Clinicians' practices regarding blind versus open weighing among patients with eating disorders
Clinicians' practices regarding blind versus open weighing among patients with eating disorders
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DOI：
10.1002/eat.22369
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发表时间：
2015-11-01
影响因子：
5.5
通讯作者：
Bohrer, Brittany K.
中科院分区：
文献类型：
--
作者：
Forbush, Kelsie T.;Richardson, Jonathan H.;Bohrer, Brittany K.
背景饮食失调的经验支持治疗，如认知行为治疗和家庭治疗，强调在治疗期间称量患者体重并将此信息作为治疗的一部分的重要性。然而，在饮食失调专业人员中，称重实践差异很大，包括那些声称提供经验支持干预措施的人。（开放称重）或保留（盲测）患者的体重信息，一个主题，已收到有限的事先关注。（N=114; 85%为女性）定期治疗进食障碍患者的患者完成了一项在线调查，以确定可能影响他们决定进行盲测或开放称重的因素。（n=53; 46.49%）。认可认知行为或以家庭为基础的治疗方向与开放式称重没有显着相关。然而，临床医生谁认可的治疗方式，不鼓励开放称重显着更有可能从事盲称重。与患有其他饮食失调症的客户相比，与患有神经性厌食症的客户一起工作的临床医生更有可能进行盲测，营养不良引起的认知或情感障碍是临床医生决定进行盲测的最强预测因素，控制所有其他变量。讨论开发特定的培训模块可能有助于提高对经验支持的方案的依从性，建议开放称重。然而，更重要的是，我们的研究结果强调了未来治疗研究的必要性，以确定盲测或开放称重是否有利于改善患者的预后。(c)2014 Wiley Periodicals，Inc. (Int J Eat Disord 2015; 48：905-911）
BackgroundEmpirically supported treatments for eating disorders, such as cognitive-behavioral therapy and family-based treatment, stress the importance of weighing patients during therapy and using this information as part of treatment. However, weighing practices vary widely across eating disorders professionals, including those that purport to provide empirically supported interventions.ObjectivesTo characterize clinicians' practices regarding the decision to share (open weighing) or withhold (blind weighing) weight information with patients, a topic that has received limited prior attention.MethodClinicians (N=114; 85% female) who regularly treat individuals with an eating disorder completed an online survey to identify factors that might impact their decision to practice blind or open weighing.ResultsApproximately half of the clinicians reported generally using open weighing procedures (n=53; 46.49%). Endorsement of cognitive-behavioral or family-based therapeutic orientation was not significantly associated with open weighing. However, clinicians who endorsed therapeutic modalities that do not specifically encourage open weighing were significantly more likely to engage in blind weighing. Clinicians working with clients with anorexia nervosa were significantly more likely to practice blind weighing, compared to clients with other eating disorder diagnoses, and cognitive or emotional impairment from malnutrition emerged as the strongest predictor of clinicians' decisions to practice blind weighing, controlling for all other variables.DiscussionDevelopment of specific training modules may be useful for improving adherence to empirically supported protocols that recommend open weighing. More importantly, however, our results highlight the need for future treatment studies to identify whether blind or open weighing is beneficial for improving patient outcomes. (c) 2014 Wiley Periodicals, Inc. (Int J Eat Disord 2015; 48:905-911)