{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T17:18:10Z","timestamp":1777483090329,"version":"3.51.4"},"reference-count":32,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2019,10,24]],"date-time":"2019-10-24T00:00:00Z","timestamp":1571875200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"PREPS- EVAADO"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Child Psychol Psychiatry"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Therapeutic alliance is one of the most important aspects of treatment of adolescents with anorexia nervosa. Little is known about the facilitators and obstacles of its process in this situation. We aimed to explore the experience of therapeutic alliance in inpatient treatment among adolescents with anorexia nervosa, their parents and their psychiatrists.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This qualitative study, using semi-structured interviews, took place in France. Data collection by purposive sampling continued until we reached theoretical sufficiency. Data analysis was thematic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Forty-one participants were included, 15 teenaged girls, 18 parents and 8 psychiatrists. Analysis showed two themes: (1) what facilitates an alliance in treatment \u2013 with four facilitators: (a) human qualities, (b) an active role in the treatment, (c) taking time and (d) taking care of the entire family and (2) what impedes an alliance in treatment with four obstacles: (a) being too close or too distant, (b) focusing on weight, (c) control and constraints and (d) psychiatrization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Collaborative work between paediatricians and psychiatrists could facilitate therapeutic alliance with parents. Definition of therapeutic alliance in this situation should be enlarged to include the adolescent\u2013parent relationship. It is necessary to construct specific items to integrate these specific aspects to existing scales.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1359104519882765","type":"journal-article","created":{"date-parts":[[2019,10,25]],"date-time":"2019-10-25T02:13:18Z","timestamp":1571969598000},"page":"16-32","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["Obstacles and facilitators of therapeutic alliance among adolescents with anorexia nervosa, their parents and their psychiatrists: A qualitative study"],"prefix":"10.1177","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9613-5513","authenticated-orcid":false,"given":"Jordan","family":"Sibeoni","sequence":"first","affiliation":[{"name":"Service Universitaire de Psychiatrie de l\u2019Adolescent, Argenteuil Hospital Centre, France"},{"name":"ECSTRRA Team, UMR-1153, Inserm, Universit\u00e9 de Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laurence","family":"Verneuil","sequence":"additional","affiliation":[{"name":"ECSTRRA Team, UMR-1153, Inserm, Universit\u00e9 de Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L\u00e9a","family":"Poulmarc\u2019h","sequence":"additional","affiliation":[{"name":"Service Universitaire de Psychiatrie de l\u2019Adolescent, Argenteuil Hospital Centre, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Massimiliano","family":"Orri","sequence":"additional","affiliation":[{"name":"McGill Group for Suicide Studies, Douglas Mental Health University Institute, McGill University, Canada"},{"name":"Bordeaux Population Health Research Center, INSERM U1219, University of Bordeaux, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elise","family":"Jean","sequence":"additional","affiliation":[{"name":"Service Universitaire de Psychiatrie de l\u2019Adolescent, Argenteuil Hospital Centre, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc-Antoine","family":"Podlipski","sequence":"additional","affiliation":[{"name":"Centre Hospitalier du Rouvray, F\u00e9d\u00e9ration Hospitalo-Universitaire de Psychiatrie de l\u2019Enfant et de l\u2019Adolescent, CHU de Rouen \u2013 CH du Rouvray, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Priscille","family":"G\u00e9rardin","sequence":"additional","affiliation":[{"name":"Centre Hospitalier du Rouvray, F\u00e9d\u00e9ration Hospitalo-Universitaire de Psychiatrie de l\u2019Enfant et de l\u2019Adolescent, CHU de Rouen \u2013 CH du Rouvray, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"R\u00e9vah-L\u00e9vy","sequence":"additional","affiliation":[{"name":"Service Universitaire de Psychiatrie de l\u2019Adolescent, Argenteuil Hospital Centre, France"},{"name":"ECSTRRA Team, UMR-1153, Inserm, Universit\u00e9 de Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,10,24]]},"reference":[{"key":"bibr1-1359104519882765","doi-asserted-by":"publisher","DOI":"10.1016\/j.neurenf.2010.07.007"},{"key":"bibr2-1359104519882765","first-page":"13","volume-title":"The working alliance: Theory, research and practice","author":"Bordin E.","year":"1993"},{"key":"bibr3-1359104519882765","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2012.06.017"},{"key":"bibr4-1359104519882765","volume-title":"Qualitative research in clinical and health psychology","author":"Braun V.","year":"2014"},{"key":"bibr5-1359104519882765","volume-title":"Qualitative research in health care","author":"Britten N.","year":"2013","edition":"3"},{"key":"bibr6-1359104519882765","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2014.00014"},{"key":"bibr7-1359104519882765","doi-asserted-by":"publisher","DOI":"10.1016\/B978-012214640-4\/50011-5"},{"key":"bibr8-1359104519882765","doi-asserted-by":"publisher","DOI":"10.1016\/S0962-1849(96)80002-3"},{"key":"bibr9-1359104519882765","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-13-282"},{"key":"bibr10-1359104519882765","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2242"},{"key":"bibr11-1359104519882765","first-page":"1772","volume":"20","author":"Gentles S. 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