Dean Helen Y, Touyz Stephen W, Rieger Elizabeth, Thornton Christopher E
School of Psychology, University of Sydney, Australia.
Eur Eat Disord Rev. 2008 Jul;16(4):256-67. doi: 10.1002/erv.851.
Difficulties in fostering eating disorder (ED) patients' motivations to overcome their illness are widely considered to be a major hurdle in the course of successful treatment. However, no previous study has assessed the use of interventions specifically designed to target poor motivation amongst patients with illnesses that are severe enough to warrant hospitalisation.
A brief Motivational Enhancement Therapy (MET) group programme for inpatient ED sufferers was developed and evaluated.
Forty two consecutive inpatients were sequentially allocated to treatment groups. Twenty three inpatients completed a four session MET group programme in addition to routine hospital care. A control group of 19 participants completed treatment as usual (TAU).
Despite an absence of significant differences between the MET and the TAU groups on the overall formal outcome measures, there were nevertheless differences between the groups. Specifically, the MET groups appeared to foster longer term motivation and engagement, and to promote treatment continuation.
The results tentatively suggest that MET could be valuable for the treatment of inpatient eating disorder patients and further research is warranted.
培养饮食失调（ED）患者克服疾病的动机存在困难，这被广泛认为是成功治疗过程中的一个主要障碍。然而，以前没有研究评估过专门针对病情严重到需要住院治疗的患者中动机不足问题的干预措施的使用情况。
为住院的饮食失调患者开发并评估一个简短的动机增强疗法（MET）小组项目。
连续42名住院患者被依次分配到治疗组。23名住院患者除了接受常规医院护理外，还完成了一个为期四节的MET小组项目。19名参与者组成的对照组按常规治疗（TAU）。
尽管在总体正式结果指标上，MET组和TAU组之间没有显著差异，但两组之间仍存在差异。具体而言，MET组似乎能培养更长期的动机和参与度，并促进治疗的持续进行。
结果初步表明，MET对住院饮食失调患者的治疗可能有价值，值得进一步研究。
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