C. A. (Charlotte) Bijkerk, L. A. (Laura) Nooteboom, C. B. (Carolijn) de Beer, J. A. (Jan Alexander) de Vos, R. R. J. M. (Robert) Vermeiren
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引用次数: 0
摘要
目的：尽管很多提供饮食失调症（ED）治疗的专业人员过去都有ED的生活经历，但对于这些专业人员是否应该在治疗中利用这些经历，目前还没有达成共识。本综述旨在评估目前关于曾患有饮食失调症的康复专业人员治疗饮食失调症患者的文献，揭示治疗中的利弊、对专业人员及其周围环境的影响以及对实践的意义：方法：我们进行了系统的文献检索，其中包括 10 篇文章。我们通过系统综合分析了定性数据。对每个次主题计算了证据强度：结果：我们对三个主题和 14 个子主题进行了分类。治疗（患者与专业人员的互动）"类别分为：治疗的优点、缺点和其他影响。此外，"专业人员自身 "类别还包括直接影响或涉及 ED 专业人员的次主题：康复是一个非线性过程、自我护理的重要作用以及专业人员的负面情绪。最后，"工作环境 "类别包括：公司文化和培训、监督和专业发展：讨论：由于专业人员的专业知识得到了提高，ED 康复专业人员是对 ED 治疗的一种有前途的补充。然而，应注意患者与专业人员之间的界限可能会被扭曲。
Treating eating disorders by professionals with similar experiences: A systematic review
Objective
Although a significant number of professionals who provide eating disorder (ED) treatment have lived experience with an ED in the past, there is no consensus on whether these professionals should use these experiences in treatment. This review aims to evaluate current literature on recovered professionals with an ED past treating ED patients, unravelling advantages and disadvantages in treatment, the impact on professionals and their surroundings, and implications for practice.
Method
A systematic literature search was conducted which included 10 articles. We analysed qualitative data through a systematic synthesis. Strength of evidence was calculated for each subtheme.
Results
Three themes and 14 subthemes were divided into categories. The category ‘treatment (patient-professional interaction)’ was divided into: advantages, disadvantages and other implications for treatment. Additionally, the category ‘professionals themselves’ included subthemes that directly impact or relate to ED professionals: recovery as a non-linear process, the significant role of self-care and adverse feelings of professionals. Finally, the category ‘work settings’ included: company culture and training, supervision and professional development.
Discussion
Recovered ED professionals are a promising addition to ED treatment due to the enhanced expertise of the professional. However, attention should be paid to the risk of distorted boundaries between patient and professional.
期刊介绍：
European Eating Disorders Review publishes authoritative and accessible articles, from all over the world, which review or report original research that has implications for the treatment and care of people with eating disorders, and articles which report innovations and experience in the clinical management of eating disorders. The journal focuses on implications for best practice in diagnosis and treatment. The journal also provides a forum for discussion of the causes and prevention of eating disorders, and related health policy. The aims of the journal are to offer a channel of communication between researchers, practitioners, administrators and policymakers who need to report and understand developments in the field of eating disorders.
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