饮食失调治疗的提前终止——对治疗师观点的定性研究
Premature termination of eating disorder treatment - a qualitative study of therapist perspectives.
作者信息
Ulven Oda, Stige Signe Hjelen, Danielsen Yngvild Sørebø
机构信息
The University of Bergen, Bergen, Norway.
出版信息
J Eat Disord. 2025 May 1;13(1):76. doi: 10.1186/s40337-025-01268-0.
BACKGROUND
High dropout rates are a problem in eating disorder treatment and the knowledge about how therapists who work in this field understand and intervene to reduce drop out is scarce. The aim of this study was to explore how therapists understand and work to prevent dropout during eating disorder treatment.
METHODS
Five focus group interviews with a total number of 17 therapists were conducted. The therapists all worked in specialized mental health care and had different occupational backgrounds, including psychologists, specialist nurses, and doctors. All of them reported receiving training in CBT-E. Transcripts were analysed using a reflexive thematic analysis.
RESULTS
Our analysis resulted in the development of three main themes: (1) Accepting dropout; (2) Balancing resources; and (3) Recognizing the demands of treatment.
CONCLUSIONS
Our findings suggest that preparation for treatment is conceptualized by therapists as something quite separate from treatment itself and as crucial for preventing dropout and providing good treatment results. Interestingly, interventions and processes during treatment received much less focus in the discussions among therapists during the interviews.
TRIAL REGISTRATION
This project has been approved by Regional Committees for Medical and Health Research Ethics in Norway (REK), REK-number 55,304.
背景
高辍学率是饮食失调治疗中的一个问题，而关于该领域治疗师如何理解并干预以减少辍学的知识却很匮乏。本研究的目的是探讨治疗师在饮食失调治疗过程中如何理解并努力预防辍学。
方法
对总共17名治疗师进行了五次焦点小组访谈。这些治疗师均在专门的心理健康护理机构工作，具有不同的职业背景，包括心理学家、专科护士和医生。他们都报告接受过增强认知行为疗法（CBT-E）的培训。使用反思性主题分析法对访谈记录进行了分析。
结果
我们的分析得出了三个主要主题：（1）接受辍学；（2）平衡资源；（3）认识到治疗的要求。
结论
我们的研究结果表明，治疗师将治疗准备概念化为与治疗本身截然不同的事物，并且认为这对于预防辍学和取得良好的治疗效果至关重要。有趣的是，在访谈中治疗师的讨论较少关注治疗期间的干预措施和过程。
试验注册
该项目已获得挪威医学和健康研究伦理区域委员会（REK）的批准，REK编号为55,304。
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