Abstracts
Résumé
L’implication des parents est recommandée et essentielle dans le traitement de troubles des conduites alimentaires à l’adolescence. Ce rôle est certes difficile à accomplir et nécessite une guidance. Le présent article a pour but de décrire l’implantation d’une intervention psychoéducative de groupe pour les parents d’adolescents suivis pour un trouble des conduites alimentaires (TCA) dans un hôpital régional de la province de Québec, ainsi que les résultats d’un sondage de satisfaction auprès des participants. L’intervention repose principalement sur les principes de l’approche Maudsley. De l’information complémentaire concernant l’activité physique et le cycle de maintien de la maladie ont été ajoutés. Celle-ci consiste en deux réunions de deux heures, et a été offerte à 36 parents répartis en cinq cohortes. Leur niveau de satisfaction a ensuite été évalué. Ce type d’intervention s’est révélé réalisable, acceptable et hautement apprécié.
Mots-clés :
- intervention de groupe,
- psychoéducation,
- trouble des conduites alimentaires,
- approche familiale,
- parents
Abstract
Parental involvement is recommended and essential in the treatment of eating disorders in adolescence. This role is certainly difficult to accomplish and requires guidance.
Objective This article aims to describe the implementation of a psychoeducational group intervention for parents of teenagers consulting for eating disorders in a regional hospital in the province of Quebec, and the results of a satisfaction survey.
Method The intervention is mainly based on the principles of the Maudsley approach. Additional information on physical activity and the disorder maintenance cycle was added. It consisted of 2 meetings of 2 hours, and was offered to 36 parents divided in 5 cohorts. Their level of satisfaction was then assessed.
Results The intervention was feasible and parents have expressed overall high satisfaction with the services they received.
Conclusion This type of intervention has proven to be feasible, acceptable and valued.
Keywords:
- group intervention,
- psychoeducation,
- eating disorders,
- family-based treatment,
- caregivers
Appendices
Bibliographie
- 1. Blondin, S. et Meilleur, D. (2016). Expérience d’aidant des proches de personnes atteintes d’un trouble de la conduite alimentaire : recension critique de la littérature. Revue québécoise de psychologie, 37(1), 87-114.
- 2. Rosen, D. S. and the Committee on Adolescence. (2010). Identification and management of eating disorders in children and adolescents. Pediatrics, 126(6), 1240-1253. https://doi.org/10.1542/peds.2010-2821
- 3. National Institute for Health and Clinical Excellence. (2004). Eating Disorders in over 8s : Management. Récupéré le 8 août 2016 de : https://www.nice.org.uk/guidance/cg9
- 4. The Society for Adolescent Health and Medicine. (2015). Position paper of the Society for Adolescent Health and Medicine : medical management of restrictive eating disorders in adolescents and young adults. Journal of Adolescent Health, 56(1), 121-125. https://doi.org/10.1016/j.jadohealth.2014.10.259
- 5. Yager, J., Devlin, M. J., Halmi, K., Herzog, D. B., Mitchell, J. E., Powers, P. et Zerbe, K. J. (2012). Guideline Watch (August 2012) : Practice Guideline for the Treatment of Patients with Eating Disorders, 3rd edition. American Psychological Association.
- 6. Lock, J., Le Grange, D., Agras, W. S. et Dare, C. (2001). Treatment Manual for Anorexia Nervosa : A Family-based Approach. New York, N.Y. : Guilford.
- 7. Findlay, S., Pinzon, J., Taddeo, D. et Katzman, D. (2010). Family-based treatment of children and adolescents with anorexia nervosa : Guidelines for the community physician. Paediatrics & Child Health, 15(1), 31-40.
- 8. Simic, M. et Eisler, I. (2012). Family and multifamily therapy. Dans Fox, J. et Goss, K. (Eds.), Eating and Its Disorders (pp. 260-279). Chichester, R.-U. : Wiley-Blackwell.
- 9. Zabala, M. J., Macdonald, P. et Treasure, J. (2009). Appraisal of caregiving burden, expressed emotion and psychological distress in families of people with eating disorders : a systematic review. European Eating Disorders Review, 17(5), 338-349. https://doi.org/10.1002/erv.925
- 10. Schmidt, U. et Treasure, J. (2006). Anorexia nervosa : valued and visible. A cognitive-interpersonal maintenance model and its implications for research and practice. British Journal of Clinical Psychology, 45(3), 343-366.
- 11. Lock, J. et Le Grange, D. (2005). Help Your Teenager Beat an Eating Disorder. New York, NY : Guilford.
- 12. McCormack, C. et McCann, E. (2015). Caring for an adolescent with anorexia nervosa : parent’s views and experiences. Archives of Psychiatric Nursing, 29(3), 143-147. https://doi.org/10.1016/j.apnu.2015.01.003
- 13. Gísladóttir, M. et Svavarsdóttir, E. K. (2011). Educational and support intervention to help families assist in the recovery of relatives with eating disorders. Journal of Psychiatric & Mental Health Nursing, 18(2), 122-130. https://doi.org/10.1111/j.1365-2850.2010.01637.x
- 14. Macdonald, P., Murray, J., Goddard, E. et Treasure, J. (2011). Carer’s experience and perceived effects of a skills based training programme for families of people with eating disorders : a qualitative study. European Eating Disorders Review, 19(6), 475-486. https://doi.org/10.1002/erv.1065
- 15. Spettigue, W., Maras, D., Obeid, N., Henderson, K. A., Buchholz, A., Gomez, R. et Norris, M. L. (2015). A psycho-education intervention for parents of adolescents with eating disorders : a randomized controlled trial. Eating Disorders, 23(1), 60-75. https://doi.org/10.1080/10640266.2014.940790
- 16. Uehara, T., Kawashima, Y., Goto, M., Tasaki, S. et Someya, T. (2001). Psychoeducation for the families of patients with eating disorders and changes in expressed emotion : a preliminary study. Comprehensive Psychiatry, 42(2), 132-138. https://doi.org/10.1053/comp.2001.21215
- 17. Zucker, N. L., Marcus, M. et Bulik, C. (2006). A group parent-training program : a novel approach for eating disorder management. Eating and Weight Disorders : Studies on Anorexia, Bulimia and Obesity, 11(2), 78-82. https://doi.org/10.1007/BF03327755
- 18. Scott, L. et Van Blyderveen, S. (2014). Physical activity recommendations for adolescents with anorexia nervosa : an existing protocol based on physical activity risk. Mental Health and Physical Activity, 7(3), 163-170. https://doi.org/10.1016/j.mhpa.2014.09.001
- 19. Waller, G., Mountford, V., Lawson, R., Gray, E., Cordery, H. et Hinrichsen, H. (2010). Beating Your Eating Disorder : A Cognitive-behavioral Self-help Guide for Adult Sufferers and Their Carers. Cambridge, R.-U. : Cambridge University Press.
- 20. Waller, G. (2015). Using Exposure with Response Prevention in CBT for Eating Disorders : Why we don’t, why we should, and how to do so. Presented at the International Conference on Eating Disorders, Boston, Ma.
- 21. Meyer, C., Taranis, L., Goodwin, H. et Haycraft, E. (2011). Compulsive exercise and eating disorders. European Eating Disorders Review, 19(3), 174-189. doi: 10.1002/erv.1122
- 22. Goodier, G. H. G., McCormack, J., Egan, S. J., Watson, H. J., Hoiles, K. J., Todd, G. et Treasure, J. L. (2014). Parent skills training treatment for parents of children and adolescents with eating disorders : a qualitative study. The International Journal of Eating Disorders, 47(4), 368-375.
10.7202/1040105ar