title: Metasynthesis of the Views about Treatment of Anorexia Nervosa in Adolescents: Perspectives of Adolescents, Parents, and Professionals.
abstract: BACKGROUND
  Anorexia nervosa in adolescents can be a difficult-to-treat disease. Because qualitative research is a well-established method for deepening our understanding of subjective experiences, such as eating disorders and their treatment, we sought to perform a systematic review of qualitative studies to synthesize the views of adolescents with this disease, their parents, and their healthcare providers about its treatment.
  
  
  METHODS
  We performed a thematic synthesis to develop the central themes that summarize all of the topics raised in the articles included in our review. The quality of the articles was assessed by the Critical Appraisal Skills Program.
  
  
  RESULTS
  We included 32 articles from seven different countries. Two central themes were inductively developed from the analysis: (1) the treatment targets (i.e., symptoms and patients in context), and (2) a therapeutic tool-a relationship, specifically the core concept of the therapeutic relationship.
  
  
  CONCLUSIONS
  Our results underline the difficulty in establishing a therapeutic alliance, the barriers to it, especially the risk that professionals, adolescents, and parents will not converse about treatment; although such a dialogue appears to be an essential component in the construction of a therapeutic alliance.
authors.affiliation: Service Universitaire de Psychiatrie de l'Adolescent, Argenteuil Hospital Centre, Argenteuil, France.|ECSTRA Team, UMR-1153, Inserm, Paris Diderot University, Sorbonne Paris Cite, Paris, France.
authors.forename: Jordan
authors.initials: J
authors.lastname: Sibeoni
authors.affiliation: ECSTRA Team, UMR-1153, Inserm, Paris Diderot University, Sorbonne Paris Cite, Paris, France.
authors.forename: Massimiliano
authors.initials: M
authors.lastname: Orri
authors.affiliation: Service Universitaire de Psychiatrie de l'Adolescent, Argenteuil Hospital Centre, Argenteuil, France.
authors.forename: Marie
authors.initials: M
authors.lastname: Valentin
authors.affiliation: Centre Hospitalier du Rouvray, Fédération Hospitalo-Universitaire de Psychiatrie de l'Enfant et de l'Adolescent, CHU de Rouen - CH du Rouvray, Rouen, France.
authors.forename: Marc-Antoine
authors.initials: MA
authors.lastname: Podlipski
authors.affiliation: Service Universitaire de Psychiatrie de l'Adolescent, Argenteuil Hospital Centre, Argenteuil, France.
authors.forename: Stephanie
authors.initials: S
authors.lastname: Colin
authors.affiliation: Service Universitaire de Psychiatrie de l'Adolescent, Argenteuil Hospital Centre, Argenteuil, France.
authors.forename: Jerome
authors.initials: J
authors.lastname: Pradere
authors.affiliation: Service Universitaire de Psychiatrie de l'Adolescent, Argenteuil Hospital Centre, Argenteuil, France.|ECSTRA Team, UMR-1153, Inserm, Paris Diderot University, Sorbonne Paris Cite, Paris, France.
authors.forename: Anne
authors.initials: A
authors.lastname: Revah-Levy
mesh_terms: D000293:Adolescent; D000856:Anorexia Nervosa; D005260:Female; D006282:Health Personnel; D006801:Humans; D010290:Parents / Q000523:psychology; D036301:Qualitative Research