title: Adolescent patients with eating disorders and their parents: a study of self-image and outcome at an intensive outpatient program.
abstract: OBJECTIVE
  The main aim of this clinical study was to explore how adolescent patients with eating disorders and their parents report their perceived self-image, using Structural Analysis of Social Behavior (SASB), before and after treatment at an intensive outpatient program. Another aim was to relate the self-image of the young patients to the outcome measures body mass index (BMI) and Children's Global Assessment Scale (C-GAS) score.
  
  
  METHODS
  A total of 93 individuals (32 adolescents, 34 mothers, and 27 fathers) completed the SASB self-report questionnaire before and after family-based treatment combined with an individual approach at a child and youth psychiatry day care unit. The patients were also assessed using the C-GAS, and their BMI was calculated.
  
  
  RESULTS
  The self-image (SASB) of the adolescent patients was negative before treatment and changed to positive after treatment, especially regarding the clusters self-love (higher) and self-blame (lower). A positive correlation between change in self-love and in C-GAS score was found, which rose significantly. Increased self-love was an important factor, explaining a variance of 26 %. BMI also increased significantly, but without any correlation to change in SASB. The patients' fathers exhibited low on the cluster self-protection. Mothers' profiles were in line with a non-clinical group.
  
  
  CONCLUSIONS
  Results indicate that the self-image of adolescent patients change from negative to positive alongside with a mainly positive outcome of the ED after treatment. Low self-protection according to SASB among fathers suggests the need for greater focus on their involvement.
authors.affiliation: Department of Child and Youth Psychiatry, Falun Central Hospital, Falun, Sweden. christina.gezelius@gmail.com.|Center for Clinical Research Dalarna, Nissers väg 3, 791 82, Falun, Sweden. christina.gezelius@gmail.com.
authors.forename: Christina
authors.initials: C
authors.lastname: Gezelius
authors.affiliation: Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden.
authors.forename: Björn
authors.initials: B
authors.lastname: Wahlund
authors.affiliation: Department of Child and Youth Psychiatry, Falun Central Hospital, Falun, Sweden.
authors.forename: Lars
authors.initials: L
authors.lastname: Carlsson
authors.affiliation: Department of Psychology, Umeå University, Umeå, Sweden.
authors.forename: Britt
authors.initials: B
authors.lastname: Wiberg
mesh_terms: D000293:Adolescent; D001828:Body Image / Q000523:psychology*; D002648:Child; D005196:Family Therapy; D001068:Feeding and Eating Disorders / Q000523:psychology* / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D010045:Outpatients; D010290:Parents; D012649:Self Concept; D016896:Treatment Outcome
keywords: Adolescents; Eating disorders; Outcome; Parents; Self-image