Podobne
- Strona startowa
- Farmer Philip Jose wiat Rzeki 04 Czarodziejski labirynt
- Farmer Philip Jose Ciala wiele cial
- Farmer Philip Jose Przebudzenie kamiennego boga (S
- Rodrigues dos Santos Jose Kodeks 632
- Jose Saramago Wszystkie imiona
- Jose Saramago Miasto Slep
- Saramago Jose Baltazar i Blimunda
- Saramago Jose Miasto Slepcow
- Wilson Colin Pasozyty umyslu (SCAN dal 1143)
- Chronicles of Nick 3 Infamous Sherrilyn Kenyon
- zanotowane.pl
- doc.pisz.pl
- pdf.pisz.pl
- nea111.xlx.pl
Cytat
Do celu tam się wysiada. Lec Stanisław Jerzy (pierw. de Tusch-Letz, 1909-1966)
A bogowie grają w kości i nie pytają wcale czy chcesz przyłączyć się do gry (. . . ) Bogowie kpią sobie z twojego poukładanego życia (. . . ) nie przejmują się zbytnio ani naszymi planami na przyszłość ani oczekiwaniami. Gdzieś we wszechświecie rzucają kości i przypadkiem wypada twoja kolej. I odtąd zwyciężyć lub przegrać - to tylko kwestia szczęścia. Borys Pasternak
Idąc po kurzych jajach nie podskakuj. Przysłowie szkockie
I Herkules nie poradzi przeciwko wielu.
Dialog półinteligentów równa się monologowi ćwierćinteligenta. Stanisław Jerzy Lec (pierw. de Tusch - Letz, 1909-1966)
[ Pobierz całość w formacie PDF ]
.Clin.Psychol.Rev., 18: 447 475.5.Meads C., Gold L., Burls A.(2001) How effective is outpatient care compared toinpatient care for the treatment of anorexia nervosa? A systematic review.Eur.Eat.Disord.Rev., 9: 229 241.6.Zipfel S., Reas D.L., Thornton C., Olmsted M.P., Williamson D.A., GerlinghoffM., Herzog W., Beumont P.J.(2002) Day hospitalization programs for eatingdisorders: a systematic review of the literature.Int.J.Eat.Disord., 31: 105 117.7.Shaw B.F., Garfinkel P.E.(1990) Research problems in the eating disorders.Int.J.Eat.Disord., 9: 545 555.8.Garner D.M., Needleman L.D.(1997) Sequencing and integration of treatments.In Handbook of Treatment for Eating Disorders, 2nd ed.(Eds D.M.Garner, P.E.Garfinkel), pp.50 63.Guilford Press, New York.9.Jarman M., Walsh S.(1999) Evaluating recovery from anorexia nervosa andbulimia nervosa: integrating lessons learned from research and clinical practice.Clin.Psychol.Rev., 19: 773 788. 420 ___________________________________________________________________________ EATING DISORDERS6.10What About The Family Burden of Eating Disorders?Angela Favaro1The family burden of eating disorders is undoubtly a neglected topic.Mostof the literature on the family has been aetiological, emphasizing thenegative role of parents in the development of the illness.A few studieshave been performed to evaluate the role of the family in the maintenanceof eating disorders or in the response to treatment.However, we shouldlearn from the lessons of schizophrenia and consider the assessment andtreatment of the family burden in eating disorders as a powerful tool forsuccessful treatment in a cost-effective perspective.The literature onschizophrenia suggests that family interventions aiming to improve theway relatives deal with the burdens have a positive impact on the course ofthe illness.In addition, these interventions have direct beneficial effects onthe relatives own mental health [1].Clearly, the characteristics of patients with eating disorders imply thatthe family burden is considerable: anorexia nervosa is an illness with a highrisk of mortality and chronicity; patients with bulimia nervosa are oftencharacterized by impulsivity and self-aggressiveness; in both disorderspatients usually show a great resistance to seeking treatment and lowmotivation when referred to clinics.The most common age of onset of bothdisorders is adolescence, further stressing how important it is to considerthe consequences of such disorders on the family members.After a preliminary study on a smaller sample [2], we investigated 74key relatives of 42 patients with eating disorders.The sample included31 relatives of patients with the restricting type of anorexia nervosa, 14relatives of patients with the binge eating/purging type of anorexia nervosaand 29 relatives of patients with bulimia nervosa.To assess the objectiveand subjective family burden among key relatives, we used the self-administered Family Problems Questionnaire [3].The distinction betweenobjective and subjective burden was introduced by Hoenig and Hamilton[4]: the former concerns objective problems related to the patient s illness,whereas the latter is the burden perceived subjectively by the key relatives.The burden reported by the key relatives is remarkable.The area ofobjective burden is less problematic, especially with regard to items such asfinancial difficulties, the need to stop working or change jobs and otherwork difficulties and absenteeism.However, a large number of relativesreport problems with social relationships and limitations on leisureactivities: 68% complain of poor social relationships, 53% about neglect of1Department of Neurology and Psychiatry, University of Padova, Italy THE ECONOMIC AND SOCIAL BURDEN: COMMENTARIES ______________________ 421hobbies, 38% report difficulties in inviting friends or relatives and 36% intaking holidays.The subjective burden appears to be greater: 70% ofrelatives feel depressed, 70% of them report worries that the patient mighthurt herself, 68% feel unable to cope and 66% express the need for a restperiod.The binge eating/purging type of anorexia nervosa is the mostburdensome subgroup: the subjective burden reported by the relatives ofthis subgroup is not significantly different from that reported by 34 relativesof 21 very severe cases of schizophrenia, which we used as a control group
[ Pobierz całość w formacie PDF ]