暴食症患者的生病經驗與因應方式之敘說研究

The experiences of illness and coping methods from bulimics

徐偉玲(Wei-ling Hsu)

指導教授 ： 林家興

國立臺灣師範大學/教育學院/教育學系/碩士(2003年)

摘要

本研究的目的是探討暴食症患者面對暴食症狀時所經歷的生命經驗，與所發展出的因應方式。本研究參與者包括四名暴食症患者。研究方法則採用敘說研究取向與「類別－內容」分析方法來分析所有訪談轉譯稿。研究結果發現：
一、暴食症的促發因素：患者對自我形象不滿
二、暴食症患者的人際關係疏離
三、暴食症患者與憂鬱症及衝動性行為有共病關係
四、長期暴食對患者的自信心有負面影響
五、暴食症患者有控制權的議題
六、採自助方式因應暴食並不足以解決問題，而需向外求援
七、自我覺察與支持系統為復原的關鍵
最後，根據研究結果提出本研究的限制，以及未來研究的建議。

關鍵字

暴食症 ； 生病經驗 ； 因應方式

並列摘要

The purposes of the research were to explore the experiences of illness and coping methods from bulimics. The participants of this study were four bulimics. Narrative and Categorical- Content analytic methods were used for this research. Results of the study are as the following:
1.The development of bulimic symptoms was predicted by self dissatisfaction.
2.Bulimics perceive themselves as having isolated interpersonal relationships.
3.Bulimic behaviors and attitudes are associated with depression and impulsive behaviors.
4.Bulimic symptoms over a long period of time will lower bulimics’ self-esteem.
5.There was control issue in bulimics’ life.
6.It was not sufficient to solve bulimic problem only through one’s own efforts, additional supports from others were necessary.
7.The keys to recovery from bulimia nervosa were self-awareness and social supports.
The restrictions of current study and suggestions for future studies were also discussed.

並列關鍵字

bulimia nervosa ； the experiences of illness ； coping methods