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. 2021 Jan 6;9(1):7.
doi: 10.1186/s40337-020-00360-x.

Family members' reflections upon a family-based inpatient treatment program for adolescent anorexia nervosa: a thematic analysis

Jan-Vegard Nilsen  1   2 , Øyvind Rø  3   4 , Inger Halvorsen  3 , Hanne Weie Oddli  5 , Trine Wiig Hage  3
Affiliations

Family members' reflections upon a family-based inpatient treatment program for adolescent anorexia nervosa: a thematic analysis

Jan-Vegard Nilsen et al. J Eat Disord. .

Abstract

Background: Family-based outpatient treatment is usually recommended as the treatment of choice when a child develops anorexia nervosa. However, some young persons will inevitably require higher levels of care. Qualitative research on family perspectives may help inform strategies to adapt family-based practices into intensified treatment settings. Our overarching aim was to investigate family members' perspectives following a family-based inpatient treatment program for adolescent anorexia nervosa and to discuss clinical implications for treatment providers.

Methods: A subsample of eight families taking part in a naturalistic outcome study at a specialized eating disorder unit participated in the study (8 patients, 14 parents, and 10 siblings). The thematic analyses were inductive, predominantly descriptive, and guided by a multi-perspective framework.

Results: Five main themes were identified: 1: Expectations and evaluation of needs. Entering treatment from different vantage points, 2: Interactions with peers during the admission as highly beneficial or problematic, 3: Perspectives on staff expertise and the eating disorder unit's structure, 4: Influencing within family relationships in different ways, and 5: Being admitted is at best only half the job: reflections on leaving the eating disorder unit.

Conclusions: Our study offers insight into how former inpatients and their family members experienced an inpatient treatment program designed to align treatment with the central elements of an outpatient family-based treatment approach for adolescent anorexia nervosa. Overall, the findings support emerging research underlining the necessity of strengthening the family-based treatment approach within intensified treatment settings. Moreover, the results emphasized the need for more knowledge on how to optimize inpatient treatment as well as the importance of providing smooth transitions between care settings.

Keywords: Anorexia nervosa; Eating disorders; Family-based treatment; Higher levels of care; Inpatient treatment; Qualitative research; User perspectives.

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Conflict of interest statement

The authors declare that they have no competing interests.

References

    1. Eisler I, Simic M, Hodsoll J, Asen E, Berelowitz M, Connan F, et al. A pragmatic randomised multi-Centre trial of multifamily and single family therapy for adolescent anorexia nervosa. BMC Psychiatry. 2016;16:422. - PMC - PubMed
    1. Lock J, Le Grange D. In: Treatment manual for anorexia nervosa : a family-based approach. 2nd ed. Le Grange D, Russell G, editors. New York: Guilford Press; 2013.
    1. Hilbert A, Hoek H, Schmidt R. Evidence-based clinical guidelines for eating disorders: international comparison. Curr Opin Psychiatr. 2017:423–37. - PMC - PubMed
    1. Isserlin L, Spettigue W, Norris M, Couturier J. Outcomes of inpatient psychological treatments for children and adolescents with eating disorders at time of discharge: a systematic review. J Eat Disord. 2020;8(1):32. - PMC - PubMed
    1. Lock J, Le Grange D. Family-based treatment: where are we and where should we be going to improve recovery in child and adolescent eating disorders. Int J Eat Disord. 2019;52(4):481–487. - PubMed

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