{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:28:02Z","timestamp":1787027282385,"version":"build-2736575974"},"reference-count":64,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2021,5,17]],"date-time":"2021-05-17T00:00:00Z","timestamp":1621209600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:p>\n                    <jats:bold>Objective:<\/jats:bold>\n                    The siblings of patients suffering from Anorexia Nervosa (AN) are potentially affected by a disturbed emotional experience that often remains undetected. In order to bring them a psychological support, the Maison de Solenn proposed a support group program for these siblings. The current research explores their mental representations of AN and their emotional experience in the support group named \u201csibling group.\u201d\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Method:<\/jats:bold>\n                    This exploratory study is based on a phenomenological and inductive qualitative method. Four girls and three boys aged between 6 and 19 participating in the \u201csibling group\u201d were included in a one-time focus group session using a semi-structured interview guide. The thematic data analysis was performed by applying the methods of interpretative phenomenological analysis.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    Themes that emerged from the interview fall into four categories: AN explained by siblings; the individual emotional experience of siblings; the family experience of siblings and the experience inside the \u201csibling group.\u201d\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Discussion:<\/jats:bold>\n                    According to our participants, the \u201csibling group\u201d thus functions as a good compromise between keeping an active role in the anorexic patient's care and taking a step back to avoid being eaten up by the illness. Sibling-group participants retrieved a sense of belonging, which is normally one of the functions of being a sibling. It is important to note that the \u201csibling group\u201d is part of the comprehensive (or global) family-based approach included in an institutional multidisciplinary integrative care framework.\n                  <\/jats:p>","DOI":"10.3389\/fpsyt.2021.664517","type":"journal-article","created":{"date-parts":[[2021,5,17]],"date-time":"2021-05-17T01:33:35Z","timestamp":1621215215000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":12,"title":["\u201cWe Thought We Were Alone\u201d: The Subjective Experience of the Siblings of Anorexic Adolescent Patients"],"prefix":"10.3389","volume":"12","author":[{"given":"Angelo","family":"Persico","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salome","family":"Grandclerc","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Giraud","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie Rose","family":"Moro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Corinne","family":"Blanchet","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2021,5,17]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"383","DOI":"10.1002\/eat.10222","article-title":"Review of the prevalence and incidence of eating disorders","volume":"34","author":"Hoek","year":"2003","journal-title":"Int J Eating Disord"},{"key":"B2","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1016\/j.encep.2012.06.001","article-title":"\u00c9pid\u00e9miologie de l'anorexie mentale : revue de la litt\u00e9rature","volume":"39","author":"Roux","year":"2013","journal-title":"L'Enc\u00e9phale"},{"key":"B3","doi-asserted-by":"publisher","first-page":"406","DOI":"10.1007\/s11920-012-0282-y","article-title":"Epidemiology of eating disorders: incidence, prevalence and mortality rates","volume":"14","author":"Smink","year":"2012","journal-title":"Curr Psychiatry Rep."