Abstract：
In their systematic review on parent illness representations in their children with anorexia nervosa (AN), Marchetti and Sawrikar (International Journal of Eating Disorders, 2023) integrate past research on the parental experience of the illness, investigating whether the Common Sense Model of Self-Regulation (CSM) is a useful framework for understanding parental responses to AN. Given that family-based treatment (FBT) is a first-line treatment for adolescents with eating disorders and is based upon integrating parents into the treatment process, it is especially relevant to explore how parent illness representations may impact FBT. In this commentary, we describe how FBT is designed to support parents and address many of the common unhelpful beliefs and emotions associated with parenting an adolescent with AN. We include specific examples of how parents can be supported within FBT as manualized. We also examine parental representations that may not be addressed by FBT, and how these may impact treatment outcomes in FBT, possibly via the impact of expressed emotion. Future research is needed to determine if modifications to FBT are required to address parental representations of the illness. We end by expanding upon Marchetti and Sawrikar\'s suggestions on how treatment could be extended to better support parents as necessary.
摘要：
在他们对患有神经性厌食症（AN）的孩子的父母疾病表征的系统评价中，Marchetti和Sawrikar(国际饮食失调杂志，2023)整合过去对父母患病经历的研究，调查自我调节的常识模型（CSM）是否是理解父母对AN的反应的有用框架。鉴于以家庭为基础的治疗（FBT）是针对饮食失调青少年的一线治疗，并且基于将父母纳入治疗过程，这与探索父母疾病表征可能如何影响FBT尤其相关.在这篇评论中,我们描述了FBT是如何设计的，以支持父母和解决许多常见的无益的信念和情绪与育儿青少年与AN相关。我们包括如何在FBT中手动支持父母的具体示例。我们还检查了FBT可能无法解决的父母陈述，以及这些可能如何影响FBT的治疗结果，可能是通过表达情感的影响。需要进一步的研究来确定是否需要对FBT进行修改以解决父母对疾病的陈述。最后，我们扩展了Marchetti和Sawrikar关于如何在必要时扩大治疗范围以更好地支持父母的建议。
