Experiences of menstrual health and amenorrhoea in eating disorder inpatient units in England: a subgroup analysis from a lived experience led, qualitative study.

IF 4.5 3区 医学 Q2 NUTRITION & DIETETICS
Hat Porter
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Abstract

Background: Although no longer specified within the diagnostic criteria for anorexia nervosa, the prevalence of menstrual disturbances among patients with eating disorders is well-documented. However, there is limited research examining patient experiences of amenorrhoea and eating disorders, or addressing how the topic is approached by eating disorder services. This article presents a subgroup analysis of a survivor-led qualitative study, which examined experiences of menstrual health in psychiatric inpatient settings. The study's main findings remain relevant to eating disorder services, however, this article presents an additional subgroup analysis which identified two themes from participants with experience of inpatient eating disorder services.

Methods: Thematic analysis was used to analyse qualitative data generated through questionnaires with staff and people with lived experience of inpatient settings and interviews with people with lived experience. An additional subgroup analysis was conducted to further explore the experiences which were specific to the eating disorder context.

Results: Three interviewees, 13 lived experience and two staff questionnaire respondents had experience related to eating disorder services. Eating disorder services were reported to place significant emphasis on the menstrual cycle as a marker of health, informing patient meal plans and weight targets. However, the emotional impact of managing the return of menstruation, and its significance within the context of their eating disorder, was not adequately addressed. Invasive practices of forcing patients to display used menstrual products to staff, as evidence of their menstruation, were reported.

Conclusions: The menstrual cycle is an important consideration in the treatment of patients with eating disorders, however, this should extend beyond monitoring the presence or absence of menstrual cycles to consider a more holistic perspective of menstrual health. This should include provision of information; how menstrual and gynaecological conditions may interact with someone's eating disorder; and addressing psychological and emotional needs related to menstruation in eating disorder treatment and recovery. Further research is needed to understand these experiences in greater depth.

英国饮食失调住院患者的月经健康和闭经经历:一项以生活经验为主导的定性研究的亚组分析。
背景:虽然神经性厌食症的诊断标准中不再明确规定,但在饮食失调患者中月经紊乱的患病率是有据可查的。然而,关于闭经和饮食失调的患者经历的研究有限,或者关于饮食失调服务如何处理这个话题的研究有限。这篇文章提出了一个亚组分析的幸存者主导的定性研究,其中检查的经验,月经健康在精神科住院设置。该研究的主要发现仍然与饮食失调服务有关,然而,本文提出了一个额外的亚组分析,从有住院饮食失调服务经验的参与者中确定了两个主题。方法:采用专题分析的方法,对住院医院工作人员和有住院生活经历的人进行问卷调查,对有住院生活经历的人进行访谈,得出定性数据。另外进行了一项亚组分析,以进一步探索饮食失调背景下的具体经历。结果:3名受访者、13名生活经历者和2名员工问卷受访者有与饮食失调相关的服务经历。据报道,饮食失调服务非常重视月经周期作为健康的标志,告知患者饮食计划和体重目标。然而,管理月经恢复的情感影响,以及它在饮食失调背景下的重要性,并没有得到充分的解决。据报道,强迫患者向工作人员展示使用过的月经产品,作为月经的证据。结论:在治疗饮食失调患者时,月经周期是一个重要的考虑因素,然而,这应该超越监测月经周期的存在与否,以更全面的角度考虑月经健康。这应包括提供资料;月经和妇科状况如何与饮食失调相互作用;以及在饮食失调治疗和康复中解决与月经有关的心理和情感需求。需要进一步的研究来更深入地了解这些经验。
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
Journal of Eating Disorders
Journal of Eating Disorders Neuroscience-Behavioral Neuroscience
CiteScore
5.30
自引率
17.10%
发文量
161
审稿时长
16 weeks
期刊介绍: Journal of Eating Disorders is the first open access, peer-reviewed journal publishing leading research in the science and clinical practice of eating disorders. It disseminates research that provides answers to the important issues and key challenges in the field of eating disorders and to facilitate translation of evidence into practice. The journal publishes research on all aspects of eating disorders namely their epidemiology, nature, determinants, neurobiology, prevention, treatment and outcomes. The scope includes, but is not limited to anorexia nervosa, bulimia nervosa, binge eating disorder and other eating disorders. Related areas such as important co-morbidities, obesity, body image, appetite, food and eating are also included. Articles about research methodology and assessment are welcomed where they advance the field of eating disorders.
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