Brubaker David A, Leddy John J
Department of Family Medicine, State University of New York, Buffalo, NY, 14260, USA.
Phys Sportsmed. 2003 Sep;31(9):15-26. doi: 10.3810/psm.2003.09.481.
Team physicians frequently encounter athletes who have eating disorders. Behavioral contracting may be an effective tool for motivating these patients to implement nutritional changes. An effective contract must be built on five important principles: a collaborative physician-athlete relationship developed over time, patient involvement in setting the terms, appropriate outcome and process goals, a system for monitoring progress, and clearly defined consequences that will be carried out consistently if the contract is broken. As we show, failing to apply basic contracting principles can render treatment ineffective.
队医经常会遇到患有饮食失调症的运动员。行为契约可能是促使这些患者进行营养改变的有效工具。一份有效的契约必须建立在五个重要原则之上：随着时间推移建立的医生与运动员之间的合作关系、患者参与条款设定、适当的结果和过程目标、一个监测进展的系统，以及如果契约被违反将始终执行的明确后果。正如我们所展示的，不应用基本的契约原则会导致治疗无效。
