Department of Psychology, University of Wyoming, Laramie, Wyoming.
Int J Eat Disord. 2018 Jul;51(7):617-628. doi: 10.1002/eat.22887. Epub 2018 May 30.
The insights and activities that regularly occur in clinical settings are an underutilized wellspring of potential scientific advances. Single-case experimental designs (SCEDs) include a collection of methods for testing hypotheses in one individual (or a small number of individuals) at a time that are particularly well suited to clinical settings. Their strengths include their potential for maximizing both internal and external validity by way of tight experimental control over threats to internal validity and flexibility in application and inclusion criteria. Despite these advantages, the eating disorder field has not made use of SCEDs to a similar extent as other research areas, providing an opportunity for expansion. Recent advances in organizing SCED standards have resulted in the publication of two sets of reporting guidelines relevant to eating disorders research. These guidelines are integrated and summarized alongside descriptions of domains for evaluating their methodological rigor. Example research questions of potential interest to the eating disorder field are illustrated with SCEDs, and several issues to consider when using SCEDs in eating disorders research are described. It is recommended that researchers aiming to use SCEDs refer to this paper and the resources cited herein when designing and reporting their work. Finally, it is hoped that individuals with access to clinical samples use this paper as a source of inspiration for testing their unique clinical insights.
临床环境中经常出现的见解和活动是潜在科学进展的未充分利用的源泉。单病例实验设计(SCEDs)包括一系列方法,用于一次在一个人(或少数几个人)身上检验假设,特别适合临床环境。它们的优势包括通过对内部有效性的威胁进行严格的实验控制,以及在应用和纳入标准方面的灵活性,从而有可能最大限度地提高内部和外部有效性。尽管有这些优势,但饮食失调领域并没有像其他研究领域那样广泛地使用 SCEDs,这为其提供了扩展的机会。最近在组织 SCED 标准方面的进展导致了两套与饮食失调研究相关的报告指南的出版。这些指南与评估其方法严谨性的领域描述相结合并进行了总结。以 SCED 为例说明了对饮食失调领域可能感兴趣的研究问题,并描述了在饮食失调研究中使用 SCEDs 时需要考虑的几个问题。建议希望使用 SCEDs 的研究人员在设计和报告工作时参考本文和本文中引用的资源。最后,希望有临床样本的人将本文作为检验其独特临床见解的灵感来源。