integrated systemic MFT outpatient and inpatient program carried out on the ED unit of a pediatric hospital in Paris, France: it emphasizes intra- and inter-family relationships within a systemic framework. Our effort to describe and compare these two models constitutes a first step toward determining the relative value of different models of MFT. Indeed, each model presents specific characteristics that may make it best suited for specific ED populations and/or types of families.
机译:多家庭疗法(MFT)是一种治疗方法,它将受相同病理影响的多个家庭聚集在一起。尽管从意识形态和概念的角度来看,MFT通常与家庭疗法和团体疗法联系在一起,但很难对其进行精确定义,这一缺点可能反过来阻碍了对疗效的研究。这在饮食失调(ED)领域最为显着,尽管MFT广受欢迎,但研究证据仍然有限。在对MFT治疗神经性厌食症的文献进行系统综述的背景下,本文的目的是为描述两种MFT模型提供理论和临床框架,以试图探索它们的共同而不同的概念,原理。 ,技术和变化因素。第一个计划是对基于Maudsley家庭的MFT方法进行日间治疗的适应方案,该方法是在比利时由饮食失调症青少年治疗中心开发的:它着重于采用强有力的认知行为取向来管理ED症状。第二个是在法国巴黎的儿科医院急诊室进行的系统性MFT门诊和住院病人综合计划:它强调在系统框架内的家庭内部和家庭之间的关系。我们描述和比较这两种模型的努力构成了确定MFT不同模型相对价值的第一步。实际上,每种模型都具有特定的特征,可能使其最适合特定的ED人群和/或家庭类型。

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