'It takes a village': patient lived experiences of residential treatment for an eating disorder.

IF 3.9 3区 医学 Q1 PSYCHIATRY
BJPsych Open Pub Date : 2025-02-03 DOI:10.1192/bjo.2024.849
Rebekah Rankin, Janet Conti, Lucie Ramjan, Phillipa Hay
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引用次数: 0

Abstract

Background: Residential treatment facilities for eating disorders are becoming increasingly common and purport to provide recovery-orientated care in a less restrictive environment than traditional hospital settings. However, minimal attention has focused on individuals' lived experiences of these residential services.

Aims: This study explores participants' lived experiences of care at Australia's first residential facility for the treatment of eating disorders.

Method: Qualitative data were collected as part of a clinical evaluation (June 2021 to August 2023). Fifteen women participated in semi-structured interviews about their experience of treatment following discharge. Data were analysed with inductive reflexive thematic analysis.

Results: Three main themes were generated from the data that included participants' journeys to treatment, experiences of treatment and the transitions associated with and following discharge. Cutting across these main themes were participants' encounters of barriers, setbacks and hope. Participant experiences of residential treatment were complex and multifaceted, marked by inherent ideological dilemmas that arose in balancing standardised treatment protocols with person-centred and recovery-oriented care. Participants also spoke of reclaiming a sense of self and identity beyond their eating disorder, emphasising the importance of relationships and consistent and collaborative care.

Conclusions: Participant accounts of residential treatment emphasised the importance of holistic, person-centred and recovery-oriented care. Despite the complexities of treatment experiences, participant narratives underscored how recovery may be more about the reclamation of a sense of identity outside of the eating disorder than merely symptom improvement. As such, adopting person-centred and recovery-oriented treatment approaches within residential treatment settings may maximise individual autonomy and promote holistic recovery pathways.

“这需要一个村庄”:患者经历了饮食失调的住院治疗。
背景:饮食失调的住院治疗设施正变得越来越普遍,其目的是在比传统医院环境限制更少的环境中提供以康复为导向的护理。然而,很少有人关注这些住宿服务的个人生活体验。目的:本研究探讨了参与者在澳大利亚第一家治疗饮食失调的住宅机构的护理生活经历。方法:定性数据收集作为临床评估的一部分(2021年6月至2023年8月)。15名妇女参加了关于她们出院后治疗经历的半结构化访谈。数据分析采用归纳反身主题分析。结果:从数据中产生了三个主要主题,包括参与者的治疗之旅,治疗经历以及与出院相关和出院后的过渡。贯穿这些主题的是参与者遭遇的障碍、挫折和希望。参与者的住院治疗经历是复杂和多方面的,其特点是在平衡标准化治疗方案与以人为本和以康复为导向的护理方面出现了固有的意识形态困境。参与者还谈到了在饮食失调之外找回自我和身份的感觉,强调了人际关系以及持续和合作护理的重要性。结论:参与者对住院治疗的描述强调了整体性、以人为本和康复为导向的护理的重要性。尽管治疗经历很复杂,但参与者的叙述强调了康复可能更多的是在饮食失调之外重新找回认同感,而不仅仅是症状的改善。因此,在住院治疗环境中采用以人为本和以康复为导向的治疗方法,可以最大限度地提高个人自主权,促进整体康复途径。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BJPsych Open
BJPsych Open Medicine-Psychiatry and Mental Health
CiteScore
6.30
自引率
3.70%
发文量
610
审稿时长
16 weeks
期刊介绍: Announcing the launch of BJPsych Open, an exciting new open access online journal for the publication of all methodologically sound research in all fields of psychiatry and disciplines related to mental health. BJPsych Open will maintain the highest scientific, peer review, and ethical standards of the BJPsych, ensure rapid publication for authors whilst sharing research with no cost to the reader in the spirit of maximising dissemination and public engagement. Cascade submission from BJPsych to BJPsych Open is a new option for authors whose first priority is rapid online publication with the prestigious BJPsych brand. Authors will also retain copyright to their works under a creative commons license.
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