住院进食障碍开放式团体心理治疗疗效的定性研究  

Qualitative study of effect of open group psychotherapy for inpatients with eating disorder

作　　者：钱英[1] 李雪霓[1] 白冠男[1] 李会谱[1] 易进[1] 宋翠林[1] 孔庆梅[1] 耿淑霞[1] 刘朝忠[1] 张大荣[1] 

机构地区：[1]北京大学精神卫生研究所 卫生部精神卫生学重点实验室(北京大学),北京100191

出　　处：《中国心理卫生杂志》2014年第1期28-34,共7页Chinese Mental Health Journal

基　　金：北京市科学技术委员会“首都临床特色应用研究”专项-团体性认知行为教育对神经性贪食疗效的随机对照研究(Z111107058811076)

摘　　要：目的:探讨住院进食障碍开放式团体治疗的疗效和起效因素。方法:本研究使用访谈式定性研究方法。采用半定式问卷对10例符合美国精神障碍诊断分类手册第4版(DSM-IV)进食障碍诊断的住院患者进行访谈,使用主体框架法并借助定性分析的MAXQDA软件对结果进行分析。结果:住院进食障碍患者开放式团体治疗不仅有助于改善患者的核心症状及伴随症状,还能促进患者家庭及社会功能的改善。这种疗效,主要是通过给患者提供知识支持、情感支持、降低阻抗激发治疗动机来实现的。这种团体治疗的独特性(患者组长,开放式,住院期间进行)对于治疗效果的产生起到了重要作用。结论:住院进食障碍患者开放式团体治疗是进食障碍患者住院综合治疗的有益补充。Objective： To explore the effect of open group psychotherapy for inpatients with eating disorder. Methods： Ten inpatients with eating disorder meeting the criteria of Diagnostic and Statistical Manual of Mental Disorder, Fourth Edition （DSM-IV） were recruited. A semi-structural interview was conducted, and the interview data were audio-taped, noted and transcribed verbatim. Thematic framework analysis was conducted with the MAXQDA software. Results： It showed that the open group psychotherapy could not only improve the core and ac- companying symptoms but also enhance the family and social relationship of the patients. The group therapy took effect by helping the inpatients know more about their disorder, providing support, and lowering their resistance to behavioral modification therapy. The group psychotherapy in this study had three characteristics, namely group leader from the patients, open group, and just for inpatients. Conclusion： It suggests that the open group psychotherapy could supplement the comprehensive therapy for inpatients with eating disorder.

关 键 词：团体心理治疗 进食障碍 主题框架法 定性研究 

分 类 号：R749.055[医药卫生—神经病学与精神病学] R155.1[医药卫生—临床医学]