de la Rie Simone, Noordenbos Greta, Donker Marianne, van Furth Eric
Center for Eating Disorders Ursula, Leidschendam, The Netherlands.
Int J Eat Disord. 2006 Dec;39(8):667-76. doi: 10.1002/eat.20317.
This study investigated the evaluation of treatment of eating disorders (EDs) from the patient's perspective in a large community based sample in the Netherlands. It investigated perceived helpfulness of different types of treatment. Furthermore it investigated which patient and treatment characteristics contribute to the evaluation of treatment.
The Eating Disorder Examination questionnaire was administered to 44 anorexia nervosa (AN), 43 bulimia nervosa (BN), 69 EDNOS (ED not otherwise specified), and 148 former ED patients. A questionnaire specifically designed for the purpose of this study addressing treatment history and patient's evaluation of their treatment was administered.
There is a substantial patient and doctor delay in seeking and finding treatment. Treatment in specialized ED centers, self-help groups, and treatment with a partner were reported to be most helpful. Beneficial components of treatment reported in specialized ED centers refer to the communication skills of professionals, the therapist-patient working alliance, the contact with peers, and the focus of treatment on both ED symptoms as well as underlying issues.
The patient's perspective on treatment of EDs does provide recommendations for the improvement of treatment of EDs that will facilitate clinical decision making and treatment planning.
本研究在荷兰一个基于社区的大样本中，从患者角度调查饮食失调（EDs）的治疗评估。研究调查了不同类型治疗的感知帮助程度。此外，还研究了哪些患者和治疗特征有助于治疗评估。
对44名神经性厌食症（AN）患者、43名神经性贪食症（BN）患者、69名未特定的饮食失调（EDNOS）患者和148名曾患饮食失调的患者进行了饮食失调检查问卷。还发放了一份专门为本研究设计的问卷，内容涉及治疗史和患者对其治疗的评估。
在寻求和获得治疗方面，患者和医生都存在显著延迟。据报告，在专门的饮食失调中心接受治疗、参加自助小组以及与伴侣一起治疗最有帮助。专门饮食失调中心报告的治疗有益成分包括专业人员的沟通技巧、治疗师与患者的工作联盟、与同伴的接触以及治疗对饮食失调症状和潜在问题的关注。
患者对饮食失调治疗的看法确实为改善饮食失调治疗提供了建议，这将有助于临床决策和治疗规划。
