【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。更多还原

【Abstract】 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 M anual of M ental Disorder,Fourth Edition( DSM-IV) w ere recruited. A semi-structural interview w as conducted,and the interview data w ere audio-taped,noted and transcribed verbatim. Thematic framew ork analysis w as conducted with the M AXQDA softw are. Results: It show ed that the open group psychotherapy could not only improve the core and accompanying 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 low ering 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.更多还原