Pegram Georgina, Craddock Nadia, Lewis-Smith Helena
Centre for Appearance Research, University of the West of England, Coldharbour Lane, BS16 1QY Bristol, UK.
Curr Psychol. 2023 Feb 22:1-12. doi: 10.1007/s12144-023-04353-2.
The COVID-19 pandemic lockdown restrictions posed unique challenges for people living with eating disorders (EDs), particularly relating to social isolation and changes in treatment access. However, less is known about the experience of lockdown for people 'in recovery' from EDs or disordered eating (DE) (i.e., with an ED/DE history). This study explored: (i) how people with a self-reported ED/DE history responded to and managed the experience of lockdown, specifically in relation to their recovery, and (ii) coping strategies for the management of recovery. Semi-structured interviews were conducted between June and August 2020 with 20 adults with a self-reported ED/DE history living in the UK. Data were analysed using inductive thematic analysis within a critical realist framework. Three overarching themes were identified: (1) Seeking safety and stability during a pandemic, (2) Lockdown prompting realisations about recovery, and (3) Exploring self-compassion as a more adaptive approach. While most participants experienced a resurgence in ED symptoms during lockdown, many reflected on the successful management of these as reinforcing their recovery. These findings have important implications for understanding ED recovery, in addition to informing interventions to better promote recovery during the COVID-19 pandemic and beyond.
The online version contains supplementary material available at 10.1007/s12144-023-04353-2.
新冠疫情封锁限制给饮食失调症患者带来了独特挑战,尤其是在社交隔离和治疗途径变化方面。然而,对于饮食失调症或饮食紊乱症“康复中”的人(即有饮食失调症/饮食紊乱症病史的人)在封锁期间的经历了解较少。本研究探讨了:(i)有自我报告的饮食失调症/饮食紊乱症病史的人如何应对和处理封锁经历,特别是与他们的康复相关的方面,以及(ii)管理康复的应对策略。2020年6月至8月期间,对20名居住在英国且有自我报告的饮食失调症/饮食紊乱症病史的成年人进行了半结构化访谈。在批判现实主义框架内使用归纳主题分析法对数据进行了分析。确定了三个总体主题:(1)在疫情期间寻求安全和稳定,(2)封锁促使对康复有新认识,(3)探索自我同情作为一种更具适应性的方法。虽然大多数参与者在封锁期间饮食失调症状复发,但许多人认为成功应对这些症状强化了他们的康复。这些发现对于理解饮食失调症康复具有重要意义,此外还为在新冠疫情期间及之后更好地促进康复的干预措施提供了信息。
在线版本包含可在10.1007/s12144-023-04353-2获取的补充材料。