中国临床心理学杂志

进食障碍患者家庭关系的质性研究

作者：曹思聪缪绍疆童俊

分类号：R395.2

出版年,卷(期):页码：2013,21(5):703-707

摘要：

目的：探索进食障碍患者原生家庭关系的特征,为进一步研究家庭因素与进食障碍的相互影响,以及进食障碍的家庭治疗提供参考。方法：对23名进食障碍患者进行开放式的深度访谈,收集有关家庭关系的信息,进行编码和主题分析。结果：患者父女关系中最突出的特征包括交流差、相处少、情感疏离;在母女关系中,交流差、过度紧密、冲突多等特征较为突出;父母婚姻关系中存在较严重的矛盾;进食障碍大多出现在不良家庭关系背景下。结论：进食障碍患者原生家庭关系中存在较多问题,尤以父女关系疏远为甚;家庭关系与进食障碍有密切的关系。

Objective: To explore the characteristics of original family relationships of patients with eating disorders,and to provide references for further study on the interactions between family factors and the symptoms and family-based therapy. Methods: Individual open in-depth interviews were conducted in 23 patients with eating disorders. Informations about family relationships were collected, coded and thematically analyzed. Results: The most prominent themes in patient's father-daughter relationships included the poor communication, low involvement and emotional alienation; in mother-daughter relationships, poor communication, enmeshment and plenty of conflicts were the prominent features; there were severe conflicts in their parents' marital relationships; the symptoms mostly appeared in the context of negative family relationships.Conclusion: The original family relationships of patients with eating disorders exhibit many problems, especially the relationship alienation between father and daughter; eating disorders are closely associated with family relationships.

基金项目：

国家科技支撑计划“我国家庭、婚姻、亲子关系问题的综合筛查评估与干预示范研究”(2009BA177B05);湖北省人的发展与心理健康重点实验室开放课题“武汉地区大学女生摄食障碍状况调查”(200902)资助

作者简介：

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