Qualitative patient experiences from the Self-Blame and Perspective-Taking Intervention for eating disorders

Hagan, Whitney Smith; Mericle, Susan; Hunt, Bethany J.; Harper, Jack; Palka, Jayme M.; Pelfrey, Sarah; McAdams, Carrie J.

doi:10.1186/s40337-021-00483-9

Cited by 4 publications

(1 citation statement)

References 49 publications

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“…The themes identified in this study add to what is already known about some of the socio-cognitive factors in eating disorders and what might be helpful to target in treatment. For example, the first theme (seeing and being seen) is consistent with previous findings suggesting people with eating disorders value the social interactions of being with others in a group setting [ 36 ]. Similarly, the findings of increased family connection and trust reported by participants in theme two (holistic shift) links with suggestions of the importance of treatment needing to address social difficulties which may predispose and maintain eating disorders [ 25 ].…”

Section: Discussionsupporting

confidence: 86%

Multi-family therapy for bulimia nervosa: a qualitative pilot study of adolescent and family members’ experiences

2022

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Background Multi-family therapy (MFT-BN) is a new treatment for adolescent bulimia nervosa with emerging empirical support. It extends the bulimia nervosa focussed family therapy model, by offering treatment in a group setting. Up to nine families work together with a team of clinicians over the course of 20 weeks. No qualitative study to date has investigated the experience of MFT-BN. This study aimed to explore this from the adolescent and parent/caregiver perspective. Methods Participants from two consecutive MFT-BN groups facilitated at the Maudsley Hospital in London, UK, were invited to participate in either a focus group or individual qualitative interview about the experience of MFT-BN. Of the 19 eligible participants (from 9 families), 15 (8 parents, 1 older sibling, 6 adolescents) consented and participated. Audio-recordings of interviews and focus groups were transcribed verbatim and analysed using reflexive thematic analysis. Results Three main themes were identified; (1) seeing and being seen, (2) holistic shift, (3) the unspoken. Participants reported overall shifts in cognitions, emotions, behaviours, and relationships both individually and within the family as a result of attending MFT-BN. Meeting other families with similar struggles and sharing experiences, skills and learning helped reduce isolation and promote change. There was also a sense from participants that some things did not, or could not, be spoken about in the group context and that more direct and challenging conversations might have been helpful at times. Discussion The current study identifies some of the perceived benefits and challenges of MFT-BN. The three themes demonstrate the holistic nature of change that can occur across the treatment, as well as the power and limits of the group therapy setting and process. Further research is needed to explore the experience of MFT-BN and its outcomes across a more diverse range of participants and treatment settings.

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Section: Discussionsupporting

confidence: 86%