A qualitative exploration of the impact of COVID-19 on individuals with eating disorders in the UK.
A qualitative exploration of the impact of COVID-19 on individuals with eating disorders in the UK.
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DOI：
10.1016/j.appet.2020.104977
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发表时间：
2021-01-01
期刊：
影响因子：
5.4
通讯作者：
Newman E
中科院分区：
文献类型：
--
作者：
Brown S;Opitz MC;Peebles AI;Sharpe H;Duffy F;Newman E
COVID-19可能会对人群的心理健康产生重大影响，但也有可能严重影响那些先前存在心理健康问题（如饮食失调）的人。这项定性研究探讨了COVID-19和相关公共卫生措施对英国饮食失调成年人的影响。我们对10名在封锁期间自我报告患有饮食失调的成年人（24-38岁）进行了深入访谈。采用归纳专题分析方法对数据进行了分析。我们确定了与社会限制（社会孤立，对他人负责的变化，以及对自己和他人的责任增加），功能限制（缺乏常规和结构，需要有意识地计划活动，特别是在食品购物方面的保密愿望）和限制有关的核心主题。总体而言，封锁的影响是作为增加饮食失调行为或推动恢复的催化剂，这取决于进入这些限制的个人情况。这项研究是COVID-19期间英国首次对患有混合性进食障碍的成年人进行深入访谈。研究结果对封锁后的干预护理和实践具有重要意义。
COVID-19 may have substantial impact on the mental health at a population level, but also has the potential to significantly affect those with pre-existing mental health difficulties such as eating disorders. This qualitative study explores the impact of COVID-19 and associated public health measures on adults with eating disorders within the UK. We conducted 10 in depth interviews with adults (24–38 years) with a self-reported eating disorder during lockdown. Data were analysed using an inductive thematic analysis approach. We identified core themes related to social restrictions (social isolation, changes in accountability to others, and increased responsibility for self and others), functional restrictions (lack of routine and structure, a need to intentionally plan activity, a desire for secrecy particularly around food shopping) and restrictions in access to mental health services. Overall, the impact of the lockdown was experienced as a catalyst for either increased disordered eating behaviours or for a drive for recovery, depending on individual circumstances going into these restrictions. This study is the first in depth interview approach with adults with mixed eating disorder presentations in the UK during COVID-19. Findings have important implications for post lockdown intervention care and practice.
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