The Treatment Experiences of Vegetarians and Vegans with an Eating Disorder: A Qualitative Study.

IF 5 2区 医学 Q1 NUTRITION & DIETETICS Nutrients Pub Date : 2025-01-18 DOI:10.3390/nu17020345
Courtney P McLean, Kathleen de Boer, Megan F Lee, Siân A McLean
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Abstract

Background: Vegetarianism and veganism have long been tied to disordered eating and are frequently considered to be methods of limiting available food choices. Health professionals specializing in eating disorder treatment may modify their treatment practices to support their vegetarian or vegan clients. However, there are no formally recognized clinical guidelines for the treatment of eating disorders in these groups. Moreover, no studies have yet explored the experiences of seeking and receiving eating disorder treatment while adhering to vegetarianism or veganism, which are needed to inform the development of guidelines. The present study aims to explore the lived experiences of vegetarians and vegans on eating disorder treatment through semi-structured interviews and reflexive thematic analysis.

Methods: Seventeen participants (aged 19-48, 76% female, 41% vegan) with a history of receiving eating disorder treatment were recruited.

Results: We identified five themes that participants described as important experiences for the treatment of their eating disorder when sought as a vegetarian or vegan: (1) Health professional perspectives, (2) The interaction of dietary status with treatment quality, (3) The give and take of treatment, (4) Lack of flexibility in treatment services, and (5) Current treatment approaches not well equipped to support dietary variations.

Conclusions: This paper identifies the complex relationship between eating disorders, veganism, and vegetarianism and the perceptions of treatment from the perspectives of those who have received treatment. Our findings suggest that acknowledgement and the flexibility to work with an individual's vegan and vegetarian values within treatment may contribute to enhanced outcomes and treatment experiences. Limitations include potential participation and response biases and a predominantly female-identifying sample. This study will contribute to the development of clinical guidelines when working with vegan and vegetarian clients.

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素食者和纯素食者饮食失调的治疗经验:一项定性研究。
背景:素食主义和纯素食主义长期以来一直与饮食失调联系在一起,经常被认为是限制可用食物选择的方法。专门从事饮食失调治疗的健康专业人员可能会修改他们的治疗方法来支持他们的素食或纯素食客户。然而,目前还没有正式认可的临床指南来治疗这些群体的饮食失调。此外,还没有研究探索在坚持素食主义或纯素食主义的同时寻求和接受饮食失调治疗的经验,这需要为指南的制定提供信息。本研究旨在通过半结构化访谈和反身性主题分析,探讨素食者和纯素食者对饮食失调治疗的生活体验。方法:招募了17名接受饮食失调治疗史的参与者(年龄19-48岁,76%为女性,41%为素食主义者)。结果:我们确定了参与者描述为作为素食者或纯素食者治疗饮食失调的重要经验的五个主题:(1)健康专业观点;(2)饮食状况与治疗质量的相互作用;(3)治疗的给予和接受;(4)治疗服务缺乏灵活性;(5)目前的治疗方法不具备很好的支持饮食变化的能力。结论:本文从接受治疗的人的角度确定了饮食失调、素食主义、素食主义和治疗观念之间的复杂关系。我们的研究结果表明,在治疗中承认和灵活地处理个人的纯素和素食价值观可能有助于提高结果和治疗体验。局限性包括潜在的参与和反应偏差,以及主要是女性识别样本。这项研究将有助于临床指南的发展,当工作与素食主义者和素食者的客户。
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来源期刊
Nutrients
Nutrients NUTRITION & DIETETICS-
CiteScore
9.20
自引率
15.30%
发文量
4599
审稿时长
16.74 days
期刊介绍: Nutrients (ISSN 2072-6643) is an international, peer-reviewed open access advanced forum for studies related to Human Nutrition. It publishes reviews, regular research papers and short communications. Our aim is to encourage scientists to publish their experimental and theoretical results in as much detail as possible. There is no restriction on the length of the papers. The full experimental details must be provided so that the results can be reproduced.
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