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严重和持久的神经性厌食症的概念化:一种定性元合成
Laura Kiely1, Janet Conti2, Phillipa Hay3
1School of Medicine, Translational Health Research Institute, Western Sydney University, Sydney, NSW, Australia. L.Kiely@westernsydney.edu.au.
BMC psychiatry
|August 18, 2023
概括
严重而持久的神经性厌食症 (SE-AN) 是一种使人虚弱的疾病. 这种生活经验的元综合提供了新的概念化,并呼吁大胆,新的治疗方法来解决SE-AN.
科学领域:
- 精神病学和心理学 精神病学和心理学
- 心理健康研究 心理健康研究
- 定性研究综合 定性研究综合
背景情况:
- 严重而持久的神经性厌食症 (SE-AN) 是一种高度损害的精神疾病,其鼻学存在重大不确定性.
- 目前对SE-AN的治疗方法显示出不良结果,这突显了迫切需要研究以提供概念化和新型干预措施的信息.
- 定性研究,特别是生活经验文献,对于丰富SE-AN的理解和改善治疗开发至关重要.
研究的目的:
- 进行一个解释性的元民族学元合成,以弥合了解SE-AN.的差距.
- 探索SE-AN个人的生活经验,以告知概念修订和治疗改进.
- 基于质量数据的综合,产生SE-AN的新概念.
主要方法:
- 进行了系统的对定性研究的搜索,重点关注3年多的精神性厌食症 (AN) 个体的经验.
- 包括的研究包括现象学,治疗经验和康复叙述.
- 用一种解释性的元民族学方法来综合来自36篇论文的发现,这些论文代表了382个声音.
主要成果:
- 四个更高层次的构造出现了:脆弱的自我意识,内心理过程,全球贫困和心理间的时间过程.
- 跨界主题包括治疗 (帮助与伤害),控制的转变和希望与绝望.
- SE-AN被概念化为一个递归的过程,涉及到与他人存在的自我关系和"厌食症神经陷".
结论:
- 提出的替代概念化挑战了当前的AN范式,并主张治疗方法更充分地参与SE-AN复杂的内部和间心理过程.
- 鼓励临床医生和研究人员采用新的想法,挑战主流范式,以更好地服务于SE-AN患者.
- "全球自我贫困"的发现应该为SE-AN.提供建议的诊断标准.
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