Qualitative study of the impact on recovery of peer relationships between female inpatients during treatment for anorexia nervosa in the United Kingdom.

admission anorexia nervosa eating disorder hospital inpatient interview peer recovery relationship treatment

Journal

The International journal of eating disorders
ISSN: 1098-108X
Titre abrégé: Int J Eat Disord
Pays: United States
ID NLM: 8111226

Informations de publication

Date de publication:
07 Dec 2023
Historique:
revised: 16 11 2023
received: 02 05 2023
accepted: 16 11 2023
medline: 8 12 2023
pubmed: 8 12 2023
entrez: 8 12 2023
Statut: aheadofprint

Résumé

Admissions to hospitals for people with anorexia nervosa (AN) often last over 2 months, during which significant time is often spent with other patients, but there is little qualitative research on the impact on recovery of the inter-patient relationships. Our aim was to conduct qualitative interviews with people with a history of inpatient treatment for AN, focusing on the impact of interactions and relationships between patients during hospital admission on recovery, including short-term and long-term effects. We conducted nine semi-structured, one-to-one interviews, specifically exploring the helpful and unhelpful aspects of inter-patient relationships during inpatient treatment for AN. No type of relationship was either included or excluded. Participants were recruited as volunteers in response to an online advertisement; all who met the eligibility criteria were selected. Interviews were transcribed and analyzed using thematic analysis. Thematic analysis identified five themes: (1) comparison and justification, (2) learnt unhelpful behaviors, (3) dealing with distress, (4) compassion, and (5) role-modeling. All participants expressed conflicting feelings about their relationships with other patients, but generally described developing more resilience to negative effects as they got closer to recovery. Positive effects, such as compassion, appeared to hold significance long term in participants' recovered lives. The detailed exploration of themes in this study provides a deeper understanding of inter-patient relationships during inpatient treatment for AN. This could aid clinical decision-making when choosing appropriate treatment settings for individual patients as well as informing clinical practice in hospital. This study closely examines the effect on recovery of relationships with other patients during hospital treatment for AN, a severe eating disorder. Findings might help hospital staff to understand the feelings of those they look after and develop ways to protect patients from the negative effects of peer relationships and enhance the positive ones, to support recovery in hospital.

Identifiants

pubmed: 38062886
doi: 10.1002/eat.24102
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Bristol Medical School

Informations de copyright

© 2023 The Authors. International Journal of Eating Disorders published by Wiley Periodicals LLC.

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Auteurs

Elizabeth Lotery (E)

Bristol Medical School, Bristol, UK.

Rebecca Bell (R)

North Bristol NHS Trust, Bristol, UK.

Gillian Combe (G)

Oxford Health NHS Foundation Trust, Oxford, UK.
South East Region NHS England, England, UK.

Lucy Biddle (L)

Population Health Sciences, University of Bristol, Bristol, UK.
NIHR Biomedical Research Centre, University Hospitals Bristol NHS Foundation Trust, Bristol, UK.

Helen Bould (H)

Centre for Academic Mental Health, Population Health Science, University of Bristol, Bristol, UK.
MRC Integrative Epidemiology Unit, Bristol Medical School, University of Bristol, Bristol, UK.
Gloucestershire Health and Care NHS Foundation Trust, Gloucester, UK.

Classifications MeSH