Schroder Ria, Sellman Doug, Elmslie Jane
National Addiction Centre, Department of Psychological Medicine, University of Otago, Christchurch, PO Box 4345, Christchurch Mail Centre, Christchurch 8140, New Zealand.
N Z Med J. 2010 Mar 19;123(1311):15-21.
To explore medical students' perceptions of Overeaters Anonymous (OA).
72 fifth-year medical students' reports of their experiences of attending OA meetings were analysed using thematic analysis. Students were required to submit these reports in order to complete a compulsory component of the Addiction Medicine run in their medical training at the University of Otago, Christchurch during 2002-2007.
Analysis of the students' reports highlights an emerging understanding of the concepts of addiction in general and addictive overeating in particular. This understanding is reflected in the students' acceptance of addictive overeating as a potential disorder and their increased empathy and confidence in working with patients with this disorder.
Improving treatment for people with obesity is a major contemporary health challenge. Addictive overeating could be a critical element in understanding the nature of obesity but has not been the subject of extensive research to date. Medical students in this study discovered that addiction to food is not just a theoretical construct but fits with the actual experience of people. The poignancy of these narratives illustrates how such information can promote greater understanding of medical and other life issues which may benefit their identification and treatment.
探讨医学生对“匿名暴食者互助会”(OA)的看法。
采用主题分析法对72名五年级医学生关于参加OA会议经历的报告进行分析。这些报告是学生们为完成2002年至2007年在克赖斯特彻奇奥塔哥大学医学培训中开设的成瘾医学必修课程的一部分而提交的。
对学生报告的分析凸显出他们对成瘾概念(尤其是成瘾性暴饮暴食)的理解逐渐形成。这种理解体现在学生们认可成瘾性暴饮暴食是一种潜在疾病,以及他们在与患有这种疾病的患者打交道时增强的同理心和信心。
改善肥胖症患者的治疗是当代一项重大的健康挑战。成瘾性暴饮暴食可能是理解肥胖本质的一个关键因素,但迄今为止尚未成为广泛研究的主题。本研究中的医学生发现,食物成瘾不仅仅是一种理论概念,而是与人们的实际经历相符。这些叙述的深刻之处表明,此类信息如何能够促进对医学和其他生活问题的更深入理解,这可能有利于对这些问题的识别和治疗。