Bannatyne Amy, Stapleton Peta
a Department of Psychology , Bond University , Robina , Queensland , Australia.
Eat Disord. 2015;23(2):115-33. doi: 10.1080/10640266.2014.976102. Epub 2014 Nov 17.
It is frequently reported that clinicians across a range of professional disciplines experience strong negative reactions toward patients with anorexia nervosa (AN). The present study aimed to develop, evaluate, and compare the effectiveness of two different educational programs, based on an etiological framing model. Participants were medical students (N = 41) from an Australian University, who were randomly assigned to one of three conditions (biogenetic intervention vs. multifactorial intervention vs. control). Outcome attitudinal/stigma data were collected pre- and post-intervention, and at 8 weeks follow-up. Results indicated intervention participations exhibited significantly lower volitional stigma scores compared to the control group, who exhibited no change in attitudes or stigma. Specifically, intervention participants had significantly lower total ED stigma scores, levels of blame, perceptions of AN as a selfish/vain illness, and viewed sufferers as less responsible for their illness at post-intervention. These reductions were maintained at follow-up. Overall, the study provides preliminary evidence that brief targeted interventions can assist in reducing levels of volitional stigma toward AN.
经常有报道称，一系列专业学科的临床医生对神经性厌食症（AN）患者有强烈的负面反应。本研究旨在基于病因框架模型开发、评估和比较两种不同教育项目的有效性。参与者是来自澳大利亚一所大学的医学生（N = 41），他们被随机分配到三种情况之一（生物遗传干预组、多因素干预组或对照组）。在干预前、干预后以及随访8周时收集结果性态度/污名数据。结果表明，与对照组相比，干预组的意志性污名得分显著降低，而对照组的态度或污名没有变化。具体而言，干预组参与者在干预后总的进食障碍污名得分、责备程度、将神经性厌食症视为自私/虚荣疾病的认知以及认为患者对其疾病责任较小的看法都显著降低。这些降低在随访时得以维持。总体而言，该研究提供了初步证据，表明简短的针对性干预可以帮助降低对神经性厌食症的意志性污名水平。
