Introduction: According to the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders), anorexia nervosa is classified under Feeding and Eating Disorders. This study examined the usefulness and effectiveness of the Mental Health Recovery Star - an assessment tool used to support and monitor change processes in ten areas of life for individuals affected by psychiatric disorders - applied to patients with anorexia nervosa in a semi-residential setting. The main objective is to assess how this tool can provide concrete support to patients, helping them increase awareness of their illness and the rehabilitation journey they have undertaken. In order to better understand potential divergences in how the recovery process is experienced and interpreted, we also examined discrepancies that emerged between patients' perceptions and therapists' reports. Methodology: The study involved nine female patients, aged between fourteen and twenty-nine years, diagnosed with Anorexia Nervosa and admitted to the Day Hospital of the Regional Eating Disorders Center at the University Hospital of Padua. The evaluation with the Mental Health Recovery StarTM was conducted both by the patients, accompanied by a practitioner, and by their respective therapists. The first administration of the scale took place at time T0, followed by a second evaluation after three months (T1). The data collected were subsequently analyzed through repeated measures ANOVA, using as variables the scores from the Star Chart completed by both patients and their therapists. To expand the evaluation phase, the following questionnaires were administered at T0 and T1: Depression and Anxiety Stress Scale – 21 (DASS – 21), Difficulties in Emotion Regulation Scale (DERS), and Brief Cope. At the end of the three-month period, the MHRSTM satisfaction questionnaire was also administered. Results: The results obtained show a significant effect of the time factor between the administration of the scale at T0 and T1 in almost all areas, with evidence of improvement in variables in both the therapists' and patients' assessments. This improvement is particularly evident in the following areas: mental health management, self-care, social networks, work, personal relationships, identity and self-esteem, and confidence. A significant effect of the completion factor was found in the areas of work, responsibility, and identity and self-esteem. Patients positively assessed the use of the tool, highlighting how it helped them gain greater awareness of their journey and other areas of life, thus facilitating the recovery process. Conclusions: The results should be interpreted based on their preliminary value. Nevertheless, they are encouraging regarding the potential use of the tool for rehabilitative purposes and as a support in treatment, suggesting its possible application in clinical practice.
Introduzione: Secondo il DSM-5 (Diagnostic and Statistical Manual of Mental Disorders), l’anoressia nervosa viene classificata all’interno dei Disturbi della Nutrizione e dell’Alimentazione. In questo studio si è esaminata l’utilità e l’efficacia della Mental Health Recovery Star - uno strumento di valutazione utilizzato per supportare e monitorare i processi di cambiamento in dieci aree della vita di persone affette da disturbi psichiatrici - applicandolo a pazienti con anoressia nervosa ricoverate in un contesto semiresidenziale. L’obiettivo principale è valutare come questo strumento possa offrire un supporto concreto alle pazienti, aiutandole a incrementare la consapevolezza della malattia e del percorso riabilitativo intrapreso. Al fine di comprendere meglio eventuali divergenze nel modo in cui il percorso di recovery viene vissuto e interpretato, abbiamo inoltre esaminato la discrepanza emersa tra quando percepito dall’utente e quanto riportato dal terapeuta. Metodologia: Lo studio ha coinvolto nove pazienti di sesso femminile, di età compresa tra i quattordici e i ventinove anni, con diagnosi di Anoressia Nervosa, ricoverate presso il Day Hospital del Centro Regionale per i Disturbi Alimentari dell’Università-Ospedale di Padova. La valutazione con la Mental Health Recovery StarTM è stata effettuata sia dalle pazienti, affiancate da un operatore, sia dal terapeuta di riferimento. La prima somministrazione della scala è avvenuta al tempo T0, seguita da una seconda valutazione a distanza di tre mesi (T1). I dati raccolti sono stati successivamente analizzati tramite un’ANOVA a misure ripetute, utilizzando come variabili i punteggi ottenuti dallo Star Chart compilato sia dalle