思春期に摂食障害を発症した当事者が語る回復までのプロセス

The Process of Recovery as Told by a Person Who Developed an Eating Disorder During Adolescence

要旨

　目的：思春期に摂食障害を発症した当事者の回復までのプロセスを明らかにすることである．

　方法：現在は摂食障害から回復をしている4名に半構造化面接を実施し，KJ法にて分析した．

　結果：発症には，【周囲からの評価を気にするあまりの過剰な反応】と【ありのままの自分を認めてもらえない家庭環境への葛藤】が影響しており，【痩せることで得られた負の代償】だけが浮き彫りとなっていた．しかし【寄り添おうとする家族の変化】が徐々に回復へと導き，信頼できる人々の存在が【摂食障害と対峙する精神的な支え】となった．これらを通して【自己の内面的な変化】を培うともに，【摂食障害から回復したからこそ抱く思い】を実感していた．

　結論：回復までのプロセスは，信頼できる人々の存在や自己受容等の内的変化が精神的な支えとなっていたことから，これらの要素を取り入れた予防的介入の必要性が示唆された．

　Objective: This study aims to explore the process of recovery of those who developed eating disorders during adolescence.

　Method: We conducted semi-structured interviews with four individuals currently in recovery from eating disorders and analyzed them using the KJ method.

　Results: In the development of eating disorders, "overreacting because they are too concerned about what others think of them" and "conflict in a home environment that does not approve of me as I am" In the process of losing weight, "the negative cost of losing weight" became the main focus, resulting in an extremely distressing experience while battling the illness. A "family change toward seeking to become emotionally close" gradually led to the participants' recovery, and having people they were able to trust became a "psychological support for confronting the eating disorder" Through these steps, participants increased "internal change of self" , and also experienced "thoughts and feelings that I can only have because I recovered from my eating disorder."

　Conclusion: The process of recovery from eating disorders was supported emotionally by the presence of trusted people and internal changes such as self-acceptance, suggesting the need for preventive interventions that incorporate these elements.