Eating disorders are undoubtedly challenging for the adolescents experiencing them, but they can also be challenging for their parents. The current study employed a qualitative research design to examine the challenges endured by parents raising adolescents with eating disorders and undergoing a Family-Based Treatment (FBT) program. Six mothers of adolescents with anorexia nervosa or bulimia were interviewed about the challenges they face as parents of a child with an eating disorder and the changes they have had to make in their lives. Overall, results highlighted challenges from a personal, family, and parental role lens. Findings also call attention to the difficult responsibilities placed on parents during FBT programs such as involvement in their child's refeeding plan and the emotional toll their child's experience places on them. Implications for the level of support needed by parents are discussed according to their role in FBT programs.
To guide school practitioners in the identification and intervention of youth with anxious school refusal, this systematic review used an ecological lens to examine the factors that differentiated children and adolescents with school refusal from those without. Based on the rigorous protocol from the Center for Reviews and Dissemination’s (CRD) internationally recognized guidelines, 15 studies examining 67 different factors were identified. Results reveal 44 individual, social and contextual factors that differentiate youth with school refusal from peers without school refusal. Findings highlight the centrality of anxiety, or anxiety-related symptoms, and diverse learning needs as main points of contrast between youth with school refusal and those without. Implications of an ecological understanding of the factors associated with school refusal for selective and indicative prevention by school and mental health practitioners are discussed.
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