“Our daily life was mainly comprised of eating and sitting:” a qualitative analysis of adolescents’ experiences of inpatient eating disorder treatment in China

Abstract

Background: Some individuals with Eating Disorders (EDs) require hospitalization to stabilize and improve life-threatening physical complications. The experiences of those receiving inpatient treatment for EDs are well-documented in western samples, but less is known about the experiences of those in China, the world's most populous country in which the incidence of EDs may be increasing. Methods: This qualitative study aimed to use Interpretative Phenomenological Analysis to understand the experiences of four adolescents receiving inpatient treatment for EDs in China. Individual, semi-structured interviews were conducted. Results: Four themes emerged from the data: perceptions of the treatment received, peer influences during admission, the impact of treatment on wellbeing and participants' sense of self. Conclusions: This is the first published study on the experience of Chinese participants with EDs. Their experiences share commonalities with those reported by participants in Western studies and also illuminate differences in how EDs are understood and managed in inpatient settings in China. Cross-cultural collaborations will be important to share knowledge and practice.

Clinicians’ perspectives on supporting individuals with severe anorexia nervosa in specialist eating disorder intensive treatment settings

“…Yet DP clinicians also raised concerns over patients’ engagement in ED behaviours outside of treatment hours, patients’ being unable to sufficiently focus on recovery, and (lesser) concerns over negative peer comparisons and influences. These juxtapositions of supportive, yet potentially harmful/problematic intensive environments concur with previous research [ 12 , 32 – 34 ], including that into IPs’ perspectives [ 21 , 35 , 36 ]. Crucially, these findings highlight the importance of an individualised approach, as whilst one environment may be preferred and/or effective for one individual, it may be disliked and/or harmful to another.…”

“…We explored clinicians' perspectives and experiences of managing severe AN within intensive treatment settings, with a particular focus on the relative merits and drawbacks of each approach. In IP and DP settings, similar opportunities (e.g., value of intensive multidisciplinary support; change and recovery; carer involvement) and challenges (e.g., decision-making around intensive treatments; supporting individuals with complex and severe illnesses within resource-limited settings) were described, complmenting existing research into patients’ and (albeit more limited) carers’ perspectives and experiences of intensive treatment [ 21 – 25 ]. Differences were also evident between IP and DP settings.…”

Eating disorders treatment experiences and social support: Perspectives from service seekers in mainland China

“…Despite the importance of the Chinese context, most ED research focuses exclusively on Western individuals and perspectives (e.g., Thapliyal, Hay, & Conti, 2018). The only study examining ED treatment experiences in China interviewed four adolescents during inpatient treatment for AN, binge-purge subtype (Wu & Harrison, 2019).…”

Διευρεύνηση Μη Ειδικών Θεραπευτικών Παραγόντων Που Σχετίζονται Με Θετική Έκβαση Των Ψυχοθεραπευτικών Παρεμβάσεων Σε Πάσχουσες Από Διαταραχή Πρόσληψης Τροφής

“…(Resmark et al, 2019). Ωςτόςο, ςυχνά παρατθρείται ότι οι κεραπευτζσ και οι αςκενείσ δεν χρθςιμοποιοφν «κοινι γλϊςςα» ςυνεννόθςθσ αναφορικά με τθν προςζγγιςθ και τουσ ςτόχουσ τθσ κεραπείασ (Elran-Barak et al, 2018, Karlsson et al, 2020, Matoff & Matoff, 2001, Swain-Campbell et al, 2001, Wu & Harrison, 2019. Θ άποψθ των ίδιων των αςκενϊν για τθν κεραπεία τουσ δεν ζχει διερευνθκεί εκτενϊσ μζχρι ςτιγμισ και οι ζρευνεσ δείχνουν ότι, προσ το παρόν, υπάρχουν αρκετά "τυφλά" ςθμεία τθσ κλινικισ διαχείριςθσ των ΔΡΤ.…”

“…Θ άποψθ των ίδιων των αςκενϊν για τθν κεραπεία τουσ δεν ζχει διερευνθκεί εκτενϊσ μζχρι ςτιγμισ και οι ζρευνεσ δείχνουν ότι, προσ το παρόν, υπάρχουν αρκετά "τυφλά" ςθμεία τθσ κλινικισ διαχείριςθσ των ΔΡΤ. Οριςμζνα από αυτά τα ςθμεία ορίηονται από τουσ αςκενείσ ωσ ιδιαίτερα ςθμαντικά για να μπορζςουν να ςυνεχίςουν και να ολοκλθρϊςουν τθν κεραπεία τουσ με καλά αποτελζςματα ενϊ δεν τυγχάνουν αντίςτοιχθσ προςοχισ από τουσ κεραπευτζσ (Bachelor, 2013, de la Rie et al, 2008, Saccomani et al, 1998, Williams et al, 2020, Woodruff et al, 2020, Wu & Harrison, 2019 (Byrne et al, 2017, Zipfel et al, 2014 και για αυτό προτείνεται και ωσ θ κφρια κεραπεία εκλογισ από όλα τα επίςθμα εγχειρίδια οδθγιϊν αντιμετϊπιςθσ των ΔΡΤ (Resmark et al, 2019). Ριο ςυγκεκριμζνα, για τουσ ενθλίκουσ που πάςχουν από ΨΒ, οι επίςθμεσ κατευκυντιριεσ οδθγίεσ του βρετανικοφ οργανιςμοφ NICE (2017) ςυνιςτοφν ωσ κεραπεία εκλογισ τθν γνωςιακιςυμπεριφορικι κεραπεία, κακϊσ ζχει διαπιςτωκεί, μζςα από πλικοσ ερευνϊν (π.χ.…”