Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, CA 94305, USA.
Eur Eat Disord Rev. 2010 Jul-Aug;18(4):260-70. doi: 10.1002/erv.1020.
The purpose of this study was to explore how individuals with anorexia nervosa (AN) engage in treatment and define recovery. A mixed methods design was used to triangulate the experience of 20 women with a history of AN. Interview data were analysed thematically to explore frequency of emergent themes and current eating disorder psychopathology was assessed using standardized self-report measures. Participants' mean age was 29.35 (SD = 12.11). Participants' scores were indicative of persistent psychopathology. Those with more involvement in treatment choice had better motivation to change and normalized eating. Participants' definition of recovery mapped on well to current research conceptualizations, though a substantial proportion of the group expressed some ambivalence around the concept. Results are interpreted in the context of self-determination theory of motivation and suggest that patients should be involved collaboratively in the formulation of shared goals and concepts of recovery in treatment settings.
本研究旨在探讨神经性厌食症（AN）患者如何参与治疗并定义康复。采用混合方法设计，对 20 名有 AN 病史的女性的经历进行三角分析。访谈数据进行了主题分析，以探讨出现主题的频率，并用标准化的自我报告量表评估当前的饮食障碍心理病理学。参与者的平均年龄为 29.35 岁（SD = 12.11）。参与者的分数表明存在持续的心理病理学。那些更多地参与治疗选择的人有更好的改变动机和正常的饮食。参与者对康复的定义与当前的研究概念相符，但相当一部分人对这一概念表示有些矛盾。研究结果在动机的自我决定理论背景下进行了解释，并表明在治疗环境中，应该让患者共同参与制定共同的目标和康复概念。
