School of Psychology, University of Surrey, Guildford UK.
Evelina London Children's Hospital, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Eat Disord. 2020 Jan-Feb;28(1):32-46. doi: 10.1080/10640266.2018.1560239. Epub 2019 Jan 24.
Disclosure by those with eating difficulties is of considerable importance to clinicians and researchers. The aim of the present study was to explore variability in factors considered likely to influence the decision to disclose during psychological therapy by people who experience such difficulties. Thirty-seven participants recruited through a UK-based eating disorder charity completed a Q-sort task. This invited them to sort 47 statements onto a grid reflecting what would make them more or less likely to disclose in therapy. The thirty-seven Q-sorts were analysed using PQ method software. This resulted in the extraction of three factors explaining 41 percent of the variance. Participants loading on the first factor considered maintaining an eating disorder identity as most influential whilst participants loading on the second factor considered the therapeutic relationship as most influential. Those loading on the third factor considered personal readiness and feelings of security as most influential. This study suggests that clinicians need to assess influences on the decision to disclose for individual clients and to modify the early stages of intervention accordingly. Future research could assess the utility of using the Q-sort process and materials in this study as a way to elicit influences on disclosure decisions.
披露有饮食困难的人的信息对临床医生和研究人员来说非常重要。本研究的目的是探讨经历这些困难的人在心理治疗中决定披露的因素的可变性。通过英国的一家饮食失调慈善机构招募了 37 名参与者，他们完成了一份 Q 分类任务。这要求他们将 47 条陈述分类到一个网格上，反映出在治疗中更有可能或不太可能披露的情况。37 个 Q 分类使用 PQ 方法软件进行分析。这提取了三个解释 41%方差的因素。在第一个因素上加载的参与者认为保持饮食障碍身份最具影响力，而在第二个因素上加载的参与者认为治疗关系最具影响力。在第三个因素上加载的参与者认为个人准备和安全感最具影响力。本研究表明，临床医生需要评估对个别客户披露决定的影响，并相应地调整干预的早期阶段。未来的研究可以评估本研究中使用 Q 分类过程和材料作为引出披露决策影响因素的方法的效用。
