Anorexia nervosa treatment from the patient perspective: A metasynthesis of qualitative studies

Anorexia nervosa treatment from the patient perspective: A metasynthesis of qualitative studies

Author Espindola, Cybele Ribeiro Google Scholar
Blay, Sergio Luis Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract BACKGROUND: Anorexia nervosa is a complex condition that brings great challenges at each stage of treatment. This study aims to organize the body of information available in qualitative studies about the treatment of anorexia nervosa through a systematic literature review and metasynthesis.METHODS: Searches were carried out on the following databases for the years 1990 to 2005: PubMed, ISI, PsycINFO, EMBASE, LILACS, and SciELO from 1990 to 2005. A meta-ethnographic approach was used to synthesize the data through second-order and third-order interpretations.RESULTS: The search revealed 3415 studies, of which 16 were selected. Two concepts for second-order interpretation emerged from the process: (1) the process of change (phases of recovery, factors favoring recovery, factors limiting recovery) and (2) perception of the treatment modalities. From the second-order categories, a third-order category was derived-reconciliation, in which personal and environmental acceptance have a central role.CONCLUSIONS: Recovery from anorexia nervosa, as a very complex process, goes well beyond conventional treatment. Self-acceptance, determination, and spirituality are equally important elements.
Keywords anorexia nervosa
systematic review
Language English
Date 2009-02-01
Published in Annals Of Clinical Psychiatry. Montvale: Dowden Health Media, v. 21, n. 1, p. 38-48, 2009.
ISSN 1040-1237 (Sherpa/Romeo, impact factor)
Publisher Dowden Health Media
Extent 38-48
Access rights Closed access
Type Review
Web of Science ID WOS:000269980600005

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