Why Do Women with Eating Disorders Decline Treatment? A Qualitative Study of Barriers to Specialized Eating Disorder Treatment

Despite the fact that eating disorders (EDs) are conditions that are potentially life-threatening, many people decline treatment. The aim of this study was to investigate why women decline specialized ED treatment, including their viewpoints on treatment services. Eighteen semi-structured qualitativ...

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Autores principales: Sofie T. Andersen, Thea Linkhorst, Frederik A. Gildberg, Magnus Sjögren
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Lenguaje:EN
Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/9da6679a849c43e4b2fcfbaa7352a379
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spelling oai:doaj.org-article:9da6679a849c43e4b2fcfbaa7352a3792021-11-25T18:36:15ZWhy Do Women with Eating Disorders Decline Treatment? A Qualitative Study of Barriers to Specialized Eating Disorder Treatment10.3390/nu131140332072-6643https://doaj.org/article/9da6679a849c43e4b2fcfbaa7352a3792021-11-01T00:00:00Zhttps://www.mdpi.com/2072-6643/13/11/4033https://doaj.org/toc/2072-6643Despite the fact that eating disorders (EDs) are conditions that are potentially life-threatening, many people decline treatment. The aim of this study was to investigate why women decline specialized ED treatment, including their viewpoints on treatment services. Eighteen semi-structured qualitative interviews were conducted with women who had declined inpatient or outpatient specialized ED treatment. A thematic analysis revealed five main themes: (1) Disagreement on treatment needs, (2) rigid standard procedures, (3) failure to listen, (4) deprivation of identity, and (5) mistrust and fear. The women had declined ED treatment because they believed that treatment was only focused on nutritional rehabilitation and that it failed to address their self-identified needs. From their perspectives treatment was characterized by rigid standard procedures that could not be adapted to their individual situations and preferences. They felt that the therapists failed to listen to them, and they felt deprived of identity and reduced to an ED instead of a real person. This investigation is one of the first of its kind to provide clues as to how treatment could be moderated to better meet the needs of women who decline specialized ED treatment.Sofie T. AndersenThea LinkhorstFrederik A. GildbergMagnus SjögrenMDPI AGarticleeating disordersanorexia nervosabarrierstreatmentadultqualitativeNutrition. Foods and food supplyTX341-641ENNutrients, Vol 13, Iss 4033, p 4033 (2021)
institution DOAJ
collection DOAJ
language EN
topic eating disorders
anorexia nervosa
barriers
treatment
adult
qualitative
Nutrition. Foods and food supply
TX341-641
spellingShingle eating disorders
anorexia nervosa
barriers
treatment
adult
qualitative
Nutrition. Foods and food supply
TX341-641
Sofie T. Andersen
Thea Linkhorst
Frederik A. Gildberg
Magnus Sjögren
Why Do Women with Eating Disorders Decline Treatment? A Qualitative Study of Barriers to Specialized Eating Disorder Treatment
description Despite the fact that eating disorders (EDs) are conditions that are potentially life-threatening, many people decline treatment. The aim of this study was to investigate why women decline specialized ED treatment, including their viewpoints on treatment services. Eighteen semi-structured qualitative interviews were conducted with women who had declined inpatient or outpatient specialized ED treatment. A thematic analysis revealed five main themes: (1) Disagreement on treatment needs, (2) rigid standard procedures, (3) failure to listen, (4) deprivation of identity, and (5) mistrust and fear. The women had declined ED treatment because they believed that treatment was only focused on nutritional rehabilitation and that it failed to address their self-identified needs. From their perspectives treatment was characterized by rigid standard procedures that could not be adapted to their individual situations and preferences. They felt that the therapists failed to listen to them, and they felt deprived of identity and reduced to an ED instead of a real person. This investigation is one of the first of its kind to provide clues as to how treatment could be moderated to better meet the needs of women who decline specialized ED treatment.
format article
author Sofie T. Andersen
Thea Linkhorst
Frederik A. Gildberg
Magnus Sjögren
author_facet Sofie T. Andersen
Thea Linkhorst
Frederik A. Gildberg
Magnus Sjögren
author_sort Sofie T. Andersen
title Why Do Women with Eating Disorders Decline Treatment? A Qualitative Study of Barriers to Specialized Eating Disorder Treatment
title_short Why Do Women with Eating Disorders Decline Treatment? A Qualitative Study of Barriers to Specialized Eating Disorder Treatment
title_full Why Do Women with Eating Disorders Decline Treatment? A Qualitative Study of Barriers to Specialized Eating Disorder Treatment
title_fullStr Why Do Women with Eating Disorders Decline Treatment? A Qualitative Study of Barriers to Specialized Eating Disorder Treatment
title_full_unstemmed Why Do Women with Eating Disorders Decline Treatment? A Qualitative Study of Barriers to Specialized Eating Disorder Treatment
title_sort why do women with eating disorders decline treatment? a qualitative study of barriers to specialized eating disorder treatment
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/9da6679a849c43e4b2fcfbaa7352a379
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