Division of Mental Health, Norwegian Institute of Public Health, Oslo, Norway.
Int J Eat Disord. 2012 Dec;45(8):932-41. doi: 10.1002/eat.22033. Epub 2012 Jun 21.
Previous research in eating disorders suggests that treatment satisfaction is closely related to the manner in which care is delivered. The present research is a systematic in depth study of health professional characteristics preferred by AN-patients.
Thirty-eight women with AN aged 18-51 were interviewed in depth using a phenomenological study design. Interviews were tape-recorded, transcribed, and analyzed using the QSR-NVivo7 software program.
Four factors associated with patients' satisfaction with their therapists were identified: "acceptance," "vitality," "challenge," and "expertise." Patients' responses suggested that treatment of AN requires therapists who are capable of using a complex set of behaviors when interacting with their patients.
There is accumulating evidence that across treatment modality, the manner in which treatment is delivered is critical to therapeutic change. Our findings increase the understanding of factors that may be associated with treatment retention, further help seeking, and overall treatment outcome. These exploratory and informant-centered results could guide clinicians in developing a strong therapeutic alliance with AN-patients and promote increased knowledge about the mechanisms that engage this population.
以往关于进食障碍的研究表明，治疗满意度与护理方式密切相关。本研究深入系统地研究了 AN 患者所偏好的健康专业人员特征。
采用现象学研究设计，对 38 名年龄在 18-51 岁的 AN 女性进行深入访谈。使用 QSR-NVivo7 软件程序对访谈进行录音、转录和分析。
确定了与患者对治疗师满意度相关的四个因素：“接受”、“活力”、“挑战”和“专业知识”。患者的反应表明，治疗 AN 需要治疗师在与患者互动时能够使用一系列复杂的行为。
越来越多的证据表明，无论治疗模式如何，治疗的提供方式对于治疗效果至关重要。我们的研究结果增加了对可能与治疗保留、进一步寻求帮助和整体治疗结果相关的因素的理解。这些探索性和以信息提供者为中心的结果可以指导临床医生与 AN 患者建立强大的治疗联盟，并促进对吸引这一人群的机制的更多了解。
