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积极沟通工作坊:它们对神经性厌食症的治疗方案有用吗?

Positive communication workshops: are they useful for treatment programmes for anorexia nervosa?

作者信息

Tchanturia Kate, Croft Philippa, Holetic Victoria, Webb Jessica, Dapelo Marcela Marin

机构信息

Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.

Eating Disorders National Service, South London and Maudsley NHS Foundation Trust, London, United Kingdom.

出版信息

Front Psychol. 2023 Aug 14;14:1234928. doi: 10.3389/fpsyg.2023.1234928. eCollection 2023.

Abstract

BACKGROUND

Social isolation, loneliness and difficulties in relationships are often described as a core feature of eating disorders. Based on the experimental research, we have designed one-off workshops for patients in inpatients and day care services and evaluated its acceptability and effectiveness using feedback questionnaires.

METHODS

This naturalistic project is an evaluation of multiple positive communication workshops. Forty-one participants completed workshop questionnaires, which were provided immediately at the beginning and end of the workshop, including feedback on these one-off groups. The workshops consisted of educational and experiential components. The questionnaire outcomes were evaluated by independent researchers.

RESULTS

All participants were female adults with a mean age of 33 (12.2) and a diagnosis of Anorexia Nervosa (AN; either restrictive or binge-purge subtype). Post-workshop questionnaires showed large effect sizes in the improvement of understanding the importance and confidence in using positive communication strategies.

DISCUSSION

Addressing social communication difficulties in eating disorder treatment programmes adds valuable dimensions to these symptom-based treatments in both inpatient settings and day services, and may provide broader benefits in overall social functioning in patients with AN.

CONCLUSION

Brief one-off workshops targeting social functioning for patients with eating disorders might be useful complementary input for treatment programmes.

摘要

背景

社会隔离、孤独感和人际关系方面的困难常被描述为饮食失调的核心特征。基于实验研究,我们为住院患者和日间护理服务中的患者设计了一次性工作坊,并使用反馈问卷评估其可接受性和有效性。

方法

这个自然主义项目是对多个积极沟通工作坊的评估。41名参与者完成了工作坊问卷,这些问卷在工作坊开始和结束时立即提供,包括对这些一次性小组的反馈。工作坊由教育和体验部分组成。问卷结果由独立研究人员评估。

结果

所有参与者均为成年女性,平均年龄33岁(12.2岁),诊断为神经性厌食症(AN;限制型或暴饮暴食清除型亚型)。工作坊后的问卷显示,在提高对使用积极沟通策略的重要性的理解和信心方面,效应量很大。

讨论

在饮食失调治疗项目中解决社会沟通困难,为住院环境和日间服务中基于症状的治疗增加了有价值的维度,并可能为神经性厌食症患者的整体社会功能带来更广泛的益处。

结论

针对饮食失调患者社会功能的一次性简短工作坊可能是治疗项目有用的补充内容。

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