背景:在青少年和成年早期饮食失调的病例中,尽管患者与父母的关系很重要,他们之间经常发生冲突和混乱。人际心理治疗(IPT)是一种专注于当下的心理治疗,强调症状的人际背景。我们专门为饮食失调患者的父母制定了远程家庭教育和支持计划,基于IPT的原则。IPT的使用有望减少患者-父母关系中的冲突。因此,父母会更好地倾听病人的意见,患者将能够更好地表达他们的想法和愿望。在这项研究中,我们描述了一项随机对照试验的方案,该试验旨在根据青少年和成年早期饮食失调患者父母的积极倾听技巧,检验该项目在促进家庭有效沟通方面的有效性.
方法:参与者将是12-29岁青少年和成年早期饮食失调患者的父母。单独随机,将采用平行组试验设计。70名参与者将被分配到两个治疗条件之一:(1)远程家庭教育和支持计划(四,每周150分钟的小组会议)为父母加上患者的常规治疗(由医生咨询或不治疗),或(2)等待控制条件(父母将等待8周开始该程序)加上患者照常治疗。主要结果测量将是父母的积极倾听能力,如在随机分组后8周通过积极倾听态度量表测量的。此外,社会支持感知(社会供给量表-10项),孤独(加州大学洛杉矶分校孤独量表),心理健康状况(K6),家庭功能(家庭评估装置),和父母评估的进食障碍症状(厌食症行为观察量表)将被评估。来自意向治疗样品的数据将在随机化后8周进行分析。
结论:这是第一项基于IPT评估针对青少年和成年早期饮食障碍患者父母的家庭教育和支持计划有效性的研究。如果这种干预是有效的,虽然是间接的,这可能是对这一患者群体的一种新的支持方法。
背景:临床试验。政府IDNCT05840614。
对于患有青少年和成年早期饮食失调的患者,尽管与父母的关系是一种重要的人际关系动态,患者和他们的父母之间经常出现冲突和困惑。另一方面,与饮食失调者生活在一起的父母经常卷入人际关系纠纷,导致沉重的心理负担和抑郁和焦虑水平升高。已经发现,高度抑郁或焦虑的父母往往难以仔细倾听他们的病人。此外,父母的焦虑往往会促进过度保护的反应。人际心理治疗(IPT)是一种专注于当下的心理治疗,强调症状的人际背景。在IPT中,患者和治疗师在人际治疗领域工作,例如具有不同期望和角色转换的人际角色纠纷。我们根据IPT原则,专门为饮食失调患者的父母制定了远程家庭教育和支持计划。在本研究中,我们描述了一项随机对照试验的方案,旨在检查该计划在促进家中有效沟通方面的有效性,专注于青少年和成年早期饮食失调患者父母的积极倾听技巧。
BACKGROUND: In cases of adolescent and early adulthood eating disorders, despite the importance of the patients\' relationship with their parents, conflict and confusion frequently occur among them. Interpersonal psychotherapy (IPT) is a present-focused psychotherapy that emphasizes the interpersonal context of symptoms. We developed a remote family education and support program exclusively for parents of patients with eating disorders, based on the principle of IPT. The use of IPT is expected to reduce conflicts in the patient-parent relationship. Consequently, parents will be better able to listen to patients, and patients will be better able to express their thoughts and desires. In this study, we describe the protocol for a randomized controlled trial designed to examine the effectiveness of this program in promoting effective communication in their home based on active listening skills of parents of patients with adolescent and early adulthood eating disorders.
METHODS: Participants will be parents of patients aged 12-29 years with adolescent and early adulthood eating disorders. Individually randomized, parallel-group trial design will be employed. Seventy participants will be allocated to one of two treatment conditions: (1) remote family education and support program (four, 150 min weekly group sessions) for parents plus treatment-as-usual for patients (consultation by physicians or no treatment), or (2) waiting for the control condition (parents will wait to start the program for 8 weeks) plus treatment-as-usual for patients. The primary outcome measure will be parents\' active listening ability as measured by the Active Listening Attitude Scale at 8 weeks after randomization. Additionally, perception of social support (Social Provision Scale-10 item), loneliness (UCLA Loneliness Scale), mental health status (K6), family function (Family Assessment Device), and parent-evaluated eating disorder symptoms (Anorectic Behavior Observation Scale) will be assessed. Data from the intention-to-treat sample will be analyzed 8 weeks after randomization.
CONCLUSIONS: This is the first study to evaluate the effectiveness of a family education and support program for parents of patients with adolescent and early adulthood eating disorders based on IPT. If this type of intervention is effective, although indirect, it could be a new support method for this patient population.
BACKGROUND: Clinical Trials. gov ID NCT05840614.
For patients with adolescent and early adulthood eating disorders, although the relationship with their parents is an important interpersonal dynamic, conflicts and confusion often arise between patients and their parents. On the other hand, parents who live with individuals with eating disorders are frequently involved in interpersonal disputes, leading to a heavy psychological burden and elevated levels of depression and anxiety. It has been found that highly depressed or anxious parents tend to have difficulty listening carefully to their patients. Additionally, parental anxiety often promotes an overprotective response. Interpersonal psychotherapy (IPT) is a present-focused psychotherapy that emphasizes the interpersonal context of symptoms. In IPT, the patient and therapist work within interpersonal therapeutic domains, such as interpersonal role disputes with different expectations and role transitions. We developed a remote family education and support program exclusively for parents of patients with eating disorders based on IPT principles. In the present study, we describe the protocol for a randomized controlled trial designed to examine the effectiveness of this program in promoting effective communication within their homes, focusing on the active listening skills of parents of patients with adolescent and early adulthood eating disorders.