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患者和治疗师认为的饮食失调康复标准。

Criteria for recovery from eating disorders according to patients and therapists.

作者信息

Noordenbos Greta, Seubring Aike

机构信息

Department of Clinical Psychology, Leiden University, The Netherlands.

出版信息

Eat Disord. 2006 Jan-Feb;14(1):41-54. doi: 10.1080/10640260500296756.

Abstract

No consensus exists on criteria for recovery from eating disorders. Different criteria are used in effect and outcome studies, suggesting different rates of recovery. The questions for research were: Which criteria for recovery are important to ex-patients and therapists, and which criteria for recovery are actually realized by ex-patients? A list of 52 possible criteria for recovery was compiled from the literature on eating disorders, representing the domains of eating behavior, body experience, physical and psychological well-being, and emotional and social functioning. Ex-patients (n = 41) and therapists (n = 57) were asked to select criteria from this list, that they viewed as important for recovery from eating disorders. Ex-patients were asked which criteria they had realized by the end of their most recent therapy or treatment and in the period thereafter. Ex-patients and therapists agreed on most of the criteria for recovery. At the end of their therapy, more than 50% of the ex-patients had realized 44 of the criteria for recovery but thereafter they improved on 38 criteria. To realize full recovery and to prevent relapse, it is important to consider not only eating behavior and weight, but also psychological, emotional, and social criteria.

摘要

对于饮食失调康复的标准,目前尚无共识。在疗效和结果研究中使用了不同的标准,这表明康复率也有所不同。研究的问题是:哪些康复标准对康复者和治疗师很重要,以及康复者实际实现了哪些康复标准?从饮食失调的文献中整理出一份包含52条可能的康复标准的清单,涵盖饮食行为、身体体验、身心健康以及情感和社会功能等领域。要求康复者(n = 41)和治疗师(n = 57)从这份清单中选择他们认为对饮食失调康复很重要的标准。还询问康复者在其最近一次治疗或治疗结束时以及之后的时间段内实现了哪些标准。康复者和治疗师在大多数康复标准上达成了一致。在治疗结束时,超过50%的康复者实现了44条康复标准,但之后他们在38条标准上有所改善。为了实现完全康复并预防复发,不仅要考虑饮食行为和体重,还要考虑心理、情感和社会标准,这一点很重要。

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