饮食失调自责与换位思考干预的定性患者体验
Qualitative patient experiences from the Self-Blame and Perspective-Taking Intervention for eating disorders.
作者信息
Hagan Whitney Smith, Mericle Susan, Hunt Bethany J, Harper Jessica A, Palka Jayme M, Pelfrey Sarah, McAdams Carrie J
机构信息
Department of Psychiatry, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX, 75390-9070, USA.
出版信息
J Eat Disord. 2021 Oct 14;9(1):127. doi: 10.1186/s40337-021-00483-9.
BACKGROUND
Problems in social cognition and social support contribute to eating disorders (ED). Group therapy provides an ideal format to create an experiential learning environment focused on understanding social interactions. This pilot study examined the qualitative content of the participants' experiences in the Self-Blame and Perspective-Taking Intervention (SBPI) for ED.
METHODS
The SBPI was a 4-week group therapy intervention involving art therapy and psychoeducation that focused on social behaviors in ED patients. Participants received surveys immediately after the intervention and at 1 to 4 weeks after the post-intervention. Thematic analyses of qualitative feedback were performed using Braun and Clarke's thematic analysis framework.
RESULTS
Inductive analyses revealed three main themes: (1) Developing self-acceptance through emotional reflection, (2) Changing expectations with neurosocial knowledge, and (3) Bonding and vulnerability in social interactions; all concepts intentionally targeted by the SBPI. Participants varied in their support of a guideline to exclude personal discussion of ED-related cognitions and behaviors in the group.
CONCLUSIONS
As a whole, patients valued the combination of psychosocial education with group experientials focused on social behavior. Positive feedback from the SBPI suggests that adjunctive treatments that target mental-wellness constructs indirectly related to ED pathology may be helpful by allowing patients to see themselves as separable from the illness. Trial registration ClinicalTrials.gov, NCT0487758. Registered 7 May 2021-Retrospectively registered. https://clinicaltrials.gov/ct2/show/NCT04877158 .
背景
社会认知和社会支持方面的问题会导致饮食失调（ED）。团体治疗提供了一个理想的形式，以创造一个专注于理解社会互动的体验式学习环境。这项试点研究考察了饮食失调患者在自责与换位思考干预（SBPI）中参与者体验的定性内容。
方法
SBPI是一项为期4周的团体治疗干预，包括艺术治疗和心理教育，重点关注饮食失调患者的社会行为。参与者在干预结束后立即以及干预后1至4周接受调查。使用布劳恩和克拉克的主题分析框架对定性反馈进行主题分析。
结果
归纳分析揭示了三个主要主题：（1）通过情感反思培养自我接纳，（2）用神经社会知识改变期望，以及（3）社会互动中的联系与脆弱性；所有这些概念都是SBPI有意针对的。参与者对在小组中排除与饮食失调相关认知和行为的个人讨论这一指导方针的支持程度各不相同。
结论
总体而言，患者重视心理社会教育与专注于社会行为的团体体验相结合。SBPI的积极反馈表明，针对与饮食失调病理间接相关的心理健康结构的辅助治疗可能会有所帮助，因为它能让患者将自己与疾病区分开来。试验注册ClinicalTrials.gov，NCT0487758。于2021年5月7日注册——追溯注册。https://clinicaltrials.gov/ct2/show/NCT04877158 。
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