An Anthropological Approach to Eating Disorders: Developing an Innovative Socio-cultural Strategy for Research, Treatment and Prevention

饮食失调的人类学方法：制定研究、治疗和预防的创新社会文化策略

• 批准号: MR/X031209/1
• 负责人: Anna Claire Lavis
• 金额: $ 149.96万
• 依托单位: University of Birmingham
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2023
• 资助国家: 英国
• 起止时间: 2023 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=MR%2FX031209%2F1
• 关键词: Anthropological; Approach; Eating; Disorders; Developing

We propose a novel collaboration to undertake a coordinated set of needs-led capacity building, networking, and research activities, all underpinned by anthropological theory and method and with co-production at their core. There are gaps in knowledge regarding the experiences, and both social and clinical needs, of specific groups of people affected by eating disorders; this includes those with certain eating disorder diagnoses, such as BED, OSFED and ARFID; people living with an eating disorder and another mental health challenge, such as self-harm; and individuals across a range of socio-demographic groups: older people; males; those from ethnic minorities and migrants; people with neurodivergence; those of different social classes; and individuals who identify as LGBTQ+. These knowledge gaps hinder the design of appropriate and effective prevention strategies and clinical services. To address these gaps requires two key things: that research priorities be defined, and research undertaken, in collaboration with people with lived experience, especially those underserved by eating disorders research to date; and that the field include disciplinary approaches that have fallen outside traditional funding streams and paradigms of clinically-relevant evidence in eating disorders, but which have the potential to generate insights that are crucial to prevention, treatment and outcomes. Specifically, these current knowledge gaps require an approach that can engage with the heterogeneity of lived experiences and explore how socio-cultural contexts, and social and mental health inequalities, shape illness and health experiences, service access and engagements, and thus outcomes. Anthropology is ideally placed to answer this call.Drawing together anthropological research with sustained and meaningful co-production will engender both pilot research and also a new research agenda. Led by the lived experiences, needs and priorities of people who have been largely overlooked in the eating disorders research field, this agenda will have clinical relevance beyond the duration of this funding.Our focus, then, is not just on doing anthropological research; we also seek to reflect on how to integrate anthropology into the research field, and build on it in order to contribute to improving the lives of those with eating disorders and their families. Through this project we thereby aim to collaboratively and ethically instigate a much-needed step change in eating disorders research.To undergird this aim, it is necessary to sustainably build capacity in the eating disorders research field and work collaboratively across boundaries. We will put in place robust frameworks to support people with lived experience and early career academics to become research leaders. In addition, we will undertake networking activities based on equitable knowledge exchange and resource sharing among local and national lived experience communities, academics, clinicians and other stakeholders.Through these collaborations we aim that this project will redress current geographical imbalances in the UK eating disorders research field and increase regional capacity. This will lay the ground for a future Midlands-based interdisciplinary eating disorders research centre.

我们提出了一个新的合作，进行一套协调的需求为导向的能力建设，网络和研究活动，所有的人类学理论和方法的基础上，并在其核心共同生产。关于受饮食失调影响的特定人群的经验以及社会和临床需求的知识存在差距;这包括患有某些饮食失调诊断的人，如BED，OSFED和ARFID;患有饮食失调和另一种心理健康挑战的人，如自残;以及各种社会人口群体的个人：老年人;男性;来自少数民族和移民的人;神经分歧的人;不同社会阶层的人;以及认同为LGBTQ+的人。这些知识差距阻碍了制定适当和有效的预防战略和临床服务。要解决这些差距，需要两个关键的事情：确定研究的优先事项，并与有生活经验的人合作开展研究，特别是那些迄今为止饮食失调研究不足的人;该领域包括超出传统资金流和饮食失调临床相关证据范式的学科方法，而且有可能产生对预防、治疗和结果至关重要的见解。具体而言，这些目前的知识差距需要一种方法，可以与生活经验的异质性，并探讨社会文化背景，社会和心理健康的不平等，塑造疾病和健康的经验，服务的获取和参与，从而结果。将人类学研究与持续和有意义的合作成果结合起来，将产生试点研究和新的研究议程。在饮食失调研究领域被忽视的人们的生活经历、需求和优先事项的引导下，这一议程将在资助期限之外具有临床意义。我们也试图反思如何将人类学融入研究领域，并以此为基础，为改善饮食失调患者及其家人的生活做出贡献。因此，通过这个项目，我们的目标是在饮食失调研究中以合作和道德的方式推动急需的一步变革。为了实现这一目标，有必要在饮食失调研究领域持续建设能力，并跨国界合作。我们将建立强大的框架，以支持具有生活经验和早期职业学者的人成为研究领导者。此外，我们将在地方和国家生活体验社区、学者、临床医生和其他利益相关者之间开展基于公平知识交流和资源共享的网络活动。通过这些合作，我们的目标是该项目将解决英国饮食失调研究领域当前的地理不平衡问题并提高区域能力。这将为未来的米德兰跨学科饮食失调研究中心奠定基础。