Downs James, Hickinbotham Hannah, Pothen Eric
Person with Lived Experience and Peer Researcher, Cardiff, Wales, UK.
Person with Lived Experience and Mental Health Digital Marketing Expert, Cambridgeshire, UK.
J Eat Disord. 2025 Sep 15;13(1):203. doi: 10.1186/s40337-025-01402-y.
This Matters Arising builds upon Bongiorno and Heaner's (2025) narrative review of resistance training in eating disorder recovery. The authors expand the discussion by situating resistance training within a wider spectrum of embodied movement practices, such as yoga, dance, and group-based activity. Drawing on lived experience, current literature, and embodiment theory, this piece emphasises the therapeutic value of movement that enhances interoceptive awareness, emotional regulation, and body connection. The authors highlight alexithymia and interoceptive disruption as transdiagnostic features of eating disorders, suggesting that safe, intentional movement can address these challenges and support psychological as well as physical recovery. They also raise critical concerns about abstinence-based exercise approaches and advocate for co-produced, trauma-informed, and intersectionally inclusive interventions. Recognising the diversity of eating disorder presentations and identities, they call for participatory research methods and tailored movement strategies that prioritise safety, autonomy, and long-term wellbeing. The paper concludes by encouraging researchers and clinicians to view movement not as an optional adjunct, but as a potentially central component of recovery, particularly when embedded within equitable, person-centred care.
本“新问题探讨”基于邦焦尔诺和希纳(2025年)对饮食失调康复中阻力训练的叙述性综述。作者们通过将阻力训练置于更广泛的身体运动实践范畴内来拓展讨论,这些实践包括瑜伽、舞蹈和基于团体的活动。本文借鉴亲身经历、当前文献和身体理论,强调了能增强内感受觉知、情绪调节和身体联结的运动的治疗价值。作者们将述情障碍和内感受紊乱视为饮食失调的跨诊断特征,表明安全、有目的的运动可以应对这些挑战并支持心理和身体的康复。他们还对基于禁欲的运动方法提出了严重关切,并倡导共同制定、创伤知情且具有交叉包容性的干预措施。认识到饮食失调表现和身份的多样性,他们呼吁采用参与性研究方法和量身定制的运动策略,将安全、自主性和长期福祉放在首位。本文最后鼓励研究人员和临床医生不要将运动视为一种可有可无的辅助手段,而是将其视为康复的一个潜在核心组成部分,尤其是当它融入公平的、以患者为中心的护理之中时。