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Relation between in...
Relation between increasing attachment security and weight gain : a clinical study of adolescents and their parents at an outpatient ward
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- Gezelius, Christina M. E. (author)
- Department of Children and Youth Psychiatry, Center for Clinical Research, Falun Hospital, Falun, Sweden
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- Wahlund, Björn A. (author)
- Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden; California Institute of Technology, Pasadena, USA
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- Wiberg, Britt M., 1946- (author)
- Umeå universitet,Institutionen för psykologi
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(creator_code:org_t)
- Springer Nature, 2023
- 2023
- English.
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In: Eating and Weight Disorders. - : Springer Nature. - 1124-4909 .- 1590-1262. ; 28:1
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Abstract
Subject headings
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- Purpose: We wanted to evaluate the impact of a relational focus in the treatment of adolescent ED-patients and their parents at an intensive outpatient ward, based on attachment theory, combined with a family approach and psychodynamic principles. Our aim was to investigate the distribution of different attachment styles among the adolescent ED-patients and their parents, and to find out if they could change by the treatment.Methods: Swedish adolescents (n = 33; 3 boys, 30 girls) and their parents (n = 60; 34 mothers, 26 fathers) participated. Measures: Attachment Style Questionnaire (ASQ), Body Mass Index (BMI) and Children’s Global Assessment Scale (CGAS) before and after treatment.Results: The adolescents were high on Need for Approval (ASQ4) of the Insecure/Anxious scale before treatment (in contrast to the parents). The patients had a significant decrease in ASQ4 after treatment, which correlated inversely to the increase in BMI but not to CGAS. The mothers showed features of the Secure/Confident style, fathers of the Insecure/Avoidant with elevated Relationships as Secondary (ASQ2).Conclusions: Treatment with a relational and a family focus has impact on attachment insecurity in adolescent ED-patients and outcomes in terms of BMI. It is important to engage the parents, who need to help the adolescents to separate at that developmental stage. A secure therapeutic context, which enables mentalizations and allows new relational experiences, is essential. The ASQ-instrument is useful in indicating how the treatment of ED-adolescents is proceeding.
Subject headings
- SAMHÄLLSVETENSKAP -- Psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology (hsv//eng)
Keyword
- Attachment
- Eating disorders
- Adolescents
- Parents
- Clinical study
Publication and Content Type
- ref (subject category)
- art (subject category)
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