Eating Disorder Recovery: A Metaethnography

Eating Disorder Recovery: A Metaethnography
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DOI:
10.1177/1078390319849106
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发表时间:
2020-07-01
影响因子:
2
通讯作者:
Eaton, Carrie Morgan
Eaton, Carrie Morgan
中科院分区:
医学4区
文献类型:
--
作者:
Eaton, Carrie Morgan

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背景:饮食失调严重影响身体健康和心理社会功能。打破饮食失调的限制需要参与多方面的恢复过程。目的:本文综合了 12 项针对各种饮食失调人群(神经性厌食症、神经性贪食症、暴食症、未另行指定的饮食失调以及其他特定的喂养和饮食失调)的定性研究,从克服疾病的人的角度阐明恢复过程。方法:使用 Noblit 进行定性研究的荟萃结果:数据中出现了五个总体主题:(1)饮食失调作为救生衣,(2)溺水:认识后果,(3)踏上水面:考虑恢复,(4)游泳:恢复之路,以及(5)达到恢复:自由感。结论:饮食失调治疗通常需要在恢复之前经历一个过渡周期。从克服饮食失调的个人的角度综合经验,呈现出对治疗和康复过程的独特理解。
BACKGROUND:Eating disorders seriously affect both physical health and psychosocial functioning. Breaking the confines of an eating disorder requires engagement in a multifaceted recovery process.OBJECTIVE:This article provides a synthesis of 12 qualitative research studies with various eating disordered populations (anorexia nervosa, bulimia nervosa, binge eating disorder, eating disorder not otherwise specified, and other specified feeding and eating disorders) to elucidate the recovery process from the perspective of those who have overcome the disease.METHOD:A metasynthesis of qualitative studies was conducted using Noblit and Hare's metaethnographic methodology.RESULTS:Five overarching themes emerged from the data: (1) the eating disorder as a life jacket, (2) drowning: recognizing consequences, (3) treading the surface: contemplating recovery, (4) swimming: the path toward recovery, and (5) reaching recovery: a sense of freedom.CONCLUSIONS:Eating disorder treatment often entails a cycle of transitions before recovery occurs. Synthesizing the experiences from the perspective of individuals who have overcome an eating disorder presents a unique understanding of the treatment and recovery process.