Anorexia nervosa: treatment expectations - a qualitative study.
Anorexia nervosa: treatment expectations - a qualitative study.
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神经性厌食症：治疗期望 - 一项定性研究。
DOI：
10.2147/jmdh.s33658
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发表时间：
2012
影响因子：
3.3
通讯作者：
Nevonen L
中科院分区：
文献类型：
--
作者：
Paulson-Karlsson G;Nevonen L
神经性厌食症是一种严重的疾病，死亡率高，预后差，没有经验支持的治疗选择成人。神经性厌食症患者为了获得自我控制而努力变瘦，并且对改变和治疗感到矛盾。为了更好地了解患者对自身情况的理解，本研究的目的是检查在专门的饮食失调单位寻求治疗的潜在厌食症患者的期望。采用定性研究设计。它包括15名年龄在18至25岁之间的妇女，等待在治疗前进行评估。最初的问题是，“既然你在一个专门的饮食失调单位的等候名单上，你还指望什么？”采用了内容分析，对文本进行编码，根据其内容进行分类，并进一步解释为一个主题。从结果中可以看出参与者期望的三个主要类别：“治疗内容”，“治疗专业人员”和“治疗重点”。总的主题是“在合作治疗关系中接受适当的治疗并康复”，描述了参与者如何看待他们的期望可以实现。在治疗开始前，应讨论患者对扭曲思想、饮食行为、正常健康生活以及与具有饮食失调知识和经验的专业人士会面的期望。在治疗关系的过程中，必须不断解决患者的动机，以了解他们的个人动机背后是什么驱动他们的期望和他们的愿望，以恢复。
Anorexia nervosa is a serious illness with a high mortality rate, a poor outcome, and no empirically supported treatment of choice for adults. Patients with anorexia nervosa strive for thinness in order to obtain self-control and are ambivalent toward change and toward treatment. In order to achieve a greater understanding of patients’ own understanding of their situation, the aim of this study was to examine the expectations of potential anorexic patients seeking treatment at a specialized eating-disorder unit. A qualitative study design was used. It comprised 15 women between 18 and 25 years of age waiting to be assessed before treatment. The initial question was, “What do you expect, now that you are on the waiting list for a specialized eating-disorder unit?” A content analysis was used, and the text was coded, categorized according to its content, and further interpreted into a theme. From the results emerged three main categories of what participants expected: “treatment content,” “treatment professionals,” and “treatment focus.” The overall theme, “receiving adequate therapy in a collaborative therapeutic relationship and recovering,” described how the participants perceived that their expectations could be fulfilled. Patients’ expectations concerning distorted thoughts, eating behaviors, a normal, healthy life, and meeting with a professional with knowledge and experience of eating disorders should be discussed before treatment starts. In the process of the therapeutic relationship, it is essential to continually address patients’ motivations, in order to understand their personal motives behind what drives their expectations and their desire to recover.