LUMC Curium - Child and Adolescent Psychiatry, Leiden University Medical Center, Leiden, The Netherlands.
Human Concern - Centre for Eating Disorders, Amsterdam, The Netherlands.
Eur Eat Disord Rev. 2024 Sep;32(5):963-979. doi: 10.1002/erv.3100. Epub 2024 May 19.
Although a significant number of professionals who provide eating disorder (ED) treatment have lived experience with an ED in the past, there is no consensus on whether these professionals should use these experiences in treatment. This review aims to evaluate current literature on recovered professionals with an ED past treating ED patients, unravelling advantages and disadvantages in treatment, the impact on professionals and their surroundings, and implications for practice.
A systematic literature search was conducted which included 10 articles. We analysed qualitative data through a systematic synthesis. Strength of evidence was calculated for each subtheme.
Three themes and 14 subthemes were divided into categories. The category 'treatment (patient-professional interaction)' was divided into: advantages, disadvantages and other implications for treatment. Additionally, the category 'professionals themselves' included subthemes that directly impact or relate to ED professionals: recovery as a non-linear process, the significant role of self-care and adverse feelings of professionals. Finally, the category 'work settings' included: company culture and training, supervision and professional development.
Recovered ED professionals are a promising addition to ED treatment due to the enhanced expertise of the professional. However, attention should be paid to the risk of distorted boundaries between patient and professional.
尽管有相当数量的提供饮食失调（ED）治疗的专业人员过去曾有过 ED 经历，但对于这些专业人员是否应该在治疗中使用这些经验，目前尚无共识。本综述旨在评估过去患有 ED 的康复专业人员治疗 ED 患者的现有文献，揭示治疗中的优缺点、对专业人员及其周围环境的影响，以及对实践的影响。
进行了系统的文献检索，包括 10 篇文章。我们通过系统综合分析定性数据。为每个子主题计算了证据强度。
三个主题和 14 个子主题被分为几类。“治疗（医患互动）”类别分为：优点、缺点和治疗的其他影响。此外，“专业人员自身”类别包括直接影响或与 ED 专业人员相关的子主题：康复是一个非线性过程、自我保健的重要作用和专业人员的不良感受。最后，“工作环境”类别包括：公司文化和培训、监督和专业发展。
康复的 ED 专业人员是 ED 治疗的一个有前途的补充，因为他们拥有增强的专业知识。然而，应该注意到患者和专业人员之间界限扭曲的风险。
