Women With Bulimic Eating Disorders: When Do They Receive Treatment for an Eating Problem?
Women With Bulimic Eating Disorders: When Do They Receive Treatment for an Eating Problem?
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DOI：
10.1037/a0015336
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发表时间：
2009-10-01
影响因子：
5.9
通讯作者：
Rodgers, B.
中科院分区：
文献类型：
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作者：
Mond, J. M.;Hay, P. J.;Rodgers, B.
在一项前瞻性的、以社区为基础的研究中，研究了与使用医疗服务相关的变量，研究对象是患有暴食型饮食障碍的女性，她们在12个月的随访期内接受了饮食问题的治疗(n=33)或没有接受治疗(n=58)。接受饮食问题治疗的参与者在几个方面与没有接受治疗的参与者不同，包括更高的体重、更高水平的进食障碍精神病、普遍的心理困扰和角色功能障碍、应对方式的特定方面的缺陷、对饮食问题的更多认识，以及更有可能预先治疗体重问题。然而，与寻求治疗最相关的变量是与饮食问题相关的角色功能更大程度的受损，以及更大程度上抑制情绪困难的能力。在多变量分析中，这些变量是唯一与寻求治疗显著相关的变量。这些发现表明，个人对饮食失调行为对生活质量的不利影响的认识，可能需要在饮食失调的预防和早期干预计划中得到解决。
Variables associated with the use of health services were examined in a prospective, community-based study of women with bulimic-type eating disorders who did (n = 33) or did not (n = 58) receive treatment for an eating problem during a 12-month follow-up period. Participants who received treatment for an eating problem differed from those who did not in several respects, including higher body weight, higher levels of eating disorder psychopathology, general psychological distress, and impairment in role functioning, deficits in specific aspects of coping style, greater awareness of an eating problem, and greater likelihood of prior treatment for a problem with weight. However, the variables most strongly associated with treatment seeking were greater perceived impairment in role functioning specifically associated with an eating problem and greater perceived inability to suppress emotional difficulties. These were the only variables that were significantly associated with treatment seeking in multivariable analysis. The findings suggest that individuals' recognition of the adverse effects of eating-disordered behavior on quality of life may need to be addressed in prevention and early intervention programs for eating disorders.