Present address: Dublin Adult and Child Therapy Centre, 11 Sandyford Office Park, Blackthorn Avenue, Sandyford, Dublin 18 Republic of Ireland.
The London Centre for Eating Disorders and Body Image, Hanover Square, London, W1S1HT UK.
J Eat Disord. 2016 Jul 19;4:20. doi: 10.1186/s40337-016-0109-z. eCollection 2016.
Despite an increasing clinical interest in the use of personal values as a motivational tool in psychological therapies for Anorexia Nervosa (AN), research is limited. This study explored personal values among individuals with AN, with a particular focus on the 'fit' between participants' values and their AN.
A qualitative research design was employed in this study. In-depth, semi-structured interviews were carried out among eight female outpatients and inpatients with a diagnosis of AN or Eating Disorder Not Otherwise Specified - AN type (EDNOS-AN type). Data was analysed using Interpretative Phenomenological Analysis (IPA; Smith, Jarman & Osborne, 1999).
Three super-ordinate themes emerged from analysis: 'Balancing Values' (difficulty finding balance in relating to and acting on values), 'Congruence and Clashes between AN and Values' (experiences of AN representing a mixed-fit with values) and 'From Ambivalence to Motivation' (ambivalence toward both AN and recovery - in the context of its mixed-fit with values - and experiences of values as a motivational tool in recovery).
Study findings support a role for psychological therapies in working with personal values as a means of promoting recovery in AN, through supporting individuals to explore AN's workability in the context of their values. Further research investigating the optimal stage of treatment to work with values as a motivational tool is warranted.
尽管个人价值观作为一种动机工具在厌食症（AN）心理治疗中的应用越来越受到临床关注，但相关研究仍有限。本研究探讨了 AN 患者的个人价值观，特别关注参与者的价值观与其 AN 之间的“契合度”。
本研究采用定性研究设计。对 8 名女性 AN 门诊和住院患者进行了深入的半结构化访谈，这些患者的诊断为 AN 或未特定的饮食障碍-AN 型（EDNOS-AN 型）。使用解释现象学分析（IPA；Smith、Jarman & Osborne，1999）对数据进行分析。
分析产生了三个超主题：“平衡价值观”（在与价值观相关和采取行动方面难以找到平衡）、“AN 与价值观之间的一致性和冲突”（AN 代表与价值观的混合契合，体验到的）和“从矛盾到动机”（对 AN 和恢复的矛盾态度——在其与价值观的混合契合的背景下——以及将价值观视为恢复的动机工具的体验）。
研究结果支持心理治疗在通过支持个体在价值观的背景下探索 AN 的可行性来促进 AN 康复方面发挥作用，将个人价值观作为一种促进康复的动机工具。需要进一步研究探索在治疗的哪个阶段将价值观作为一种动机工具来使用是最佳的。
