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暴饮暴食症的生活经历及康复过程的促进因素:一项定性研究。

Experiences of living with binge eating disorder and facilitators of recovery processes: a qualitative study.

作者信息

Bremer Marit Fjerdingren, Garnweidner-Holme Lisa, Nesse Linda, Molin Marianne

机构信息

Department of Public Health Science, Faculty of Landscape and Society, Norwegian University of Life Sciences, 1433, Ås, Norway.

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

出版信息

J Eat Disord. 2023 Nov 14;11(1):201. doi: 10.1186/s40337-023-00929-2.

Abstract

BACKGROUND

Binge eating disorder (BED) is the most prevalent eating disorder worldwide. BED is often associated with low quality of life and mental health problems. Given the complexity of the disorder, recovery may be challenging. Since BED was only recently specified as a diagnostic category by the World Health Organization (2021), little is known about how patients experience living with BED in everyday life. This study aimed to explore how patients experience living with BED and to investigate factors perceived as facilitating recovery.

METHOD

Individual interviews were conducted with six patients in a rehabilitation programme for recovery from BED. Interviews were conducted digitally and verbally transcribed between December 2020 and January 2021. The analysis was based on Malterud's systematic text condensation.

RESULTS

Being diagnosed with BED could be experienced as a relief. The participants perceived living with BED as a challenging addiction. They struggled with a low self-image and experienced a lack of understanding from others, resulting in shame. Self-compassion and social support from friends and family and through participation in a rehabilitation programme were important facilitators of recovery.

CONCLUSION

Participants perceived living with BED as a challenging addiction. They struggled with low self-esteem and experienced a lack of understanding from others, resulting in shame. Being diagnosed with BED was perceived as a relief. They appreciated that issues related to mental health were addressed during rehabilitation to better understand the complexity of BED. Knowledge about BED, as well as the difficulties of living with BED among family members and friends might help patients with BED feel less ashamed of their disorder and could thus contribute to increased self-compassion.

摘要

背景

暴饮暴食症(BED)是全球最普遍的饮食失调症。暴饮暴食症常与生活质量低下和心理健康问题相关。鉴于该病症的复杂性,康复可能具有挑战性。由于暴饮暴食症直到最近(2021年)才被世界卫生组织明确列为一种诊断类别,对于患者在日常生活中如何体验患有暴饮暴食症知之甚少。本研究旨在探讨患者如何体验患有暴饮暴食症,并调查被认为有助于康复的因素。

方法

对六名参加从暴饮暴食症中康复的康复项目的患者进行了个体访谈。访谈于2020年12月至2021年1月期间以数字方式进行,并进行了口头转录。分析基于马尔特鲁德的系统文本浓缩法。

结果

被诊断出患有暴饮暴食症可能会让人感到宽慰。参与者将患有暴饮暴食症视为一种具有挑战性的成瘾问题。他们为自我形象低落而挣扎,并感到缺乏他人的理解,从而产生羞耻感。自我同情以及来自朋友和家人的社会支持,以及通过参与康复项目,是康复的重要促进因素。

结论

参与者将患有暴饮暴食症视为一种具有挑战性的成瘾问题。他们为自尊心低落而挣扎,并感到缺乏他人的理解,从而产生羞耻感。被诊断出患有暴饮暴食症被视为一种宽慰。他们赞赏在康复过程中解决了与心理健康相关的问题,以便更好地理解暴饮暴食症的复杂性。了解暴饮暴食症以及家庭成员和朋友中患有暴饮暴食症的困难,可能有助于患有暴饮暴食症的患者对自己的病症感到不那么羞耻,从而有助于增强自我同情。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0100/10647123/31e67a54c85a/40337_2023_929_Fig1_HTML.jpg

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