University Counseling Service, University of Iowa, Iowa City, Iowa 52242, USA.
Eat Disord. 2012;20(1):14-30. doi: 10.1080/10640266.2012.635560.
This qualitative study retrospectively explored the help-seeking process in women with eating disorders. Interviews were conducted with 14 college-age women suffering from anorexia nervosa, bulimia nervosa, or eating disorder NOS. Grounded theory was utilized to develop a preliminary model of the help-seeking process. Participants described a gradual shift from denial to increased awareness of self and the impact of the illness. This core process was transient in nature and influenced by interpersonal feedback, critical incidents, the women's general attitude toward help- seeking, and prior treatment experiences. Implications for clinicians include an increased focus on the transient awareness of self and the illness.
本定性研究回顾性探讨了进食障碍女性的求治过程。对 14 名患有神经性厌食症、神经性贪食症或未特定型进食障碍的青春期女性进行了访谈。采用扎根理论,初步构建了求治过程模型。参与者描述了一个从否认到逐渐意识到自身和疾病影响的转变过程。这一核心过程具有短暂性,受人际反馈、关键事件、女性对求治的总体态度以及既往治疗经历的影响。对临床医生的启示包括更加关注短暂的自我意识和疾病意识。