},{"key":"B4","doi-asserted-by":"publisher","first-page":"543","DOI":"10.1097\/YCO.0b013e328365a24f","article-title":"Epidemiology, course, and outcome of eating disorders","volume":"26","author":"Smink","year":"2013","journal-title":"Curr Opin Psychiatry."},{"key":"B5","first-page":"1629","volume-title":"Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5)","year":"2013"},{"key":"B6","doi-asserted-by":"publisher","first-page":"263","DOI":"10.1016\/j.lpm.2013.03.009","article-title":"Place des soins de support dans la prise en charge de l'anorexie mentale chronique r\u00e9fractaire","volume":"43","author":"Bauwens","year":"2014","journal-title":"La Presse M\u00e9dicale."},{"key":"B7","unstructured":"Saint-DenisHASAnorexie Mentale: Prise en Charge. Recommandations de Bonne Pratique2010"},{"key":"B8","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1051\/ppsy\/2005442139","article-title":"Le groupe parole des fratries d'enfants hospitalis\u00e9s en p\u00e9dopsychiatrie","volume":"44","author":"Claudon","year":"2005","journal-title":"Perspectives Psy."},{"key":"B9","doi-asserted-by":"publisher","first-page":"70","DOI":"10.3917\/spi.081.0070","article-title":"La fratrie face au handicap","volume":"81","author":"Dayan","year":"2017","journal-title":"Spirale."},{"key":"B10","doi-asserted-by":"publisher","first-page":"678","DOI":"10.1093\/jpepsy\/jsi054","article-title":"Brief report: family-based group intervention for young siblings of children with chronic illness and developmental disability","volume":"30","author":"Lobato","year":"2006","journal-title":"J Pediatric Psychol."},{"key":"B11","doi-asserted-by":"publisher","first-page":"1358","DOI":"10.12968\/bjon.2009.18.22.45562","article-title":"Impact of childhood chronic illnesses on siblings: a literature review","volume":"18","author":"O'Brien","year":"2009","journal-title":"Br J Nurs."},{"key":"B12","doi-asserted-by":"publisher","first-page":"32","DOI":"10.1016\/j.prps.2006.02.003","article-title":"\u201cGroupes fratries\u201d d'enfants ayant un fr\u00e8re ou une soeur handicap\u00e9: leurs indications et leurs effets","volume":"18","author":"Scelles","year":"2007","journal-title":"Revue francophone de la D\u00e9ficienne Intellectuelle"},{"key":"B13","doi-asserted-by":"publisher","first-page":"699","DOI":"10.1093\/jpepsy\/27.8.699","article-title":"Siblings of children with a chronic illness: a meta-analysis","volume":"27","author":"Sharpe","year":"2003","journal-title":"J Pediatric Psychol."},{"key":"B14","doi-asserted-by":"publisher","first-page":"580","DOI":"10.1002\/pbc.20653","article-title":"The effectiveness of a peer support camp for siblings of children with cancer","volume":"47","author":"Sidhu","year":"2006","journal-title":"Pediatr Blood Cancer."},{"key":"B15","volume-title":"Th\u00e9rapie Familiale de L'adolescent Anorexique: Approche Syst\u00e9mique Int\u00e9gr\u00e9e","author":"Cook-Darzens","year":"2002"},{"key":"B16","doi-asserted-by":"publisher","first-page":"223","DOI":"10.1002\/erv.628","article-title":"Self-perceived family functioning in 40 French families of anorexic adolescents: implications for therapy","volume":"13","author":"Cook-Darzens","year":"2005","journal-title":"Europ Eating Disord Rev."},{"key":"B17","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1111\/1469-7610.00660","article-title":"La prise en charge par la th\u00e9rapie familiale d'adolescents anorexiques: R\u00e9sultats d'une \u00e9tude comparative entre deux types d'interventions familiales","volume":"27","author":"Eisler","year":"2002","journal-title":"G\u00e9n\u00e9rations."},{"key":"B18","volume-title":"Treatment Manual for Anorexia Nervosa: A Family-Based Approach","author":"Lock","year":"2001"},{"key":"B19","first-page":"178","article-title":"Siblings in the context of anorexia nervosa","volume":"42","author":"Bachner-Melman","year":"2005","journal-title":"Isr J Psychiatry Relat Sci."