Section of Eating Disorders, Department of Psychological Medicine, King's College London, Institute of Psychiatry, Psychology and Neuroscience, 103 Denmark Hill, SE5 8AZ, London, UK.
South London and Maudsley NHS Foundation Trust, London, UK.
Eat Weight Disord. 2019 Oct;24(5):845-852. doi: 10.1007/s40519-019-00770-0. Epub 2019 Aug 30.
Men with eating disorders may experience unique issues compared to their female counterparts, and there is a growing interest in how these differences should be addressed in clinical practice. However, the views of male patients on potential treatment adaptations remain under-explored. The purpose of this study was to explore the experiences of men who have experienced treatment for eating disorders.
Men who had experienced eating disorder treatment were recruited through UK National Health Service eating disorder services and online advertising. 14 participants took part in semi-structured interviews discussing their experiences of treatment, and their views on the need for adaptations. Interviews were analysed using thematic analysis.
Three main themes were identified from the analysis: a preference for person-centred, rather than gender-centred treatment, a feeling of being "the odd one out" as men in current treatment environments, and recommendations for treatment adaptations.
Participants described wanting to be treated as individuals and not defined by their gender. Whilst existing treatment approaches were mostly felt to achieve this individual focus, the actual treatment setting may inadvertently reinforce a perception of atypicality due to being men in a female-dominated environment. Adaptations may therefore be required to make the treatment environment more male friendly. Clinical recommendations are outlined.
V. Qualitative study.
与女性相比，患有饮食失调症的男性可能会遇到独特的问题，人们越来越关注如何在临床实践中解决这些差异。然而，男性患者对潜在治疗方法调整的看法仍未得到充分探讨。本研究旨在探讨曾接受饮食失调症治疗的男性患者的经历。
通过英国国民保健署（NHS）的饮食失调症服务机构和在线广告招募曾接受饮食失调症治疗的男性。14 名参与者参加了半结构化访谈，讨论了他们的治疗经历以及对治疗调整必要性的看法。使用主题分析法对访谈进行分析。
分析确定了三个主要主题：偏好以人为中心，而非以性别为中心的治疗；在当前治疗环境中作为男性，感到“与众不同”；以及治疗调整建议。
参与者表示希望被个体化治疗，而不是被性别定义。虽然现有的治疗方法大多能实现这种个体化的治疗重点，但实际的治疗环境可能由于在女性主导的环境中作为男性，无意中强化了一种非典型性的认知。因此，可能需要进行调整，以使治疗环境更适合男性。概述了临床建议。
V. 定性研究。
