进食障碍患者家庭关系的质性研究  

A Qualitative Research on Family Relationships of Patients with Eating Disorders

作　　者：曹思聪[1,2] 缪绍疆[1,2] 童俊[1,2] 

机构地区：[1]武汉市精神卫生中心 [2]武汉市心理医院,武汉430019

出　　处：《中国临床心理学杂志》2013年第5期703-707,共5页Chinese Journal of Clinical Psychology

基　　金：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

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 pa- tient＇s father-daughter relationships included the poor communication, low involvement and emotional alienation; in moth- er-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 fami- ly relationships. Conclusion： The original family relationships of patients with eating disorders exhibit many problems, es- pecially the relationship alienation between father and daughter; eating disorders are closely associated with family rela- tionships.

关 键 词：进食障碍 家庭关系 质性研究 

分 类 号：R395.2[哲学宗教—心理学]