Metasynthesis of the Views about Treatment of Anorexia Nervosa in Adolescents: Perspectives of Adolescents, Parents, and Professionals
Identifieur interne : 000003 ( Main/Exploration ); précédent : 000002; suivant : 000004Metasynthesis of the Views about Treatment of Anorexia Nervosa in Adolescents: Perspectives of Adolescents, Parents, and Professionals
Auteurs : Jordan Sibeoni [France] ; Massimiliano Orri [France] ; Marie Valentin [France] ; Marc-Antoine Podlipski [France] ; Stephanie Colin [France] ; Jerome Pradere [France] ; Anne Revah-Levy [France]Source :
- PLoS ONE [ 1932-6203 ] ; 2017.
Abstract
Anorexia nervosa in adolescents can be a difficult-to-treat disease. Because qualitative research is a well-established method for deepening our understanding of subjective experiences, such as eating disorders and their treatment, we sought to perform a systematic review of qualitative studies to synthesize the views of adolescents with this disease, their parents, and their healthcare providers about its treatment.
We performed a thematic synthesis to develop the central themes that summarize all of the topics raised in the articles included in our review. The quality of the articles was assessed by the Critical Appraisal Skills Program.
We included 32 articles from seven different countries. Two central themes were inductively developed from the analysis: (1) the treatment targets (i.e., symptoms and patients in context), and (2) a therapeutic tool—a relationship, specifically the core concept of the therapeutic relationship.
Our results underline the difficulty in establishing a therapeutic alliance, the barriers to it, especially the risk that professionals, adolescents, and parents will not converse about treatment; although such a dialogue appears to be an essential component in the construction of a therapeutic alliance.
Url:
DOI: 10.1371/journal.pone.0169493
PubMed: 28056106
PubMed Central: 5215824
Affiliations:
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(Val-d'Oise)</settlement></placeName></affiliation></author><author><name sortKey="Podlipski, Marc Antoine" sort="Podlipski, Marc Antoine" uniqKey="Podlipski M" first="Marc-Antoine" last="Podlipski">Marc-Antoine Podlipski</name><affiliation wicri:level="3"><nlm:aff id="aff003"><addr-line>Centre Hospitalier du Rouvray, Fédération Hospitalo-Universitaire de Psychiatrie de l'Enfant et de l'Adolescent, CHU de Rouen - CH du Rouvray, Rouen, France</addr-line></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Centre Hospitalier du Rouvray, Fédération Hospitalo-Universitaire de Psychiatrie de l'Enfant et de l'Adolescent, CHU de Rouen - CH du Rouvray, Rouen</wicri:regionArea><placeName><region type="region">Région Normandie</region><region type="old region">Haute-Normandie</region><settlement type="city">Rouen</settlement></placeName></affiliation></author><author><name sortKey="Colin, Stephanie" sort="Colin, Stephanie" uniqKey="Colin S" first="Stephanie" last="Colin">Stephanie Colin</name><affiliation wicri:level="3"><nlm:aff id="aff001"><addr-line>Service Universitaire de Psychiatrie de l’Adolescent, Argenteuil Hospital Centre, Argenteuil, France</addr-line></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Service Universitaire de Psychiatrie de l’Adolescent, Argenteuil Hospital Centre, Argenteuil</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Argenteuil (Val-d'Oise)</settlement></placeName></affiliation></author><author><name sortKey="Pradere, Jerome" sort="Pradere, Jerome" uniqKey="Pradere J" first="Jerome" last="Pradere">Jerome Pradere</name><affiliation wicri:level="3"><nlm:aff id="aff001"><addr-line>Service Universitaire de Psychiatrie de l’Adolescent, Argenteuil Hospital Centre, Argenteuil, France</addr-line></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Service Universitaire de Psychiatrie de l’Adolescent, Argenteuil Hospital Centre, Argenteuil</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Argenteuil (Val-d'Oise)</settlement></placeName></affiliation></author><author><name sortKey="Revah Levy, Anne" sort="Revah Levy, Anne" uniqKey="Revah Levy A" first="Anne" last="Revah-Levy">Anne Revah-Levy</name><affiliation wicri:level="3"><nlm:aff id="aff001"><addr-line>Service Universitaire de Psychiatrie de l’Adolescent, Argenteuil Hospital Centre, Argenteuil, France</addr-line></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Service Universitaire de Psychiatrie de l’Adolescent, Argenteuil