Notice bibliographique
Résumé
Objective. Eating disorders (EDs) are mental disorders characterized by specific brain dysfunctions that affect bodily perception, the relationship of emotions and appetite, cognitive impairment. Modern treatments for EDs are still imperfect, particularly for anorexia nervosa (AN). AN has low remission rates and high recurrence rates. Psychopathological models of AN, which are the basis of global protocols for the treatment of AN, are still far from explaining the causal relationships that underlie resistance to treatment. Modern models of AN, as a rule, focus on the cognitive and behavioral characteristics of patients, without explaining the important etiological factors underlying emotional dysregulation, impaired interpersonal functioning, the concept of "I" and mentality, which play an important role in developing and maintaining AN. AN occurs among different age groups, but the average age of onset is most common in adolescence. Recent studies have demonstrated a significant association between AN and parental psychopathological risks in addition to the importance of family functioning and attachment. Most of these studies have focused on the relationship between the presence of psychopathological disorders in the mother and psychopathological risks and/or the development of AN, not taking into account the likely influence of other family members involved in the upbringing of the child/adolescent. Thus, AN is a severe psychosocial disorder involving the patient and his family; that is why the problem of a comprehensive examination of the patient AN and members of his family (parents/guardians) is relevant worldwide. Aim. The aim of the study was scientific substantiation and improvement of medical and psychological support of patients with AN in the context of family relations based on the study of clinical and psychopathological, pathopsychological characteristics of people with AN and their parents/guardians, indicators of family functioning, and quality of social support. Methods and materials. To conduct a study of patients with AN and their parents/guardians in the context of family relationships who first sought medical care, with further improvement of medical and psychological support of these contingents, based on qualitative and quantitative content analysis and conceptual analysis using meta- analyzes and systematic reviews of the scientific literature on the study of the problem of AN, the optimal battery of psychodiagnostic scales with their approbation within the pilot study was determined and selected. Results. To verify the adequacy of the tests, a pilot study was conducted on 12 patients (11 girls, 1 boy) aged 14-18 years and 20 parents/guardians (12 persons - mothers, 4 persons - fathers, 2 persons - stepfathers, 2 persons - grandmothers). The study consisted of the following methods: Mini-mental State Examination (MMSE), Minnesota Multiphasic Personality Inventory (MMPI), Family Adaptation and Cohesion Scale (FACES-III), Emotional Difficulty Scale (Gratz & Roemer 2004), Toronto Alexithymia Scale, Adult Attachment Interview (AAI), Hospital Anxiety and Depression Scale (HADS). Quality of Life Assessment Scale (CQLS). The pilot study found that most psychodiagnostic techniques provide a detailed description of family functioning and psychoemotional status of patients with NA and their parents/guardians, which allows assessing the effectiveness of the developed program of psychocorrection and prognostic value of psychoemotional changes. Conclusions. The results of our study allow us to determine with sufficient probability the relationship between the occurrence of AN and the peculiarity of family functioning and the psycho-emotional status of parents or guardians. The selected set of research methods has confirmed its effectiveness, which makes it possible to extend it to the entire planned contingent of dissertation research participants.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».