饮食失调患者的治疗经历与对治疗的感知疗效之间的关联。
Associations between therapy experiences and perceived helpfulness of treatment for people with eating disorders.
作者信息
Mital Rahul, Hay Phillipa, Conti Janet E, Mannan Haider
机构信息
School of Medicine, Western Sydney University, Locked Bag 1797 Penrith South 2715, Sydney, Australia.
Translational Health Research Institute, Western Sydney University, Sydney, Australia.
出版信息
J Eat Disord. 2022 Jun 14;10(1):80. doi: 10.1186/s40337-022-00601-1.
BACKGROUND
Although eating disorders cause significant impairment to an individual's function, many people disengage from treatment. There is a paucity of literature that focuses on both positive and negative aspects of eating disorder treatment experiences as perceived by the experiencing person. This study aimed to identify the associations between features of therapy with perceived treatment helpfulness across individuals' most and least helpful treatment experiences.
METHODS
An online cross-sectional survey was developed and disseminated, with the data of participants (n = 235) being utilised for statistical analyses, including multiple linear regressions.
RESULTS
As predicted, factors in the therapeutic relationship such as the therapist's ability to instil a sense of hope, provide freedom of choice, understand the person, and address participant concerns had significant explanatory value in perceived treatment helpfulness. Contrary to our hypothesis, change being retrospectively identified as important or possible by the participant did not have a high degree of relation. These outcomes highlighted the significance of the therapeutic relationship in governing positive treatment experiences and responses. The results also suggested motivation to change when commencing treatment may not be strongly related to perceived treatment helpfulness and support further exploration.
背景
尽管饮食失调会对个人功能造成严重损害，但许多人会中断治疗。很少有文献关注经历者所感知到的饮食失调治疗经历的积极和消极方面。本研究旨在确定在个体最有帮助和最没有帮助的治疗经历中，治疗特征与感知到的治疗帮助之间的关联。
方法
开展并分发了一项在线横断面调查，参与者（n = 235）的数据用于统计分析，包括多元线性回归。
结果
如预期的那样，治疗关系中的因素，如治疗师灌输希望感、提供选择自由、理解患者以及解决参与者担忧的能力，在感知到的治疗帮助方面具有显著的解释价值。与我们的假设相反，参与者回顾性地认为重要或可能的改变并没有高度相关性。这些结果凸显了治疗关系在决定积极治疗体验和反应方面的重要性。结果还表明，开始治疗时的改变动机可能与感知到的治疗帮助没有强烈关联，并支持进一步探索。
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