School of Psychology, Curtin University, Perth, Western Australia, Australia.
Department of Health, Centre for Clinical Interventions, Perth, Western Australia, Australia.
Int J Eat Disord. 2019 Sep;52(9):987-995. doi: 10.1002/eat.23121. Epub 2019 Jun 14.
Interventions for carers of individuals with eating disorders are often time and resource intensive, which may be a barrier for service providers or attendees. This study aimed to evaluate the efficacy of a very brief, two-session psychoeducation and communication skills-based intervention for carers of individuals with eating disorders.
Carers (N = 44) were randomized to attend two 2.5 hr sessions delivered 1 week apart or waitlist control. Carer burden, self-efficacy, skills, knowledge, expressed emotion (emotional overinvolvement and critical comments), distress (anxiety and depression), and accommodating and enabling behaviors were assessed at preintervention and postintervention and 1-month follow-up.
Carer burden, self-efficacy, skills, knowledge, and one component of expressed emotion (critical comments) improved significantly more in the treatment group compared to the waitlist. Changes in anxiety, depression, and accommodating and enabling behaviors did not significantly differ between groups.
These results demonstrated that substantial improvements can be made from a very brief carers' intervention. More intensive and targeted interventions might be required to address carers' emotional symptoms and to reduce accommodating and enabling behaviors.
针对饮食失调患者的护理人员的干预措施往往需要耗费大量的时间和资源，这可能成为服务提供者或参与者的障碍。本研究旨在评估针对饮食失调患者护理人员的一个非常简短的、两节课的基于心理教育和沟通技巧的干预措施的疗效。
护理人员（N=44）随机分为两组，一组参加为期一周、每周两次、每次 2.5 小时的课程，另一组为候补对照组。在干预前、干预后和 1 个月随访时评估护理人员的负担、自我效能感、技能、知识、表达情感（情感过度卷入和批评性评论）、困扰（焦虑和抑郁）以及迎合和助长行为。
与候补对照组相比，治疗组的护理人员负担、自我效能感、技能、知识和表达情感的一个组成部分（批评性评论）显著改善更多。焦虑、抑郁和迎合助长行为的变化在两组之间没有显著差异。
这些结果表明，非常简短的护理人员干预措施可以取得显著的改善。可能需要更密集和有针对性的干预措施来解决护理人员的情绪症状，并减少迎合和助长行为。
