Health Belief Model deterrents of social support seeking among people coping with eating disorders
Health Belief Model deterrents of social support seeking among people coping with eating disorders
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DOI：
10.1016/j.jad.2012.04.045
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发表时间：
2013-02-20
影响因子：
6.6
通讯作者：
Kane, Tera L.
中科院分区：
文献类型：
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作者：
Akey, Jessica E.;Rintamaki, Lance S.;Kane, Tera L.
背景：饮食失调是所有精神病学诊断中死亡率最高的疾病（Sullivan，1995）。了解是什么阻止人们寻求或获得可以帮助他们控制这些疾病的东西对于改善饮食失调的结果至关重要。这项研究确定了饮食失调患者在决定是否以及何时寻求针对饮食失调的特定社会支持时所感受到的具体障碍和威慑因素。方法：招募了 34 名饮食失调患者，并就他们管理饮食失调的经验进行了访谈，包括他们可能放弃寻求社会支持来帮助应对这些状况的原因。结果：参与者报告的关于他们为什么放弃寻求社会支持来管理饮食失调的原因是针对健康的五个主要结构的信念模型。这些包括（a）对健康威胁的感知易感性，（b）对健康威胁的严重性的感知，（c）对保护性健康行为的感知益处，（d）对这些保护性行为的感知自我效能，以及（e）感知到执行这些行为的障碍。 局限性：可以说，由于这项研究不仅仅关注一种类型的饮食失调，例如厌食症或贪食症，社会支持的障碍可能会根据特定的固有特征而有所不同。结论：研究结果可用于指导和改进治疗干预措施，从而为饮食失调患者带来更好的长期结果。 (C) 2012 Elsevier B.V. 保留所有权利。
Background: Eating disorders have the highest mortality rates of any psychiatric diagnosis (Sullivan, 1995). Understanding what prevents people from seeking or accessing that which can help them manage these disorders is critical to improving eating disorder outcomes. This study identifies specific barriers and deterrents individuals living with eating disorders perceive when deciding if and when they will seek eating disorder-specific social support.Methods: 34 men and women living with eating disorders were recruited and interviewed regarding their experiences with managing their disorders, including reasons why they may forego seeking social support to help cope with these conditions.Results: Participant-reported reasons as to why they would forego seeking social support for the management of their eating disorders were framed against the five main constructs of the Health Belief Model. These include (a) perceived susceptibility to a health threat, (b) perceived severity of the health threat, (c) perceived benefit of protective health behaviors, (d) perceived self-efficacy with these protective behaviors, and (e) perceived barriers to performing these behaviors.Limitations: It could be argued that since this study does not focus solely on one type of eating disorder, such as anorexia or bulimia, the barriers to social support may differ depending upon the characteristics inherent to the specific disorders.Conclusions: Findings can be used to inform and improve therapeutic interventions to produce better long-term outcomes among people struggling with eating disorders. (C) 2012 Elsevier B.V. All rights reserved.