| Popis: |
Normal 0 21 false false false ES JA X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Tabla normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:none; font-size:12.0pt; font-family:"Arial","sans-serif"; color:black; mso-ansi-language:ES; mso-fareast-language:ES;} Abstract Inclusion of the family members in eating disorders (ED) treatment is a key recommendation of clinical practice guidelines for adolescents. The aim of this study was to observe and analyze roles, interaction patterns, and emotional response styles of family and patients, as well as the features of a menu brought to a family meal session (FMS). A total of 13 patient’s families from the intensive outpatient program for ED participated, patients aged among 12-29 years. Two therapists filled out a family meal observation matrix and took field notes. To improve validity, data triangulation strategies were used, including different sources of information (individual and group sessions contents) and triangulation of techniques (observation in vivo of FMS and a subsequent session with participants was carried out). The analysis of thematic contents revealed that regardless the type of ED and age of the patient the presence of avoidant behaviors in relatives and to a lesser extent, and especially in parents, aggressive, challenging or threatening patterns. However, the discrepancy between the behavior observed in the FMS and the one reported by the patients and their therapists was evident. In general, was observed that behavioral patterns may contribute to the maintenance of the disease. Normal 0 21 false false false ES JA X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Tabla normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:none; font-size:12.0pt; font-family:"Arial","sans-serif"; color:black; mso-ansi-language:ES; mso-fareast-language:ES;} Resumen Involucrar a la familia en el tratamiento de los trastornos del comportamiento alimentario (TCA) es una recomendacion clave de las guias de practica clinica para adolescentes. El objetivo de este estudio fue analizar los patrones de interaccion y roles familiares, sus estilos de respuesta emocional y las caracteristicas del menu traido a una sesion de comida terapeutica familiar (CTF). Participaron las familias de 13 pacientes con TCA, de entre 12 y 29 anos de edad, asistentes a un programa ambulatorio intensivo. Dos terapeutas llenaron de manera independiente una matriz de observacion de la sesion de CTF e hicieron anotaciones de campo; ademas fueron utilizadas estrategias de triangulacion de datos, considerando diferentes fuentes (contenidos de las sesiones individuales y grupales) y tecnicas (observacion en vivo y entrevista familiar). El analisis realizado revelo, independientemente del tipo de TCA o de la edad de las pacientes, la predominancia de comportamientos evitativos en las familias; en menor medida, y principalmente en los padres, los patrones agresivos, retadores o de amenaza tambien estuvieron presentes. No obstante, resulto evidente la discordancia entre el comportamiento observado en la CTF vs. el reportado por las pacientes y sus terapeutas. En general, estuvieron ampliamente presentes patrones comportamentales que pueden contribuir al mantenimiento de la enfermedad. Normal 0 21 false false false ES-CO JA X-NONE Normal 0 21 false false false ES JA X-NONE |
