Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2017 Jan 5;12(1):e0169493.
doi: 10.1371/journal.pone.0169493. eCollection 2017.

Metasynthesis of the Views about Treatment of Anorexia Nervosa in Adolescents: Perspectives of Adolescents, Parents, and Professionals

Jordan Sibeoni  1   2 , Massimiliano Orri  2 , Marie Valentin  1 , Marc-Antoine Podlipski  3 , Stephanie Colin  1 , Jerome Pradere  1 , Anne Revah-Levy  1   2
Affiliations

Metasynthesis of the Views about Treatment of Anorexia Nervosa in Adolescents: Perspectives of Adolescents, Parents, and Professionals

Jordan Sibeoni et al. PLoS One. .

Abstract

Background: Anorexia nervosa in adolescents can be a difficult-to-treat disease. Because qualitative research is a well-established method for deepening our understanding of subjective experiences, such as eating disorders and their treatment, we sought to perform a systematic review of qualitative studies to synthesize the views of adolescents with this disease, their parents, and their healthcare providers about its treatment.

Methods: We performed a thematic synthesis to develop the central themes that summarize all of the topics raised in the articles included in our review. The quality of the articles was assessed by the Critical Appraisal Skills Program.

Results: We included 32 articles from seven different countries. Two central themes were inductively developed from the analysis: (1) the treatment targets (i.e., symptoms and patients in context), and (2) a therapeutic tool-a relationship, specifically the core concept of the therapeutic relationship.

Conclusion: Our results underline the difficulty in establishing a therapeutic alliance, the barriers to it, especially the risk that professionals, adolescents, and parents will not converse about treatment; although such a dialogue appears to be an essential component in the construction of a therapeutic alliance.

PubMed Disclaimer

Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Fig 1
Fig 1. Flow of information through the different phases of the studies selection.
From: Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group (2009). Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Med 6(6): e1000097. doi: 10.1371/journal.pmed1000097.
See this image and copyright information in PMC

References

    1. Le Grange D, Loeb K. Early Identification and Treatment of Eating Disorders: Prodrome to Syndrome. Early Interv Psychiatry 2007; 1: 27–39. 10.1111/j.1751-7893.2007.00007.x - DOI - PubMed
    1. Swanson S, Crow S, Le Grange D, Swendsen J, Merikangas K. Prevalence and Correlates of Eating Disorders in Adolescents: Results from the National Comorbidity Survey Replication Adolescent Supplement. Arch Gen Psychiatry. 2011;67:714–723. - PMC - PubMed
    1. Steinhausen H. Outcome of Eating Disorders. Child and Adolescent Psychiatric Clinics of North America 2009;1(18) 225–42. - PubMed
    1. Zipfel S, Bernd L, Reas D, Hans-Christian D, Wolfgang H. Long-Term Prognosis in Anorexia Nervosa: Lessons from a 21- Year Follow-up Study. Lancet 2000;355(9205): 721–22. 10.1016/S0140-6736(99)05363-5 - DOI - PubMed
    1. Strober M, Freeman R, Morrell W. The long-term course of severe anorexia nervosa in adolescents: survival analysis of recovery, relapse, and outcome predictors over 10–15 years in a prospective study. Int J Eat Disord. 1997;22(4):339–360. - PubMed

LinkOut - more resources