{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T02:46:18Z","timestamp":1791859578749,"version":"4.3.4"},"reference-count":65,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T00:00:00Z","timestamp":1791763200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T00:00:00Z","timestamp":1791763200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Family\u2010based treatment (FBT) is the recommended first\u2010line outpatient treatment for adolescent anorexia nervosa (AN) in Aotearoa New Zealand (NZ), but places substantial responsibility on parents\/caregivers. Although caregiver burden in FBT is increasingly recognized internationally, in\u2010depth qualitative work situated in the NZ service context is lacking. This study explored how caregivers experienced participating in FBT for adolescent AN in NZ.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Twelve caregivers participated in semi\u2010structured interviews between May and July 2025. Interviews were analyzed within an interpretive description framework using reflexive thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three themes were developed: confronting a life\u2010threatening illness within an under\u2010resourced and often unresponsive healthcare system; implementing an overwhelming, isolating treatment with limited guidance; and living with the lingering psychological toll long after FBT concluded. Caregivers described experiences relating to caring for someone with AN and supporting them through treatment as consistent with trauma\u2010implicated stressors, although traumatic stress was not formally assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>These findings show how systemic, structural, and relational factors intersect to shape caregivers' experiences and highlight the need for better\u2010resourced, trauma\u2010informed adaptations of FBT that position caregivers and young people as co\u2010central partners in care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.70192","type":"journal-article","created":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T02:12:47Z","timestamp":1791857567000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Surviving the Storm: A Qualitative Study of Caregivers' Challenges in Family\u2010Based Treatment for Adolescent Anorexia Nervosa"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-7732-4691","authenticated-orcid":false,"given":"Natasha","family":"Allen","sequence":"first","affiliation":[{"name":"Department of Psychology and Neuroscience, School of Clinical Science Auckland University of Technology (AUT)  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0257-4406","authenticated-orcid":false,"given":"Amy","family":"Kecher","sequence":"additional","affiliation":[{"name":"Department of Psychology and Neuroscience, School of Clinical Science Auckland University of Technology (AUT)  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0457-8788","authenticated-orcid":false,"given":"Liesje","family":"Donkin","sequence":"additional","affiliation":[{"name":"Department of Psychology and Neuroscience, School of Clinical Science Auckland University of Technology (AUT)  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,12]]},"reference":[{"issue":"7","key":"e_1_2_14_2_1","doi-asserted-by":"crossref","first-page":"724","DOI":"10.1001\/archgenpsychiatry.2011.74","article-title":"Mortality Rates in Patients With Anorexia Nervosa and Other Eating Disorders. 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Questioning Data Saturation as a Useful Concept for Thematic Analysis and Sample\u2010Size Rationales","volume":"13","author":"Braun V.","year":"2021","journal-title":"Qualitative Research in Sport, Exercise and Health"},{"key":"e_1_2_14_10_1","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-319-69909-7_3470-2","volume-title":"Thematic analysis: A practical guide","author":"Braun V.","year":"2022"},{"issue":"7","key":"e_1_2_14_11_1","doi-asserted-by":"crossref","first-page":"883","DOI":"10.1002\/eat.22376","article-title":"An Exploratory Examination of Patient and Parental Self\u2010Efficacy as Predictors of Weight Gain in Adolescents With Anorexia Nervosa","volume":"48","author":"Byrne C. 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