},{"key":"B20","doi-asserted-by":"publisher","first-page":"474","DOI":"10.1016\/j.amp.2013.10.004","article-title":"Les strat\u00e9gies de coping des jeunes fr\u00e8res et s\u0153urs confront\u00e9s \u00e0 l'anorexie mentale pr\u00e9pub\u00e8re de leur s\u0153ur : une \u00e9tude exploratoire","volume":"173","author":"de Maynadier","year":"2015","journal-title":"Ann M\u00e9dico-psychol Revue Psychiatrique."},{"key":"B21","doi-asserted-by":"publisher","first-page":"350","DOI":"10.1002\/erv.937","article-title":"Caring for a sibling with anorexia nervosa: a qualitative study","volume":"17","author":"Dimitropoulos","year":"2009","journal-title":"Eur Eat Disorders Rev."},{"key":"B22","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1111\/j.1365-2850.1994.tb00039.x","article-title":"Siblings and eating disorders: a phenomenological perspective","volume":"1","author":"Garley","year":"1994","journal-title":"J Psychiatr Ment Health Nurs."},{"key":"B23","doi-asserted-by":"publisher","first-page":"523","DOI":"10.1016\/j.neurenf.2009.06.011","article-title":"La fratrie de l'adolescente anorexique : apports pratiques d'une \u00e9tude clinique","volume":"57","author":"Podlipski","year":"2009","journal-title":"Neuropsychiatrie de l'Enfance et de l'Adolescence."},{"key":"B24","doi-asserted-by":"publisher","first-page":"273","DOI":"10.1002\/1098-108X(199211)12:3<273::AID-EAT2260120307>3.0.CO;2-K","article-title":"Siblings of patients with an eating disorder","volume":"12","author":"Vandereycken","year":"1992","journal-title":"Int J Eating Disord."},{"key":"B25","doi-asserted-by":"publisher","first-page":"355","DOI":"10.3917\/tf.083.0355","article-title":"Les patient(e)s anorexiques et leur fratrie","volume":"29","author":"Vandorpe","year":"2008","journal-title":"Therap Familiale."},{"key":"B26","doi-asserted-by":"publisher","first-page":"508","DOI":"10.1016\/j.neurenf.2013.12.005","article-title":"\u00c9tude exploratoire du v\u00e9cu de la prise en charge des parents et de la fratrie de jeunes filles anorexiques","volume":"62","author":"Delage","year":"2014","journal-title":"Neuropsychiatrie de l'Enfance et de l'Adolescence"},{"key":"B27","doi-asserted-by":"publisher","first-page":"20","DOI":"10.1002\/erv.2191","article-title":"Nine-year follow-up of girls with anorexia nervosa and their siblings: retrospective perceptions of parental bonding and the influence of illness on their everyday life","volume":"21","author":"Halvorsen","year":"2013","journal-title":"Europ Eating Disord Rev."},{"key":"B28","doi-asserted-by":"publisher","first-page":"52","DOI":"10.1111\/j.1365-2214.2006.00617.x","article-title":"Looking after well siblings of adolescent girls with anorexia: an important parental role","volume":"33","author":"Honey","year":"2007","journal-title":"Child Care Health Dev."},{"key":"B29","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1002\/cpp.1984","article-title":"The experience of caring for or living with an individual with an eating disorder: a meta-synthesis of qualitative studies: experience of caring for someone with AN","volume":"24","author":"Fox","year":"2017","journal-title":"Clin Psychol Psychother."},{"key":"B30","doi-asserted-by":"publisher","first-page":"327","DOI":"10.3917\/tf.093.0327","article-title":"La fratrie, dans l'ombre de l'anorexie mentale","volume":"30","author":"Cook-Darzens","year":"2009","journal-title":"Th\u00e9r Familiale."},{"key":"B31","doi-asserted-by":"publisher","first-page":"1000","DOI":"10.1111\/eip.12680","article-title":"What is a \u201cmaison des adolescents\u201d?","volume":"12","author":"Benoit","year":"2018","journal-title":"A history of integrated youth health care services in France. Early Intervent Psychiatry."},{"key":"B32","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1111\/1467-6427.00197","article-title":"Multiple family therapy: an overview","volume":"24","author":"Asen","year":"2002","journal-title":"J Family Ther."