Experiences of specialist inpatient treatment for anorexia nervosa: a qualitative study from adult patients’ perspectives
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Date
26/06/2012Author
Smith, Vivien
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Abstract
Background: Response to treatment in anorexia nervosa entails various challenges,
including an increased risk of relapse and re-admission in those treated as inpatients. A
better understanding of patients’ experiences is paramount to improve treatment
acceptability and outcome. This qualitative study aimed to explore the lived experiences
of adult female inpatients undergoing a specialist inpatient treatment programme for
anorexia nervosa.
Methods: Semi-structured interviews were carried out with 21 female participants
(aged 18-41 years) with a diagnosis of anorexia nervosa, undergoing treatment in a
specialist inpatient eating disorder unit. Data were analysed using interpretative
phenomenological analysis (IPA).
Results: Qualitative analysis highlighted 5 master themes which underpinned
treatment experiences: (1) Shifts in control, (2) Experience of transition, (3) The
importance of supportive staff relationships, (4) Sharing with peers and (5) Process of
recovery and self-discovery.
Conclusions: Overall, findings suggest patients experience a process of change and
adjustment during inpatient treatment in relation to their levels of perceived control,
attachment to the treatment environment and a sense of self-identity. Treatment
experiences appear to be influenced by the development of supportive relationships and
the provision of individualised care.