Evidence map›Paper›PMID 33092638›Full record

ArticleBMC psychology2020

"Finding my own identity": a qualitative metasynthesis of adult anorexia nervosa treatment experiences.

Janet E Conti, Caroline Joyce, Phillipa Hay, Tanya Meade

Open access · goldAbstract read
In one paragraph

Article in BMC psychology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
3.0field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 62 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Janet E ContiSchool of Psychology, Western Sydney University, Locked Bag 1797, Penrith, 2751, Australia. j.conti@westernsydney.edu.au.ORCID http://orcid.org/0000-0002-5064-8003
Caroline JoyceSchool of Medicine, Western Sydney University, Penrith, Australia.ORCID http://orcid.org/0000-0002-4423-2722
Phillipa HaySchool of Medicine, Western Sydney University, Penrith, Australia.ORCID http://orcid.org/0000-0003-0296-6856
Tanya MeadeSchool of Psychology, Western Sydney University, Locked Bag 1797, Penrith, 2751, Australia.ORCID http://orcid.org/0000-0002-1539-5813
Western Sydney University · AUTranslational Research Institute · AU

Funding

University of Western Sydney Women's Research Fellowship - Project number: 87630
6 · The paper itself

Abstract

backgroundThe aim of this metasynthesis was to explore adult anorexia nervosa (AN) treatment experiences, including facilitators and barriers to treatment engagement and ways that questions of identity and personal agency were negotiated in treatment contexts.

methodsFrom 14 qualitative studies that met the search criteria, this thematic synthesis analyzed the sensitized concept of identity in the participants' experiences of AN treatments, including their sense of personal agency, and implications for their recovery. The study was registered with Prospero (ID: CRD42018089259) and is reported according to PRISMA guidelines.

resultsThree meta-themes were generated with the following key findings: grappling with identity, where collaborative and tailored interventions were positively experienced; the quality of the therapeutic relationship, which existed in a recursive relationship; and, rebuilding identity that included therapists standing with the person in recovering a sense of identity outside the anorexic identity. Importantly, interventions that failed to be negotiated with the person were experienced as disempowering however, where a two-way trust existed in the therapeutic relationship, it critically empowered and shaped participants' sense of identity, and broadened the perception that they were valuable as a person.

conclusionsThere was consensus across the range of treatment contexts that individuals with a lived AN experience preferred treatments where they experienced (1) a sense of personal agency through tailored interventions; and (2) therapists who treated them as a person who, in the face of their struggles, had skills and capacities in the processes of recovering and rebuilding sustainable and preferred identities outside the AN identity.

Indexed as

AdultAnorexia NervosaHumansQualitative ResearchAdultAnorexia nervosaIdentityMetasynthesisPersonal agencyQualitativeRecoveryTherapyTreatment

Identifiers

PMID33092638
PMCPMC7583290
OpenAlexW3093701956

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.