},{"key":"B33","first-page":"307","article-title":"Family therapy for anorexia nervosa.","volume-title":"Handbook of Treatment for Eating Disorders","author":"Dare","year":"1997"},{"key":"B34","doi-asserted-by":"publisher","first-page":"315","DOI":"10.1002\/erv.713","article-title":"The influence of siblings on the experience of anorexia nervosa for adolescent girls","volume":"14","author":"Honey","year":"2006","journal-title":"Europ Eating Disord Rev."},{"key":"B35","doi-asserted-by":"publisher","first-page":"275","DOI":"10.1515\/IJAMH.2002.14.4.275","article-title":"Anorexia nervosa and the family: effects on younger sisters to anorexia nervosa patients","volume":"14","author":"Latzer","year":"2002","journal-title":"Int J Adolesc Med Health."},{"key":"B36","doi-asserted-by":"publisher","first-page":"28","DOI":"10.3917\/lcp.141.0028","article-title":"Propositions pour une th\u00e9orie des dispositifs th\u00e9rapeutiques \u00e0 m\u00e9diations","volume":"41","author":"Roussillon","year":"2010","journal-title":"Le Carnet PSY."},{"key":"B37","volume-title":"Qualitative Psychology: A Practical Guide to Research Methods","author":"Smith","year":"2008"},{"key":"B38","doi-asserted-by":"publisher","first-page":"261","DOI":"10.1080\/08870449608400256","article-title":"Beyond the divide between cognition and discourse: using interpretative phenomenological analysis in health psychology","volume":"11","author":"Smith","year":"1996","journal-title":"Psychol Health."},{"key":"B39","volume-title":"The Discovery of Grounded Theory: Strategies for Qualitative Research","author":"Glaser","year":"1967"},{"key":"B40","doi-asserted-by":"publisher","first-page":"371","DOI":"10.1016\/S1054-139X(99)00068-3","article-title":"The reason and rhyme of qualitative research: why, when, and how to use qualitative methods in the study of adolescent health","volume":"25","author":"Rich","year":"1999","journal-title":"J Adolesc Health."},{"key":"B41","doi-asserted-by":"publisher","first-page":"109","DOI":"10.1136\/bmj.311.6997.109","article-title":"Rigour and qualitative research","volume":"311","author":"Mays","year":"1995","journal-title":"BMJ."},{"key":"B42","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1136\/bmj.320.7226.50","article-title":"Qualitative research in health care. assessing quality in qualitative research","volume":"320","author":"Mays","year":"2000","journal-title":"BMJ."},{"key":"B43","doi-asserted-by":"publisher","first-page":"114","DOI":"10.1136\/bmj.320.7227.114","article-title":"Qualitative research in health care: analysing qualitative data","volume":"320","author":"Pope","year":"2000","journal-title":"Br Med J."},{"key":"B44","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1080\/13645570902727680","article-title":"Methodologies \u00e0 la carte: an examination of emerging qualitative methodologies in social research","volume":"12","author":"Gwyther","year":"2009","journal-title":"Int J Soc Res Methodol."},{"key":"B45","first-page":"230","article-title":"Purposeful sampling","volume-title":"Qualitative Research and Evaluation Methods Integrating Theory and Practice","author":"Patton","year":"2002"},{"key":"B46","doi-asserted-by":"publisher","first-page":"414","DOI":"10.1177\/104973239500500402","article-title":"Overview of focus group research","volume":"5","author":"Asbury","year":"1995","journal-title":"Qual Health Res."},{"key":"B47","first-page":"373","volume-title":"Focus Groups: A Practical Guide for Applied Research","author":"Krueger","year":"2014"},{"key":"B48","volume-title":"Social Analysis: Selected Tools and Techniques","author":"Krueger","year":"2001"},{"key":"B49","author":"Touboul","year":"2012","journal-title":"Recherche qualitative: La m\u00e9thode des focus groupes. Guide m\u00e9thodologique pour les th\u00e8ses en M\u00e9decine G\u00e9n\u00e9rale"},{"key":"B50","doi-asserted-by":"publisher","first-page":"214","DOI":"10.1080\/14780880802314304","article-title":"Interpretative Phenomenological Analysis (IPA): a qualitative methodology of choice in healthcare research","volume":"5","author":"Biggerstaff","year":"2008","journal-title":"Qual Res Psychol."