Hospital Centre, Argenteuil</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Argenteuil (Val-d'Oise)</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="aff002"><addr-line>ECSTRA Team, UMR-1153, Inserm, Paris Diderot University, Sorbonne Paris Cite, Paris, France</addr-line></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>ECSTRA Team, UMR-1153, Inserm, Paris Diderot University, Sorbonne Paris Cite, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="sec001"><title>Background</title><p>Anorexia nervosa in adolescents can be a difficult-to-treat disease. Because qualitative research is a well-established method for deepening our understanding of subjective experiences, such as eating disorders and their treatment, we sought to perform a systematic review of qualitative studies to synthesize the views of adolescents with this disease, their parents, and their healthcare providers about its treatment.</p></sec><sec id="sec002"><title>Methods</title><p>We performed a thematic synthesis to develop the central themes that summarize all of the topics raised in the articles included in our review. The quality of the articles was assessed by the Critical Appraisal Skills Program.</p></sec><sec id="sec003"><title>Results</title><p>We included 32 articles from seven different countries. Two central themes were inductively developed from the analysis: (1) the treatment targets (i.e., symptoms and patients in context), and (2) a therapeutic tool—a relationship, specifically the core concept of the therapeutic relationship.</p></sec><sec id="sec004"><title>Conclusion</title><p>Our results underline the difficulty in establishing a therapeutic alliance, the barriers to it, especially the risk that professionals, adolescents, and parents will not converse about treatment; although such a dialogue appears to be an essential component in the construction of a therapeutic alliance.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Le Grange, D" uniqKey="Le Grange D">D Le Grange</name></author><author><name sortKey="Loeb, K" uniqKey="Loeb K">K Loeb</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Swanson, S" uniqKey="Swanson S">S Swanson</name></author><author><name sortKey="Crow, S" 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DiGiuseppe</name></author><author><name sortKey="Linscott, J" uniqKey="Linscott J">J Linscott</name></author><author><name sortKey="Jilton, R" uniqKey="Jilton R">R Jilton</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kermarrec, S" uniqKey="Kermarrec S">S Kermarrec</name></author><author><name sortKey="Kabuth, B" uniqKey="Kabuth B">B Kabuth</name></author><author><name sortKey="Bursztejn, C" uniqKey="Bursztejn C">C Bursztejn</name></author><author><name sortKey="Guillemin, F" uniqKey="Guillemin F">F Guillemin</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>France</li></country><region><li>Haute-Normandie</li><li>Région Normandie</li><li>Île-de-France</li></region><settlement><li>Argenteuil (Val-d'Oise)</li><li>Paris</li><li>Rouen</li></settlement></list><tree><country name="France"><region name="Île-de-France"><name sortKey="Sibeoni, Jordan" sort="Sibeoni, Jordan" uniqKey="Sibeoni J" first="Jordan" last="Sibeoni">Jordan Sibeoni</name></region><name sortKey="Colin, Stephanie" sort="Colin, Stephanie" uniqKey="Colin S" first="Stephanie" last="Colin">Stephanie Colin</name><name sortKey="Orri, Massimiliano" sort="Orri, Massimiliano" uniqKey="Orri M" first="Massimiliano" last="Orri">Massimiliano Orri</name><name sortKey="Podlipski, Marc Antoine" sort="Podlipski, Marc Antoine" uniqKey="Podlipski M" first="Marc-Antoine" last="Podlipski">Marc-Antoine Podlipski</name><name sortKey="Pradere, Jerome" sort="Pradere, Jerome" uniqKey="Pradere J" first="Jerome" last="Pradere">Jerome Pradere</name><name sortKey="Revah Levy, Anne" sort="Revah Levy, Anne" uniqKey="Revah Levy A" first="Anne" last="Revah-Levy">Anne Revah-Levy</name><name sortKey="Revah Levy, Anne" sort="Revah Levy, Anne" uniqKey="Revah Levy A" first="Anne" last="Revah-Levy">Anne Revah-Levy</name><name sortKey="Sibeoni, Jordan" sort="Sibeoni, Jordan" uniqKey="Sibeoni J" first="Jordan" last="Sibeoni">Jordan 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|type= RBID
|clé= PMC:5215824
|texte= Metasynthesis of the Views about Treatment of Anorexia Nervosa in Adolescents: Perspectives of Adolescents, Parents, and Professionals
}}
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