La fratrie de l’adolescente anorexique : apports pratiques d’une étude clinique

Podlipski, Marc-Antoine; Bénard, Marc; Bréchon, Geneviève; Latreille, S.; Scelles, Régine; Fillatre, Marc; Gérardin, Priscille

doi:10.1016/j.neurenf.2009.06.011

Cited by 8 publications

(4 citation statements)

References 19 publications

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“…The French study of adolescent siblings was based on quantitative measures of anxiety, depression, eating disordered behaviour and self-esteem (Podlipski et al, 2009b). This study only looked at hospitalised patient's siblings at the time of the first admission to hospital, which may be a significantly stressful point for the family and siblings alike.…”

Section: Gaps Identified In the Current Literaturementioning

confidence: 99%

Anorexia nervosa in the family: a sibling's perspective

Withers

Mullan

Madden

et al. 2013

Advances in Eating Disorders

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There is very little research which explores the experience of living with adolescent anorexia nervosa (AN) from the perspective of a sister or brother. This is despite the fact that siblings are often encouraged to participate in the treatment of their sister or brother's AN through involvement in family therapy.Twenty semi-structured qualitative interviews were conducted with siblings of young people currently receiving treatment for AN. Interviews were designed to find out more about the experience of living with a sibling's AN, and what helped these participants to cope. Where siblings had been involved in treatment, views on the positive and negative aspects of this experience were also collected.Qualitative thematic analysis was used to analyse the data, and five primary themes were identified which showed congruence amongst participants. These themes were: 'feelings about AN'; 'the sibling relationship'; 'avoidance'; "emotional supports' and 'involvement in treatment'.The findings from this study give voice to some of the hopes, concerns and coping mechanisms used by sisters and brothers when confronted with the impact of AN in the family. Further empirical research to evaluate some of the key factors that help siblings cope with this often stressful situation could lead to the development of intervention strategies for siblings of patients with AN.Findings from this study suggest that siblings could benefit from more detailed guidelines regarding their role in family therapy.Friends and family have encouraged and supported me throughout this busy time. Special thanks go to my husband Jonathan, and my sons Matt, Richard and Sam, who motivated me, helped me out, and reminded me to keep a balance in my life. I am also grateful for the friendship, advice and support of fellow DCP students, and from my friends Vanessa Brown and Heather Jackson.

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Section: Gaps Identified In the Current Literaturementioning

confidence: 99%

Anorexia nervosa in the family: a sibling's perspective

Withers

Mullan

Madden

et al. 2013

Advances in Eating Disorders

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“…In the case of AN, professionals have in the last few years developed family-centred approaches, providing care to anorexic children or teenagers alongside support for the parents, but neglecting care toward the brothers and sisters, whose emotional experiences have long been ignored (15)(16)(17)(18). This exclusion is also reflected in the medical and psychological literature, where there is very little information or research devoted to the impact of AN on patients' siblings (19)(20)(21)(22)(23)(24)(25).…”

Section: Introductionmentioning

confidence: 99%

“…Siblings can also experience feelings of guilt, worry, fear, and pain, but also difficulties in tolerating separation on the occasion of hospitalisation of a brother or sister. These emotions are often hidden and experienced alone by siblings, who do not take it upon themselves to ask for help from their family (20,23). On the other hand, they may feel obliged to take care of their anorexic brother or sister and to give their parents emotional support; paradoxically, so as to avoid any conflict, they avoid telling their parents about any pathological behaviour they have witnessed (20,21,28).…”

Section: Introductionmentioning

confidence: 99%

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“We Thought We Were Alone”: The Subjective Experience of the Siblings of Anorexic Adolescent Patients

et al. 2021

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Objective: The siblings of patients suffering from Anorexia Nervosa (AN) are potentially affected by a disturbed emotional experience that often remains undetected. In order to bring them a psychological support, the Maison de Solenn proposed a support group program for these siblings. The current research explores their mental representations of AN and their emotional experience in the support group named “sibling group.”Method: This exploratory study is based on a phenomenological and inductive qualitative method. Four girls and three boys aged between 6 and 19 participating in the “sibling group” were included in a one-time focus group session using a semi-structured interview guide. The thematic data analysis was performed by applying the methods of interpretative phenomenological analysis.Results: Themes that emerged from the interview fall into four categories: AN explained by siblings; the individual emotional experience of siblings; the family experience of siblings and the experience inside the “sibling group.”Discussion: According to our participants, the “sibling group” thus functions as a good compromise between keeping an active role in the anorexic patient's care and taking a step back to avoid being eaten up by the illness. Sibling-group participants retrieved a sense of belonging, which is normally one of the functions of being a sibling. It is important to note that the “sibling group” is part of the comprehensive (or global) family-based approach included in an institutional multidisciplinary integrative care framework.

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