},{"key":"B51","volume-title":"Qualitative Evaluation and Research Methods","author":"Patton","year":"1990"},{"key":"B52","first-page":"51","article-title":"Interpretative phenomenological analysis","volume-title":"Qualitative Psychology: A Practical Guide to Research Methods","author":"Smith","year":"2008"},{"key":"B53","volume-title":"Les ressources de la fratrie","author":"Tilmans-Ostyn","year":"1999"},{"key":"B54","doi-asserted-by":"publisher","first-page":"347","DOI":"10.1111\/j.1467-6427.2011.00552.x","article-title":"Mentalization-based therapeutic interventions for families","volume":"34","author":"Asen","year":"2012","journal-title":"J Fam Ther."},{"key":"B55","doi-asserted-by":"publisher","first-page":"163","DOI":"10.1002\/erv.777","article-title":"Eating one's words, Part I: \u2018concretised metaphors\u2019 and reflective function in anorexia nervosa\u2014an interview study","volume":"15","author":"Sk\u00e5rderud","year":"2007","journal-title":"Eur Eat Disorders Rev."},{"key":"B56","doi-asserted-by":"publisher","first-page":"243","DOI":"10.1002\/erv.778","article-title":"Eating one's words, Part II: the embodied mind and reflective function in anorexia nervosa\u2014theory","volume":"15","author":"Sk\u00e5rderud","year":"2007","journal-title":"Eur Eat Disorders Rev."},{"key":"B57","doi-asserted-by":"publisher","first-page":"883","DOI":"10.1002\/eat.22574","article-title":"Social cognition in anorexia nervosa: specific difficulties in decoding emotional but not nonemotional mental states: SOCIAL COGNITION IN ANOREXIA NERVOSA","volume":"49","author":"Brockmeyer","year":"2016","journal-title":"Int J Eat Disord."},{"key":"B58","volume-title":"Learning From Exprience","author":"Bion","year":"1962"},{"key":"B59","doi-asserted-by":"publisher","first-page":"769","DOI":"10.3917\/rfp.763.0769","article-title":"Bion, la r\u00eaverie, la contenance et le r\u00f4le de la barri\u00e8re de contact","volume":"76","author":"Bronstein","year":"2012","journal-title":"Revue fran\u00e7aise de psychanalyse."},{"key":"B60","first-page":"99","article-title":"Bion.","author":"Schmid-Kitsikis","year":"2015"},{"key":"B61","unstructured":"G\u00e9rardinP\n          Dossier: Fr\u00e8res et soeurs d'anorexiques, retrouver sa place. Projet soutenu par la Fondation Wyeth pour la sant\u00e9 de l'enfant et de l'adolescent2007"},{"key":"B62","doi-asserted-by":"publisher","first-page":"239","DOI":"10.1016\/j.evopsy.2010.04.018","article-title":"Le corps anorexique comme le lieu d'expression d'une souffrance familiale","volume":"75","author":"Frias","year":"2010","journal-title":"L'\u00c9volution Psychiatrique."},{"key":"B63","doi-asserted-by":"crossref","first-page":"279","DOI":"10.3917\/eres.darze.2014.01","article-title":"La fratrie","volume-title":"Approches familiales des troubles du comportement alimentaire de l'enfant et l'adolescent","author":"Cook-Darzens","year":"2014"},{"key":"B64","doi-asserted-by":"publisher","first-page":"389","DOI":"10.1097\/01.yco.0000228759.95237.78","article-title":"Incidence, prevalence and mortality of anorexia nervosa and other eatings disorders","volume":"19","author":"Hoek","year":"2006","journal-title":"Curr Opin Psychiatry."}],"container-title":["Frontiers in Psychiatry"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2021.664517\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,5,17]],"date-time":"2021-05-17T01:33:46Z","timestamp":1621215226000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2021.664517\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,17]]},"references-count":64,"alternative-id":["10.3389\/fpsyt.2021.664517"],"URL":"https:\/\/doi.org\/10.3389\/fpsyt.2021.664517","relation":{},"ISSN":["1664-0640"],"issn-type":[{"value":"1664-0640","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,17]]},"article-number":"664517"}}