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住院患者关于创伤性应激对饮食行为影响的经历:一项探索性焦点小组研究

Inpatients experiences about the impact of traumatic stress on eating behaviors: an exploratory focus group study.

作者信息

Roer Grethe Emilie, Solbakken Heidi Hurlen, Abebe Dawit Shawel, Aaseth Jan Olav, Bolstad Ingeborg, Lien Lars

机构信息

Norwegian National Advisory Unit on Concurrent Substance Abuse and Mental Health Disorders, Innlandet Hospital Trust, P.O. Box 104, 2381, Brumunddal, Norway.

Department of Nursing and Health Promotion, Oslo Metropolitan University, St. Olavs plass, P.O. Box 4, 0130, Oslo, Norway.

出版信息

J Eat Disord. 2021 Sep 26;9(1):119. doi: 10.1186/s40337-021-00480-y.

Abstract

BACKGROUND

Unhealthy changes in eating behavior among people experiencing trauma have been observed. There is, however, a lack of in-depth knowledge regarding the impact of the after effects of traumatic life experiences on eating behavior. Because eating behavior represents important components for promotion and maintenance of good health throughout life, this study aimed to explore inpatients' lived experiences of the impact of traumatic stress on eating behavior.

METHOD

Thirteen female and two male inpatients (age range 28-62 years), recruited from a psychiatric clinic in Norway, participated in this qualitative explorative focus group study. The data analysis was performed using systematic text condensation.

RESULTS

The results in the present study describe the participants' experiences about the impact of traumatic stress on their eating behavior. Their discussions and descriptions disclosed problems that could be summarized into four main themes: "experiencing eating behaviors as coping strategies"; "experiencing being addicted to food and sweets"; "experiencing eating behaviors controlled by stress and emotions"; and "experiencing lack of appetite and reduced capacity to plan and prepare meals".

CONCLUSION

Traumatic stress can impact eating behavior in several complex ways that over time may cause adverse health consequences. The results add to an important understanding of changes in eating behavior that might appear in people struggling to cope with the after effects of traumatic life experiences to the existing literature. To better understand the complexity of how traumatic experiences may impact eating behavior, this knowledge is important and useful for health professionals offering support to those who experience struggling with eating behavior after traumatic experiences.

摘要

背景

人们观察到经历创伤的人群饮食行为出现了不健康的变化。然而,对于创伤性生活经历的后遗症对饮食行为的影响,我们缺乏深入的了解。由于饮食行为是促进和维持一生健康的重要组成部分,本研究旨在探索住院患者关于创伤性应激对饮食行为影响的生活经历。

方法

从挪威一家精神病诊所招募了13名女性和2名男性住院患者(年龄范围28 - 62岁),参与了这项定性探索性焦点小组研究。数据分析采用系统文本浓缩法。

结果

本研究结果描述了参与者关于创伤性应激对其饮食行为影响的经历。他们的讨论和描述揭示了一些问题,可归纳为四个主要主题:“将饮食行为视为应对策略”;“体验对食物和甜食的成瘾”;“体验受压力和情绪控制的饮食行为”;以及“体验食欲不振和计划与准备膳食的能力下降”。

结论

创伤性应激可通过多种复杂方式影响饮食行为,随着时间推移可能导致不良健康后果。这些结果为现有文献增添了对饮食行为变化的重要理解,这些变化可能出现在努力应对创伤性生活经历后遗症的人群中。为了更好地理解创伤经历如何影响饮食行为的复杂性,这一知识对于为那些创伤经历后饮食行为出现问题的人提供支持的健康专业人员来说非常重要且有用。

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