Attitudes toward physical activity as a treatment component for adolescents with anorexia nervosa: An exploratory qualitative study of patient perceptions.
Attitudes toward physical activity as a treatment component for adolescents with anorexia nervosa: An exploratory qualitative study of patient perceptions.
复制标题
对体育活动作为青少年神经性厌食症治疗组成部分的态度：对患者看法的探索性定性研究。
DOI：
10.1002/eat.23411
复制
发表时间：
2020
期刊：
影响因子：
--
通讯作者：
P. Longmuir
中科院分区：
文献类型：
--
作者：
Adam Chubbs;Jacqueline S Lee;Leanna Isserlin;M. Norris;W. Spettigue;Kelly Spence;P. Longmuir
客观化
伴有强迫性运动的神经性厌食症(AN)与不良的治疗结果有关。本研究试图了解不同治疗阶段的青少年对体力活动研究实践和作为治疗组成部分的体力活动的态度。
方法
17名12-18岁的 青少年(15名女性)患有AN(10名有强迫运动史)，来自加拿大一家三级护理医院的饮食失调项目。在过去两个 年中，6名住院患者、5天计划患者和6名接受住院和/或日间治疗计划的门诊患者完成了个人的、半结构化的访谈，并进行了录音和转录。使用定性方法对结果进行演绎分析。
结果
参与者认识到在急性AN治疗中实施体力活动既有好处(心理、社会和生理)，也有风险(引发负面想法，增加竞争行为)。患者的特征，如治疗阶段和运动史，影响了参与者对体育活动的看法。与会者建议，理想的体力活动计划应注重趣味性，个性化并逐步整合，以小组为基础，并由工作人员直接支持。虽然大多数参与者表示，他们将佩戴活动监测器进行研究，但也有人对依从性和对进食障碍症状的潜在影响表示担忧。
讨论
与会者压倒性地支持认真实施有系统的体力活动和体力活动心理教育，以便对患有AN的青少年进行急性治疗。这项研究允许在围绕体力活动在治疗中的作用的对话中包括患者的声音。
OBJECTIVE
Anorexia nervosa (AN) with compulsive exercise is associated with poor treatment outcomes. This study sought to understand the attitudes of adolescents with AN from various stages of treatment, toward physical activity research practices and physical activity as a component of treatment.
METHOD
Seventeen adolescents 12-18 years old (15 female) with AN (10 with acknowledged history of compulsive exercise) were recruited from a Canadian Tertiary Care Hospital's Eating Disorder Program. Six inpatients, 5-day program patients, and six outpatients treated by either the inpatient and/or day treatment program in the past 2 years completed individual, semi-structured interviews that were audio-recorded and transcribed. Results were analyzed deductively using qualitative techniques.
RESULTS
Participants recognized both benefits (psychological, sociological, and physiological) and risks (trigger negative thoughts, increase competitive behavior) of implementing physical activity into acute AN treatment. Patient characteristics, such as stage of treatment and exercise history, had an impact on participants' perceptions toward physical activity in AN. Participants suggested that the ideal physical activity program would be focused on fun, individualized and progressively integrated, group-based, and directly supported by staff. Although the majority of participants stated that they would wear an activity monitor for research purposes, concerns were voiced regarding compliance and the potential impact on eating disorder symptomatology.
DISCUSSION
Participants overwhelmingly supported the careful implementation of structured physical activity and physical activity psychoeducation into the acute treatment of adolescents with AN. This study allows for the inclusion of patient voices in the conversation surrounding the role of physical activity in AN treatment.
影响因子：
3.3
作者：
C. Caspersen;K. Powell;G. Christenson
通讯作者：
C. Caspersen;K. Powell;G. Christenson