"我不知道这一切会不会结束":关于照顾患有持久性饮食失调症的人的叙述。

IF 2.9 3区 医学 Q2 PSYCHIATRY
Charlotte Burman, Paul Rhodes, Sabina Vatter, Jane Miskovic-Wheatley
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引用次数: 0

摘要

背景:家庭和照顾者在支持患有饮食失调症的亲人方面发挥着关键作用。这一角色可能会带来巨大的痛苦和负担,但有关照顾患有持久性进食障碍者的经历的研究却少之又少。因此,本研究的目的是让照顾者说出他们的故事,以提高人们的认识和理解,从而为照顾者提供支持,进而为有饮食失调生活和/或生命经历的人提供支持:对 9 名照顾饮食失调患者 7 年或更长时间的照顾者进行了半结构式访谈。采用叙事调查法收集和分析数据:照顾者的叙述揭示了内疚感和个人失败感;对当前治疗方法的深刻幻灭感;以及巨大的悲伤和痛苦。在与希望的脆弱关系和亲人未来的不确定性进行协商的过程中,照护者表达了接受、放手和继续前进的复杂情感:照护者的声音应该得到倾听,因为他们常常被压制。他们的叙述迫切要求我们改变对饮食失调症的治疗方法,并进一步让照顾者参与到治疗过程中来,他们的生活经验观点很有可能为这一努力提供指导:证据等级:V 级,定性访谈。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
"I don't know how, if, it's ever going to end": narratives of caring for someone with an enduring eating disorder.

Background: Families and carers are pivotal in supporting loved ones experiencing eating disorders. This role can bring immense distress and burden, yet the experience of caring for someone with an enduring eating disorder has had minimal research focus. Thus, the purpose of this study is to give voice to carers empowering their stories to increase awareness and understanding, which could inform support to carers and consequently people with a lived and/or living experience of eating disorders.

Methods: Semi-structured interviews were conducted with 9 carers supporting individuals who had been experiencing an eating disorder for 7 or more years. Data were collected and analysed using narrative inquiry approach.

Results: Carers' narratives revealed feelings of guilt and personal failure; a profound sense of disillusion with current treatment approaches; and immense grief and anguish. As they negotiated a tenuous relationship with hope and the uncertainty of their loved one's future, carers spoke to a complex myriad of feelings of acceptance, letting go, and forging on.

Conclusion: Carers deserve to have their voices heard where they are too often silenced. Their narratives provide an urgent call for transformation in our treatments for eating disorders and further involvement of carers within the treatment journey, and their lived experience perspectives have great potential to guide this endeavour.

Level of evidence: Level V, qualitative interviews.

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来源期刊
CiteScore
6.50
自引率
10.30%
发文量
170
审稿时长
>12 weeks
期刊介绍: Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity is a scientific journal whose main purpose is to create an international forum devoted to the several sectors of eating disorders and obesity and the significant relations between them. The journal publishes basic research, clinical and theoretical articles on eating disorders and weight-related problems: anorexia nervosa, bulimia nervosa, subthreshold eating disorders, obesity, atypical patterns of eating behaviour and body weight regulation in clinical and non-clinical populations.
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