Stedal Kristin, Funderud Ingrid, Lindstedt Katarina
Regional Department of Eating Disorders, Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway.
University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Int J Eat Disord. 2024 Dec;57(12):2370-2379. doi: 10.1002/eat.24289. Epub 2024 Sep 13.
Temperament Based Therapy with Support (TBT-S) is an emerging intervention based on empirically supported neurobiological models. Due to its novelty, only a handful of studies to date have examined TBT-S, and none of these previous studies have provided a qualitative evaluation of how TBT-S is perceived by the target population. Therefore, the aim of the current study was to provide an increased understanding of how TBT-S is experienced by patients with an eating disorder and their supports.
Forty-six patients with an eating disorder and 63 supports consented to be included in the study. The participants provided written responses to six open-ended questions during the post-treatment assessment, detailing their treatment experiences and offering additional feedback. Thematic analysis (TA) was used to analyze their written responses, aiming for a combination of latent and semantic themes.
The results reveal a substantial overlap between patients' and supports' experiences with TBT-S. In both groups, identified themes suggest increased knowledge and hopefulness as key benefits of the intervention. While both patients and support persons considered TBT-S to be worthwhile, patients also reported finding the intervention quite challenging. Additionally, both groups emphasized the neurobiological rationale as an essential component of TBT-S.
The qualitative evaluations from this study offer new insights into how TBT-S is experienced by the target population. The findings provide an opportunity to incorporate participant suggestions for improving the treatment, and serve as an important building block for future studies aimed at assessing the effectiveness of TBT-S as an augmentation to treatment-as-usual.
基于气质的支持性疗法（TBT-S）是一种基于经验支持的神经生物学模型的新兴干预措施。由于其新颖性，迄今为止只有少数研究对TBT-S进行了考察，而且之前的这些研究均未对目标人群如何看待TBT-S进行定性评估。因此，本研究的目的是增进对饮食失调患者及其支持者如何体验TBT-S的理解。
46名饮食失调患者和63名支持者同意参与本研究。参与者在治疗后评估期间对六个开放式问题提供了书面答复，详细描述了他们的治疗经历并提供了额外反馈。采用主题分析法（TA）分析他们的书面答复，旨在结合潜在主题和语义主题。
结果显示患者和支持者在TBT-S体验方面存在大量重叠。在两组中，确定的主题表明知识增加和充满希望是该干预措施的关键益处。虽然患者和支持者都认为TBT-S是值得的，但患者也报告称该干预颇具挑战性。此外，两组都强调神经生物学原理是TBT-S的一个重要组成部分。
本研究的定性评估为目标人群如何体验TBT-S提供了新的见解。这些发现为纳入参与者关于改进治疗的建议提供了机会，并为未来旨在评估TBT-S作为常规治疗补充的有效性的研究奠定了重要基础。
