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瑜伽作为饮食失调的辅助治疗:临床医生观点的定性研究。

Yoga as an adjunct treatment for the eating disorders: A qualitive enquiry of clinician perspectives.

机构信息

School of Psychology, Deakin University, Australia.

School of Health and Social Development, Deakin University, Australia.

出版信息

Complement Ther Clin Pract. 2023 Nov;53:101796. doi: 10.1016/j.ctcp.2023.101796. Epub 2023 Sep 10.

Abstract

BACKGROUND

Yoga has been recognised as a beneficial adjunct for eating disorder (ED) treatment due to demonstrating positive effects on ED symptomology. Despite this, research exploring the perspectives of clinicians regarding the use of yoga for the spectrum of the EDs is limited. Consequently, this study utilised qualitative enquiry to explore the experiences and perspectives of clinicians regarding the implementation of yoga as an adjunct for ED treatment. This research examines how yoga may be safely applied for the EDs, to enhance ED treatment approaches and recovery.

METHODS

This study employed semi-structured interviews with 12-clincians with up to 20-years of experience working therapeutically with people with EDs. Participants were asked their perspectives on the benefits, risks, and adaptations for delivering safe and suitable yoga programs for the spectrum of EDs. Template thematic analysis was used.

RESULTS

Four distinct themes were identified. They included the (1) benefits of yoga, (2) risks associated with the practice, (3) recommendations for adapting yoga for this cohort, and (4) implementing yoga alongside current psychological treatment.

CONCLUSIONS

Clinicians viewed yoga as a safe and suitable transdiagnostic treatment, with the potential to support individuals with a more holistic and sustained recovery model. Clinicians raised concerns that might arise with the use of yoga for this cohort, however, they also emphasised the ability for these to be mitigated with a series of key adaptations. Importantly, clinicians recommended that yoga is implemented and monitored alongside ED treatment to ensure its suitability and safety. Key barriers for implementing yoga as an adjunct treatment and future research directions are discussed. Recent research has explored the benefits of yoga for individuals with eating disorders (EDs). However, researchers have not yet interviewed clinicians who work with those with EDs regarding their views on using yoga for their clients. This study therefore interviewed 12 clinicians working with individuals with EDs, to obtain their views for using yoga as a therapeutic treatment for this group. Overall, clinicians viewed yoga as a safe and beneficial treatment for EDs. While some concerns were raised regarding the safety of yoga for this group, clinicians emphasised that these could be relieved by a series of key adaptations. This study offers unique insights into how yoga may be safely applied into the care for ED clients, to enhance their treatment approaches and recovery.

摘要

背景

瑜伽已被认为是治疗饮食失调(ED)的有益辅助手段,因为它对 ED 症状有积极影响。尽管如此,探索临床医生对瑜伽在 ED 谱中的应用观点的研究是有限的。因此,本研究利用定性探究来探索临床医生在将瑜伽作为 ED 治疗的辅助手段方面的经验和观点。本研究考察了如何安全地应用瑜伽治疗 ED,以增强 ED 治疗方法和康复。

方法

本研究采用半结构式访谈,对 12 名临床医生进行了访谈,他们在治疗 ED 患者方面的经验长达 20 年。参与者被问及他们对瑜伽在 ED 谱中的安全性和适用性的看法,包括瑜伽对 ED 患者的益处、风险以及为安全和合适地提供瑜伽项目而进行的调整。使用模板主题分析。

结果

确定了四个不同的主题。它们包括(1)瑜伽的益处,(2)练习瑜伽的风险,(3)为这一人群调整瑜伽的建议,以及(4)将瑜伽与当前的心理治疗结合起来。

结论

临床医生认为瑜伽是一种安全且适合的跨诊断治疗方法,具有支持个体更全面和持续康复模式的潜力。临床医生对瑜伽治疗这一人群可能出现的问题表示关注,但他们也强调通过一系列关键调整可以减轻这些问题。重要的是,临床医生建议在 ED 治疗的同时实施和监测瑜伽,以确保其适用性和安全性。讨论了实施瑜伽作为辅助治疗的关键障碍和未来研究方向。最近的研究探讨了瑜伽对饮食失调患者的益处。然而,研究人员尚未采访过与 ED 患者合作的临床医生,了解他们对使用瑜伽治疗其患者的看法。因此,本研究采访了 12 名与 ED 患者合作的临床医生,以获得他们对将瑜伽作为治疗这一群体的治疗方法的看法。总的来说,临床医生认为瑜伽是 ED 的一种安全和有益的治疗方法。虽然有人对瑜伽对这一群体的安全性表示担忧,但临床医生强调,可以通过一系列关键调整来缓解这些担忧。本研究提供了有关如何安全地将瑜伽应用于 ED 患者的护理中,以增强其治疗方法和康复的独特见解。

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