支持厌食症的网站：临床医生应该了解的内容。
Pro-anorexia websites: what a clinician should know.
作者信息
Harshbarger Jenni L, Ahlers-Schmidt Carolyn R, Mayans Laura, Mayans David, Hawkins Joseph H
机构信息
Department of Counseling and Psychological Services, Clemson University, Clemson, South Carolina 29634-4022, USA.
出版信息
Int J Eat Disord. 2009 May;42(4):367-70. doi: 10.1002/eat.20608.
OBJECTIVE
The purpose of this study was to conduct a content analysis of the "Tips and Tricks" section of pro-ana websites to better understand information shared on these sites, and aide clinicians in identification, treatment, and prevention of anorexia.
METHOD
Nine pro-ana websites were evaluated to identify categories of information in "Tips and Tricks." A content analysis was performed using emergent coding methods and 16 categories were determined. Reliability was acceptable (Cohen's Kappa = 0.702). Discrepancies were corrected by consensus. Frequencies of individual categories were computed.
RESULTS
Most "Tips and Tricks" are directed at dieting/restricting calories (28.6%) and distraction (14.0%). Most disturbing, 11% of comments were directed at lying and concealing symptoms.
DISCUSSION
Clinicians aware of "Tips and Tricks" might be better equipped to recognize the symptoms of anorexia early in treatment. Knowledge of "Tips and Tricks" can also facilitate better education, making it difficult for clients to conceal their illness.
目的
本研究旨在对支持神经性厌食症网站的“小贴士与诀窍”板块进行内容分析，以更好地了解这些网站上分享的信息，并帮助临床医生识别、治疗和预防厌食症。
方法
对九个支持神经性厌食症的网站进行评估，以确定“小贴士与诀窍”中的信息类别。采用浮现编码方法进行内容分析，确定了16个类别。信度可接受（科恩kappa系数=0.702）。通过协商一致纠正差异。计算各个类别的频率。
结果
大多数“小贴士与诀窍”针对节食/限制热量摄入（28.6%）和分散注意力（14.0%）。最令人不安的是，11%的评论针对说谎和隐瞒症状。
讨论
了解“小贴士与诀窍”的临床医生可能更有能力在治疗早期识别厌食症症状。对“小贴士与诀窍”的了解也有助于更好地开展教育，使患者难以隐瞒病情。
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