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神经性厌食症的求助过程:患者对首次接触医疗服务的看法。

The process of help-seeking in anorexia nervosa: patients' perspective of first contact with health services.

作者信息

Gulliksen Kjersti S, Nordbø Ragnfrid H S, Espeset Ester M S, Skårderud Finn, Holte Arne

机构信息

a Division of Mental Health , Norwegian Institute of Public Health , Oslo , Norway.

出版信息

Eat Disord. 2015;23(3):206-22. doi: 10.1080/10640266.2014.981429. Epub 2014 Nov 20.

Abstract

In this study we explored circumstances, reflections, and reactions to first treatment contact in 34 women (aged 18-51) diagnosed with anorexia nervosa (AN) (DSM-IV). Using methods from grounded theory we identified how the meeting came about, what motivated the patients, and how they reacted to the conversation. The results suggest that (a) health care professionals need to demonstrate effective professional communication skills and proficient knowledge about eating disorders in early contacts; (b) treatment goals other than recovery from AN should be explored; and

摘要

在本研究中,我们探讨了34名被诊断患有神经性厌食症(AN,依据《精神疾病诊断与统计手册第四版》[DSM-IV])的女性(年龄在18至51岁之间)首次接触治疗时的情况、想法及反应。运用扎根理论方法,我们确定了会面是如何发生的、患者的动机是什么以及她们对此次谈话的反应。结果表明:(a) 医疗保健专业人员在早期接触中需要展现出有效的专业沟通技巧以及对饮食失调的精通知识;(b) 应探索除从神经性厌食症中康复之外的治疗目标;并且

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