Clinicians' views on treatment adaptations for men with eating disorders: a qualitative study.
Clinicians' views on treatment adaptations for men with eating disorders: a qualitative study.
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DOI：
10.1136/bmjopen-2018-021934
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发表时间：
2018-08-05
期刊：
影响因子：
2.9
通讯作者：
Tchanturia K
中科院分区：
文献类型：
--
作者：
Kinnaird E;Norton C;Tchanturia K
尽管传统观点认为饮食失调是一种女性疾病，但越来越多的证据表明，男性饮食失调的发病率正在上升。研究表明，这些男性可能会经历独特的症状和困难，但目前还不清楚这些独特的需求如何影响治疗。本研究的目的是探讨临床医生对男性是否有性别特异性治疗需求的看法，以及这些需求需要多大程度的治疗适应。采用框架分析的定性访谈研究，探讨临床医生与男性进食障碍患者的工作经验。伦敦的门诊国民健康服务饮食失调服务。来自不同临床背景的10名临床医生参与了这项研究。出现了以下三个主题：临床医生确定的男性特有问题，用于这一人群的治疗方法以及创造一个对男性友好的环境的重要性。参与者发现的男性特有的问题包括越来越关注肌肉发达和难以表达或讨论情感。临床医生还建议，男性可能更有可能采取基于表现的方法。临床医生将其与男性气质的文化观念对患者的影响联系起来。本研究中的临床医生认为，这些个人需求可以通过在一个支持性的、对男性友好的环境中调整现有方法来满足。然而，在具体的适应性方面没有达成共识，包括识别风险，仅限男性群体的必要性，或者男性患者是否需要获得男性临床医生的帮助。虽然男性确实存在特定的治疗需求，但在女性占主导地位的空间中，在对男性存在敏感的环境中，经验丰富的临床医生通常可以在典型治疗方法的框架内满足这些需求。然而，这一过程缺乏明确的指导方针，而且诸如男性专用治疗空间等领域需要进一步研究。
Despite traditional views of eating disorders as a female illness, there is a growing body of evidence that the incidence rate of eating disorders in men is rising. Research suggests that these men may experience unique symptoms and difficulties, however, it is unclear how these unique needs may impact treatment. The aim of this study was to explore clinicians’ views on whether men have gender-specific treatment needs, and how far these needs require treatment adaptations. Qualitative interview study using framework analysis to explore the experiences of clinicians working with men with eating disorders. Outpatient National Health Service eating disorder service in London. Ten clinicians from a variety of clinical backgrounds participated in the study. The following three themes emerged: male-specific issues identified by clinicians, treatment approaches used for this population and the importance of creating a male-friendly environment. Male-specific issues identified by participants included an increased focus on muscularity and difficulty expressing or discussing emotion. Clinicians also suggested that men may be more likely to adopt a performance-based approach to. This was linked by clinicians to the impact of cultural perceptions of masculinity on their patients. Clinicians in this study felt that these individual needs could be met by adapting existing approaches within a supportive, male-friendly environment. However, there was not consensus over specific adaptations, including identifying risk, the need for male-only groups, or whether male patients needed access to male clinicians. Although men do present with specific treatment needs, these can typically be met within the framework of typical treatment approaches by experienced clinicians in an environment sensitive to the presence of men in an otherwise female-dominated space. However, there are a lack of explicit guidelines for this process, and areas such as male-only treatment spaces require further research.
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DOI：
10.1111/j.1468-2850.1997.tb00094.x
发表时间：
1997-03-01
影响因子：
5.8
作者：
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通讯作者：
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影响因子：
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作者：
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影响因子：
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影响因子：
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作者：
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