Evidence map›Paper›PMID 39962561›Full record

ArticleJournal of eating disorders2025

Equity in eating disorders: a dialectical approach to stigma, expertise, and the coproduction of knowledge.

James Downs, Marissa Adams, Anita Federici, Sam L Sharpe, Agnes Ayton

Abstract readLetter
In one paragraph

Article in Journal of eating disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
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

15 citing papers in PubMed.

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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

5 authors.

James Downs, Cardiff, Wales. jamesldowns@gmail.com.ORCID http://orcid.org/0000-0002-4321-8574
Marissa Adams, Nashville, TN, USA.ORCID http://orcid.org/0009-0003-9814-0705
Anita FedericiThe Centre for Psychology + Emotion Regulation, Midland, ON, Canada.ORCID http://orcid.org/0009-0000-7248-3740
Sam L SharpeFighting Eating Disorders in Underrepresented Populations (FEDUP) Collective, West Palm Beach, FL, USA.ORCID http://orcid.org/0009-0004-4435-8300
Agnes AytonOxford Health NHS Foundation Trust, Oxford, England.ORCID http://orcid.org/0000-0002-3722-0854

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Within mental health research, there has been a growing recognition of the importance of the knowledge obtained through lived experiences of illness, treatment, recovery, and health. In recent years, the field of eating disorders has seen an emergence of co-produced knowledge, in particular in the co-design of patient-facing materials for use in clinical settings, and a growing body of rich qualitative research by those who may straddle the identities of clinician, researcher and person with lived/living experience. However, there are significant variations in how expertise by experience is defined and utilised within research and clinical practice, and persisting inequities in the extent to which people with lived experience are afforded the agency to define their illnesses and treatment. This paper's authorship is a collaboration between those with personal and professional relationships with the subject of eating disorders, bringing to life the concept of sharing power and decision-making across multiple viewpoints and identities. Situating knowledge about eating disorders and stigma within a wider historical and philosophical context, the authors argue that persisting inequities in research and clinical practice are rooted in multiple stigmas. To address this, a 'dialectical' stance is proposed, which draws upon Dialectical Behaviour Therapy and broader principles of coproduction to offer a practical approach to operationalising epistemic justice and dismantling stigma in the field.

Indexed as

CoproductionDialecticsEating disordersEpistemic justiceLived experienceNosologyPhilosophyResearchStigma

Identifiers

PMID39962561
PMCPMC11834612

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.