Division of Health Research, Lancaster University, Lancaster, UK.
Clin Psychol Psychother. 2013 May-Jun;20(3):226-38. doi: 10.1002/cpp.794. Epub 2011 Dec 14.
Research has identified how people with anorexia nervosa (AN) have problematic relationships with their own emotions, which can impact recovery. The aim of this study was to understand factors that were important in the care and emotional management of people with eating disorders on an inpatient unit.
Semi-structured interviews were conducted with eight participants with AN.
Interview transcripts were analysed using a qualitative approach that was based upon interpretative phenomenological analysis, but also incorporated a theoretical component.
From the qualitative analysis, two overarching and related themes were developed: 'difficulty with emotion' and 'predictability and care'. These were underpinned by a number of theoretical important constructs, such as 'staff factors', 'understanding of emotion', 'validity of emotion' and 'looking for ideal care'.
Results suggested that the management strategies employed by some staff could serve to maintain eating disorders symptoms, whilst patient factors were also important as they had negative effect on staff's impact to care for this patient group.
研究已经确定了神经性厌食症(AN)患者与自身情绪之间存在问题的关系,这可能会影响康复。本研究的目的是了解在住院病房中对饮食失调患者进行护理和情绪管理的重要因素。
对 8 名 AN 患者进行半结构式访谈。
使用基于解释性现象学分析的定性方法对访谈记录进行分析,但也纳入了理论成分。
从定性分析中,发展出两个总体上相关的主题:“情绪困难”和“可预测性和关怀”。这些主题由一些理论上重要的结构支撑,例如“员工因素”、“对情绪的理解”、“情绪的有效性”和“寻找理想的护理”。
结果表明,一些员工采用的管理策略可能会维持饮食失调的症状,而患者因素也很重要,因为它们对员工照顾这群患者的影响产生负面影响。