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临床医生作为关键一环:了解健康专业人员对神经性厌食症、神经性贪食症和暴食症的信念和态度。

Clinicians as a critical link: Understanding health professionals' beliefs and attitudes toward anorexia nervosa, bulimia nervosa, and binge eating disorder.

机构信息

Division of Mental Health and Addiction, Regional Department for Eating Disorders, Oslo University Hospital, Oslo, Norway.

Department of Psychology, Faculty of Social Sciences, University of Oslo, Oslo, Norway.

出版信息

Scand J Psychol. 2021 Dec;62(6):775-779. doi: 10.1111/sjop.12777. Epub 2021 Sep 27.

Abstract

Understanding the perspectives of health professionals remains an understudied issue, yet may help bridge research-practice gaps and pinpoint important areas for education, training, and research. This study investigated attitudes toward anorexia nervosa (AN), bulimia nervosa (BN), and binge eating disorder (BED) among Nordic health professionals specialized within the eating disorder (ED) field. Participants (n = 144) completed a modified ED-version of the Illness Perception Questionnaire which assessed attitudes and beliefs toward perceived symptom controllability, severity, treatment effectiveness, and views on the prognosis of AN, BN, and BED. Personal enjoyment and level of comfort working with AN, BN, and BED were also assessed. The majority agreed or strongly agreed that patients with AN, BN, and BED were not responsible for their illness, and viewed the illnesses as psychological rather than medical in etiology. AN was viewed as the most severe and enduring, followed by BN, then BED. Treatment for BN was viewed as being more highly effective than treatments for either AN or BED. Professionals rated significantly less enjoyment and less confidence working with BED. To conclude, both commonalities and differences in attitudes toward AN, BN and BED were found in terms of perceived symptom controllability, views on severity, treatment effectiveness, and anticipated prognosis. In particular, findings emphasized the need for additional training in the management of BED among Nordic healthcare professionals.

摘要

了解健康专业人员的观点仍然是一个研究不足的问题,但它可能有助于弥合研究与实践之间的差距,并确定教育、培训和研究的重要领域。本研究调查了北欧专门从事饮食障碍领域的健康专业人员对神经性厌食症(AN)、神经性贪食症(BN)和暴食障碍(BED)的态度。参与者(n=144)完成了经过修改的 ED 版本的疾病感知问卷,该问卷评估了对感知症状可控性、严重程度、治疗效果的态度和信念,以及对 AN、BN 和 BED 的预后的看法。个人对治疗 AN、BN 和 BED 的享受程度和舒适度也进行了评估。大多数人同意或强烈同意 AN、BN 和 BED 患者对他们的疾病不负责任,并认为这些疾病的病因是心理上的,而不是医学上的。AN 被认为是最严重和最持久的,其次是 BN,然后是 BED。BN 的治疗效果被认为比 AN 或 BED 的治疗效果更显著。专业人士对治疗 BED 的享受程度和信心显著降低。总之,在感知症状可控性、严重程度、治疗效果和预期预后方面,对 AN、BN 和 BED 的态度存在共性和差异。特别是,研究结果强调了北欧医疗保健专业人员在管理 BED 方面需要额外培训。

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