"Like a rollercoaster": carer experiences of residential treatment for eating disorders.

IF 4.5 3区 医学 Q2 NUTRITION & DIETETICS Journal of Eating Disorders Pub Date : 2025-03-11 DOI:10.1186/s40337-025-01226-w
Rebekah Rankin, Janet Conti, Lucie Ramjan, Phillipa Hay
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Abstract

Background: Residential facilities for eating disorders are becoming increasingly common, providing recovery-oriented care in less restrictive environments compared to traditional hospital treatments. Despite their popularity, there is a lack of research regarding parent and carer experiences of residential programs. Furthermore, while the impact of eating disorders on parents and caregivers is well-documented, understandings of their lived experiences remain limited. The aim of this study was to explore parent and carer lived experiences of Australia's first residential facility for the treatment of eating disorders.

Methods: As part of a clinical evaluation (June 2021 - August 2023), 15 parents participated in a semi-structured interview about their experience of residential treatment. Transcripts were analysed using inductive reflexive thematic analysis.

Results: Analysis generated six main themes from the data: (1) When everything is still not enough; (2) They were giving us hope; (3) I just felt relief; (4) I can resume the role of loving parent; (5) We almost need our own therapist; and, (6) Treatment access: There needs to be a hundred more. These themes collectively highlight both the burden of caring for a loved one with an ED and parents' experiences of residential treatment. Overall, participants described residential treatment as providing respite and hope, enabling them to reclaim aspects of their lives that had been overshadowed by the eating disorder. Although not a "magic cure", residential care was viewed as an essential component of a broader continuum of care.

Conclusions: This research highlights the unique benefits of the residential model and the importance of a compassionate care environment, while underscoring the importance of supporting caregivers throughout the treatment process. Given the critical role of carers in treatment outcomes, further research is essential to deepen our understandings of the carer experience and develop interventions that support both the experiencing person and their primary support people.

Trial registration: This study was prospectively registered with the Australian New Zealand Clinical Trials Registry (ANZCTR12621001651875p).

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"像坐过山车一样":饮食失调症住院治疗的护理经验。
背景:与传统的医院治疗相比,饮食失调的住宅设施在限制较少的环境中提供以康复为导向的护理,正变得越来越普遍。尽管它们很受欢迎,但缺乏关于寄宿项目的父母和照顾者经验的研究。此外,虽然饮食失调对父母和照顾者的影响有据可查,但对他们生活经历的理解仍然有限。本研究的目的是探索澳大利亚第一个治疗饮食失调的住宅设施的父母和照顾者的生活经历。方法:作为临床评估的一部分(2021年6月至2023年8月),15名家长参加了关于他们住院治疗经历的半结构化访谈。对转录本进行归纳自反主题分析。分析结果:从数据中得出六个主要主题:(1)当一切都还不够时;他们给了我们希望;(3)我感到如释重负;(4)我可以恢复慈爱父母的角色;(5)我们几乎需要自己的治疗师;(6)治疗途径:需要增加100个。这些主题共同强调了照顾患有急症的亲人的负担和父母的住院治疗经历。总的来说,参与者描述住院治疗提供了喘息和希望,使他们能够重新获得被饮食失调所掩盖的生活方面。虽然不是“灵丹妙药”,但住宿护理被视为更广泛的连续护理的重要组成部分。结论:本研究强调了住院模式的独特好处和富有同情心的护理环境的重要性,同时强调了在整个治疗过程中支持护理人员的重要性。鉴于护理人员在治疗结果中的关键作用,进一步的研究是必要的,以加深我们对护理人员经验的理解,并制定干预措施,既支持有经验的人,也支持他们的主要支持者。试验注册:本研究已在澳大利亚新西兰临床试验注册中心(ANZCTR12621001651875p)前瞻性注册。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Eating Disorders
Journal of Eating Disorders Neuroscience-Behavioral Neuroscience
CiteScore
5.30
自引率
17.10%
发文量
161
审稿时长
16 weeks
期刊介绍: Journal of Eating Disorders is the first open access, peer-reviewed journal publishing leading research in the science and clinical practice of eating disorders. It disseminates research that provides answers to the important issues and key challenges in the field of eating disorders and to facilitate translation of evidence into practice. The journal publishes research on all aspects of eating disorders namely their epidemiology, nature, determinants, neurobiology, prevention, treatment and outcomes. The scope includes, but is not limited to anorexia nervosa, bulimia nervosa, binge eating disorder and other eating disorders. Related areas such as important co-morbidities, obesity, body image, appetite, food and eating are also included. Articles about research methodology and assessment are welcomed where they advance the field of eating disorders.
期刊最新文献
A scoping review of instruments used to assess disordered eating in children and adolescents with higher weight. The interplay of night eating syndrome with resting metabolic rate, anthropometric measures, and sleep quality in normal-weight female university students: a case-control study. A scoping review of eating disorder symptoms and mental health during the postpartum period: predictors, course, and consequences for mothers and infants. Correction: Secondary carnitine deficiency during refeeding in severely malnourished patients with eating disorders: a retrospective cohort study. I am in the passenger seat of my own body: a qualitative interview study of the relationship between binge eating and concurrent problematic alcohol use.
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