Department of Psychological Medicine, Institute of Psychiatry, King's College London, London, UK.
Department of Psychology, Institute of Psychiatry, King's College London, London, UK.
Eur Eat Disord Rev. 2021 May;29(3):443-457. doi: 10.1002/erv.2795. Epub 2020 Oct 12.
Eating disorders (EDs) are common in student populations and present formidable challenges as to how best to treat and support these young people, especially at points of transition. Yet research exploring these challenges is lacking, particularly from the perspective of those providing treatment and support.
A qualitative design was used to explore clinicians' perspectives of supporting students with EDs. Twelve clinicians from a large ED service in the United Kingdom participated in one-to-one semi-structured interviews. Data were analysed using thematic analysis.
Facilitators and barriers to supporting students with EDs fell into four overarching themes: Health System, University, Patient and Carer Factors. Reported facilitators were; ED service awareness, flexibility and resources, university as a motivator, and carer support. Reported barriers were; poor links and communication between institutions, the primary care system, poor university provision for and awareness of EDs, young people's denial and ambivalence, inconsistent implementation of guidelines, and carer anxiety.
The findings revealed challenges unique to the university transition, including the need for more collaborative working between healthcare and education institutions, improved training of non-specialised ED professionals, and the benefits of a flexible, adapted ED treatment approach specifically tailored to the unique needs of students with EDs.
饮食失调（EDs）在学生群体中很常见，如何最好地治疗和支持这些年轻人，尤其是在过渡时期，这是一个巨大的挑战。然而，缺乏对此类挑战的研究，特别是缺乏来自提供治疗和支持的人的观点。
采用定性设计探讨临床医生对支持 ED 学生的观点。英国一家大型 ED 服务机构的 12 名临床医生参加了一对一的半结构化访谈。使用主题分析对数据进行分析。
支持 ED 学生的促进因素和障碍分为四个总体主题：卫生系统、大学、患者和照顾者因素。报告的促进因素是 ED 服务意识、灵活性和资源、大学作为激励因素以及照顾者支持。报告的障碍是机构之间、初级保健系统之间联系和沟通不畅、大学对 ED 的服务和认识不足、年轻人的否认和矛盾心理、指南实施不一致以及照顾者焦虑。
研究结果揭示了与大学过渡相关的独特挑战，包括需要加强医疗机构与教育机构之间的合作、提高非专科 ED 专业人员的培训，以及采用灵活、适应 ED 治疗方法的好处，专门针对 ED 学生的独特需求进行定制。
