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• W4377941595 abstract "Abstract Purpose We wanted to evaluate the impact of a relational focus in the treatment of adolescent ED-patients and their parents at an intensive outpatient ward, based on attachment theory, combined with a family approach and psychodynamic principles. Our aim was to investigate the distribution of different attachment styles among the adolescent ED-patients and their parents, and to find out if they could change by the treatment. Methods Swedish adolescents (n=33; 3 boys, 30 girls,) and their parents (n=60; 34 mothers, 26 fathers) participated. Measures: Attachment Style Questionnaire (ASQ), Body Mass Index(BMI) and Children’s Global Assessment Scale (CGAS) before and after treatment. Results The adolescents were high on Need for Approval (ASQ4) of the Insecure/Anxious scale before treatment (in contrast to the parents). The patients had a significant decrease in ASQ4 after treatment, which correlated inversely to the increase in BMI but not to CGAS. The mothers showed features of the Secure/Confident style, fathers of the Insecure/Avoidant with elevated Relationships as Secondary (ASQ2). Conclusions Treatment with a relational and a family focus has impact on attachment insecurity in adolescent ED-patients and outcomes in terms of BMI. It is important to engage the parents, who need to help the adolescents to separate at that developmental stage. A secure therapeutic context, which enables mentalizations and allows new relational experiences, is essential. The ASQ-instrument is useful for indicating progress in treatment of ED-adolescents. Level of evidence Level IV: Evidence obtained from multiple time series with the intervention." @default.
• W4377941595 created "2023-05-25" @default.
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• W4377941595 date "2023-05-24" @default.
• W4377941595 modified "2023-10-18" @default.
• W4377941595 title "Relation between increasing attachment security and weight gain: A clinical study of adolescents and their parents at an outpatient ward" @default.
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• W4377941595 doi "https://doi.org/10.21203/rs.3.rs-2965945/v1" @default.
• W4377941595 hasPublicationYear "2023" @default.
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