pazienti che dai loro terapeuti. Al fine di ampliare la fase di valutazione, sono stati somministrati a T0 e a T1 i seguenti questionari: Depression and Anxiety Stress Scale – 21 (DASS – 21), Difficulties in Emotion Regulation Scale (DERS) e Brief Cope. Al termine dei tre mesi è stato somministrato il questionario qualitativo di gradimento della MHRSTM. Risultati: I risultati ottenuti mostrano un effetto significativo del fattore tempo trascorso tra la somministrazione della scala a T0 e T1 in quasi tutte le aree, con un’evidenza di miglioramento delle variabili sia nella compilazione dei terapeuti che delle pazienti. Questo avviene in particolare nelle seguenti aree: gestione della salute mentale, cura di sé, reti sociali, lavoro, relazioni personali, identità e autostima e infine fiducia. Si riscontra un effetto significativo del fattore compilazione nelle aree del lavoro, responsabilità e identità e autostima. Le pazienti valutano positivamente l’utilizzo dello strumento, evidenziando come le abbia aiutate ad assumere maggiore consapevolezza del proprio percorso e di altre aree di vita, favorendo il processo di recovery. Conclusioni: I risultati ottenuti vanno interpretati sulla base del loro valore preliminare. Essi sono tuttavia incoraggianti rispetto ad un potenziale utilizzo dello strumento a scopo riabilitativo e come supporto al trattamento, suggerendone un potenziale utilizzo nella pratica clinica.
Utilizzo della Mental Health Recovery Star nell'anoressia nervosa: dati preliminari in un contesto semiresidenziale
BEGIO, GIULIA
2023/2024
Abstract
Introduction: According to the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders), anorexia nervosa is classified under Feeding and Eating Disorders. This study examined the usefulness and effectiveness of the Mental Health Recovery Star - an assessment tool used to support and monitor change processes in ten areas of life for individuals affected by psychiatric disorders - applied to patients with anorexia nervosa in a semi-residential setting. The main objective is to assess how this tool can provide concrete support to patients, helping them increase awareness of their illness and the rehabilitation journey they have undertaken. In order to better understand potential divergences in how the recovery process is experienced and interpreted, we also examined discrepancies that emerged between patients' perceptions and therapists' reports. Methodology: The study involved nine female patients, aged between fourteen and twenty-nine years, diagnosed with Anorexia Nervosa and admitted to the Day Hospital of the Regional Eating Disorders Center at the University Hospital of Padua. The evaluation with the Mental Health Recovery StarTM was conducted both by the patients, accompanied by a practitioner, and by their respective therapists. The first administration of the scale took place at time T0, followed by a second evaluation after three months (T1). The data collected were subsequently analyzed through repeated measures ANOVA, using as variables the scores from the Star Chart completed by both patients and their therapists. To expand the evaluation phase, the following questionnaires were administered at T0 and T1: Depression and Anxiety Stress Scale – 21 (DASS – 21), Difficulties in Emotion Regulation Scale (DERS), and Brief Cope. At the end of the three-month period, the MHRSTM satisfaction questionnaire was also administered. Results: The results obtained show a significant effect of the time factor between the administration of the scale at T0 and T1 in almost all areas, with evidence of improvement in variables in both the therapists' and patients' assessments. This improvement is particularly evident in the following areas: mental health management, self-care, social networks, work, personal relationships, identity and self-esteem, and confidence. A significant effect of the completion factor was found in the areas of work, responsibility, and identity and self-esteem. Patients positively assessed the use of the tool, highlighting how it helped them gain greater awareness of their journey and other areas of life, thus facilitating the recovery process. Conclusions: The results should be interpreted based on their preliminary value. Nevertheless, they are encouraging regarding the potential use of the tool for rehabilitative purposes and as a support in treatment, suggesting its possible application in clinical practice.File | Dimensione | Formato | |
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https://hdl.handle.net/20.500.12608/76193