Increasing parental self-efficacy with emotion-focused family therapy for eating disorders: a process model

Strahan, Erin J.; Stillar, Amanda; Files, Natasha; Nash, Patricia; Scarborough, Jennifer; Connors, Laura; Gusella, Joanne; Henderson, Katherine A.; Mayman, Shari; Marchand, Patricia; Orr, Emily; Dolhanty, Joanne; Lafrance, Adèle

doi:10.1080/14779757.2017.1330703

Cited by 37 publications

(33 citation statements)

References 19 publications

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“…Similarly, if there is evidence of family stigma among the relatives of patients with EDs, these different therapies should be proposed to help them cope. Indeed, a recent study showed that emotion-focused family therapy decreased parental fear and parental self-blame, consequently enhancing parental self-efficacy [ 121 ]. Moreover, this improvement in self-efficacy increased parental intentions to engage with supportive efforts in recovery and emotional coaching behaviors.…”

Section: Discussionmentioning

confidence: 99%

Stigmatization toward People with Anorexia Nervosa, Bulimia Nervosa, and Binge Eating Disorder: A Scoping Review

Brelet¹,

Flaudias

Désert

et al. 2021

Nutrients

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Research about stigmatization in eating disorders (EDs) has highlighted stereotypes, prejudices, and discrimination against people with EDs, as well as their harmful effects on them, including self-stigma and a difficult recovery process. Whereas a recent review focused on the consequences of ED stigma, our work aimed to provide a broader synthesis of ED stigma, including its consequences, but also its content and distribution. More precisely, we focused on three EDs—namely, anorexia nervosa, bulimia nervosa, and binge eating disorder. Based on a systematic search of four major databases in psychology, the present scoping review includes 46 studies published between 2004 and 2021. We did not conduct any quality assessment of the studies included, because our aim was to provide a wide-ranging overview of these topics instead of an appraisal of evidence answering a precise research question. The review confirmed the existence of a common ED stigma: all individuals affected by EDs reviewed here were perceived as responsible for their situation, and elicited negative emotions and social distance. However, our review also depicted a specific stigma content associated with each ED. In addition, the demographic characteristics of the stigmatizing individuals had a notable influence on the extent of ED stigma: men, young adults, and low-income individuals appeared to be the most stigmatizing toward individuals with EDs. It is important to note that ED stigma had a negative effect on individuals’ eating disorders, psychological wellbeing, and treatment-seeking behavior. There is an urgent need for further research on the adverse effects of ED stigma and its prevention.

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Section: Discussionmentioning

confidence: 99%

Stigmatization toward People with Anorexia Nervosa, Bulimia Nervosa, and Binge Eating Disorder: A Scoping Review

Brelet¹,

Flaudias

Désert

et al. 2021

Nutrients

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“…Strahan et al. () conducted a study among 124 parents of children across the lifespan (mean age was 18 years) who were suffering from an eating disorder. Structural equation modeling revealed that by targeting parental fear and self‐blame, the intervention increased parental self‐efficacy.…”

Section: A Family‐oriented and Emotion Focused Approachmentioning

confidence: 99%

Brief Emotion Focused Family Therapy: An Intervention for Parents of Children and Adolescents with Mental Health Issues

Foroughe

Stillar

Goldstein

et al. 2018

J Marital Family Therapy

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This study evaluated the 2-day intensive modality of Emotion Focused Family Therapy (EFFT). The intervention attempts to prepare parents to take a primary role in their child's recovery from a range of mental health issues. One hundred and twenty-four parents completed the intervention and provided data a week prior to intervention, post-intervention and at 4-month follow-up. Results include significantly reduced parent blocks and increased parental self-efficacy in relation to involvement in their child's recovery, as well as significant improvement in child symptomatology. The findings confirm positive results from an earlier pilot study involving eating disorders and demonstrate the potential for EFFT as an intervention for a range of clinical problems in children and youth.

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“…Some participants might have needed more time to consolidate the process. Some of the findings from the third theme, "This is us, " are in line with EFT for couples (Goldman and and EFT (Girz et al, 2012;Strahan et al, 2017). Parents were simply generalizing their learning from one child to other family members, including their relationship with siblings.…”

Section: Discussionmentioning

confidence: 76%

Parenthood—Lost and Found: Exploring Parents’ Experiences of Receiving a Program in Emotion Focused Skills Training

et al. 2021

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BackgroundParents play a crucial role in the development, maintenance, and deterioration of child difficulties. Emotion focused skills training (EFST) targets parents’ capacity to provide their child with emotion-oriented skills in order to promote good child mental health. Few qualitative studies have specifically investigated parents’ experiences of receiving such programs.ObjectiveThis study aimed to explore how parents experience working with their own and their child’s emotions undergoing a short-term program in EFST; in particular, changes in their experience of being a parent and in everyday life are reported.MethodSemi-structured in-depth qualitative interviews were conducted with 14 parents who had completed a short-term EFST program (2-day group training and 6 h of supervision). Interview transcripts were analyzed using a reflexive thematic analysis approach.ResultsA total of 14 parents (40% men, four couples, Mage = 39.5, SD = 4.4) participated in the study. Our analysis resulted in the following three themes: (1) “Coming home” as a parent, with the following subthemes: (a) New ways of being with their child and (b) Parents’ painful inner world; (2) Reclaiming parenthood—applying new tools and learning in challenging situations; and (3) This is us—changing the heart of the story. The first theme was related to the descriptions of the changes that emerged in parents’ inner lives, the second revolved around the employment of their skills intuitively and creatively based on what was required by the challenging situations, and the third theme referred to new discoveries on family dynamics.ConclusionParents’ experiences of having wisdom and calmness inside them (being) and doing parenting differently, as well as the changed perspectives of the family (living), resonate with the theoretical ground of emotion-focused therapy (EFT). The findings also indicate that therapists should be aware of potential parental distress when working in view of changing unpleasant emotions in such skill-based programs.

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Increasing parental self-efficacy with emotion-focused family therapy for eating disorders: a process model

Cited by 37 publications

References 19 publications

Stigmatization toward People with Anorexia Nervosa, Bulimia Nervosa, and Binge Eating Disorder: A Scoping Review

Stigmatization toward People with Anorexia Nervosa, Bulimia Nervosa, and Binge Eating Disorder: A Scoping Review

Brief Emotion Focused Family Therapy: An Intervention for Parents of Children and Adolescents with Mental Health Issues

Parenthood—Lost and Found: Exploring Parents’ Experiences of Receiving a Program in Emotion Focused Skills Training

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