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Parent-focused psychotherapy for the preventive management of chronicity in anorexia nervosa: a case series

dc.creatorGarcía-Anaya, Maríaes_ES
dc.creatorCaballero-Romo, Alejandroes_ES
dc.creatorGonzález-Macías, Lauraes_ES
dc.date2022
dc.date.accessioned2024-12-24T15:17:45Z
dc.date.available2024-12-24T15:17:45Z
dc.date.issued2022
dc.identifierOE20IC22es_ES
dc.identifier.issn1661-7827
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/8184
dc.identifier.urihttps://doi.org/10.3390/ijerph19159522
dc.descriptionAnorexia nervosa (AN) is a complex eating disorder where involvement of family plays a central role in first line treatment in adolescents, but which is not so for adults where poor response to treatment is frequent. Given the reluctance of some patients to receive treatment, we set out to explore the hypothesis that certain family dynamics may be involved in the maintenance of the disorder. Methods: We aimed to understand what is underlying in the cases of patients who present clinical improvement with their parents, but not the ones who received a parent-focused psychotherapeutic intervention. We conducted a mixed methods study. On the one hand we performed a case series of 14 patients who dropped out of treatment while their parents actively attended the intervention, and on the other hand, we followed the evolution of the parents of those patients reluctant to continue treatment, through non-participant observation. Results: We present preliminary evidence where we found the parent-focused psychotherapeutic intervention was able to elicit a reflective function of the parents. We also observed that the intervention modified certain family dynamics that could be related to maintaining factors of the disorder. In patients, we found that in parallel to the assistance of their parents to psychotherapeutic treatment, and even when they were receiving no intervention, they showed significant clinical improvement of symptomatology and global functioning; we observed 9 of 14 of them who voluntarily decided to return to pharmacological treatment. Conclusions: This parent-focused intervention elicited changes in reflective functioning of participant parents; the intervention produced favorable changes in family dynamics, which we believe is probably related to improvement of global functioning, symptomatology, and insight of patients.es_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherMDPIes_ES
dc.relation19(15):9522
dc.rightsAcceso Cerradoes_ES
dc.titleParent-focused psychotherapy for the preventive management of chronicity in anorexia nervosa: a case serieses_ES
dc.typeArtículoes_ES
dc.contributor.affiliationClinical Research Division, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City 14370, Mexico
dc.contributor.emailgarcia.anaya@gmail.com (M.G.-A.) ; macias@imp.edu.mx (L.G.-M.)
dc.relation.jnabreviadoINT J ENVIRON RES PUBLIC HEALTH
dc.relation.journalInternational Journal of Environmental Research and Public Health
dc.identifier.placeSuiza
dc.date.published2022
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.eissn1660-4601
dc.identifier.doi10.3390/ijerph19159522
dc.subject.kwAnorexia nervosa
dc.subject.kwChronicity
dc.subject.kwFamily psychotherapy
dc.subject.kwReflective functioning
dc.subject.kwVicarious experience


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