Hepworth Natasha S, Paxton Susan J, Williams Benedict
School of Psychological Science, La Trobe University, Bundoora, Vic. 3086, Australia.
Aust N Z J Psychiatry. 2007 Mar;41(3):247-56. doi: 10.1080/00048670601172731.
The aim of this study was to examine, using Mental Health Literacy, acceptability and correlates of acceptability of three treatment interventions for bulimia nervosa; medication, psychological therapy and self-change/lifestyle therapies.
A self-report questionnaire to ascertain correlates of attitudes towards the three interventions was used. Respondents (n = 177) were females aged 18-53 years.
Psychological therapy was rated the most acceptable treatment to participants as well as the most acceptable to others, and to have most advantages and fewest disadvantages, followed by self-change/lifestyle therapies, and then medication. Social Pressures to be Thin was the most strongly endorsed cause of bulimia, followed by Low Self-Esteem, Eating Behaviour, Relationship and Family Environment, and lastly, Biology. Correlates with acceptability of different treatment approaches were identified.
Although no causal link can be assumed from this design, findings suggest that women appear to have a mixed understanding of the different mechanisms that each treatment intervention adopts to treat the causes and symptoms of bulimia, particularly self-change/lifestyle therapies. This may help to explain poor adherence to interventions.
本研究旨在运用心理健康素养，考察神经性贪食症三种治疗干预措施（药物治疗、心理治疗和自我改变/生活方式治疗）的可接受性及其可接受性的相关因素。
采用一份自填式问卷来确定对这三种干预措施态度的相关因素。受访者（n = 177）为年龄在18至53岁之间的女性。
心理治疗被参与者评为最可接受的治疗方法，也是他人认为最可接受的，且优势最多、劣势最少，其次是自我改变/生活方式治疗，最后是药物治疗。追求瘦身的社会压力被认为是神经性贪食症最主要的成因，其次是自卑、饮食行为、人际关系和家庭环境，最后是生物学因素。确定了与不同治疗方法可接受性相关的因素。
尽管从本研究设计中无法推断出因果关系，但研究结果表明，女性似乎对每种治疗干预措施用于治疗神经性贪食症病因和症状的不同机制理解不一，尤其是对自我改变/生活方式治疗。这可能有助于解释干预措施依从性差的原因。
