Involuntary treatment: A qualitative study from the perspectives of individuals with anorexia nervosa.

Autor: Rienecke, Renee D., Dimitropoulos, Gina, Duffy, Alan, Le Grange, Daniel, Manwaring, Jamie, Nieder, Sara, Sauerwein, Jessica, Singh, Manya, Watters, Ashlie, Westmoreland, Patricia, Mehler, Philip S.
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Zdroj: European Eating Disorders Review; Nov2023, Vol. 31 Issue 6, p850-862, 13p
Abstrakt: Objective: Involuntary treatment for anorexia nervosa (AN) is sometimes necessary and lifesaving but can be experienced negatively by some individuals. The purpose of this qualitative study was to better understand participants' perceptions about their experience with involuntary treatment for AN. Method: Thirty adult participants, who had been treated involuntarily for AN in the past, completed self‐report measures and qualitative interviews. Interview transcripts were coded using thematic analysis. Results: Three themes were identified: (1) mixed perceptions about involuntary treatment, (2) the impact of involuntary treatment on external factors, including relationships, education, and employment, and (3) lessons learned from the experience. Participants who endorsed a positive shift in perspective regarding the need for involuntary treatment also reported favorable changes in their eating disorder recovery, whereas individuals whose perspective about their involuntary treatment remained negative, showed no changes in their recovery post‐treatment. Conclusions: Involuntary treatment for AN was recognized, in retrospect, as being beneficial by individuals with AN who were doing well, but individuals who continued to struggle with their eating disorder reported negative consequences. Highlights: Qualitative analyses of participants' perspectives of past involuntary treatment for anorexia nervosa revealed three themes: (1) mixed perceptions about involuntary treatment, (2) the impact of involuntary treatment on external factors, including relationships, education, and employment, and (3) lessons learned from the experience.In retrospect, some participants realized that involuntary treatment was necessary and helpful. These participants reported more progress in their recovery journey than those who had a negative view of the experience.Involuntary treatment may be necessary and even lifesaving but can be a negative experience for some. The decision to treat involuntarily should be made with careful consideration of the risks versus benefits for each individual patient. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index