Griffiths R, Gross G, Russell J, Thornton C, Beumont P J, Schotte D, Touyz S W
Department of Psychology, University of Sydney, Australia.
Int J Eat Disord. 1998 May;23(4):443-7. doi: 10.1002/(sici)1098-108x(199805)23:4<443::aid-eat13>3.0.co;2-x.
Few studies have investigated perceptions of operant conditioning programs by anorexic patients. This study examined patients' perceptions of the Bed Rest (BR) component which is employed in some operant conditioning programs.
A sample of 48 anorexic inpatients was administered a survey to elicit their attitudes towards BR.
Results from the survey suggested that most patients perceived BR in a negative way. The main complaint, however, was not punishment or humiliation, as predicted, but isolation and boredom. A number of patients concluded that they wanted more individualization and distraction and less restriction while on BR.
The findings justify the use of BR within a humane framework in the inpatient treatment of anorexia nervosa, but suggest that patients' perceptions of BR warrant systematic scrutiny.
很少有研究调查神经性厌食症患者对操作性条件反射治疗方案的看法。本研究考察了患者对某些操作性条件反射治疗方案中所采用的卧床休息(BR)部分的看法。
对48名神经性厌食症住院患者进行了一项调查,以了解他们对卧床休息的态度。
调查结果表明,大多数患者对卧床休息持负面看法。然而,主要的抱怨并非如预期的惩罚或羞辱,而是隔离和无聊。许多患者得出结论,他们希望在卧床休息期间有更多个性化安排和消遣,减少限制。
这些发现证明了在神经性厌食症住院治疗中,在人道框架内使用卧床休息是合理的,但表明患者对卧床休息的看法值得系统审查。