Evidence map›Paper›PMID 41402859›Full record

ArticleJournal of eating disorders2025

The challenges of eating out for young people with eating disorders: a thematic analysis of the perspectives of young people, parents and carers, and clinicians.

Lydia Shackshaft, Laura Chapman, Annabelle Hook, Lucy Biddle, Lucy Yardley, Tamsin Ford, Angela Attwood, Ian Penton-Voak, Mel Slater, Emily Rothwell and 9 more

Abstract read
PubMed Full text at PMC Publisher
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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

19 authors.

Lydia ShackshaftCentre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK. lydia.shackshaft@bristol.ac.uk.
Laura ChapmanCentre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Annabelle HookCentre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Lucy BiddleCentre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Lucy YardleySchool of Psychological Science, University of Bristol, Bristol, UK.
Tamsin FordDepartment of Psychiatry, University of Cambridge, Cambridge, England, UK.
Angela AttwoodNIHR Biomedical Research Centre, University Hospitals Bristol and Weston NHS Foundation Trust and University of Bristol, Bristol, UK.
Ian Penton-VoakNIHR Biomedical Research Centre, University Hospitals Bristol and Weston NHS Foundation Trust and University of Bristol, Bristol, UK.
Mel SlaterVirtual Bodyworks S.L., Barcelona, Spain.
Emily RothwellGreater Manchester Mental Health Foundation Trust, Manchester, UK.
Stella ReevesExpert By Experience, Bangor, Wales, UK.
Alys GrantExpert By Experience, Canterbury, UK.
James DownsExpert By Experience, Cardiff, Wales, UK.
Gillian CombeOxford Health NHS Foundation Trust, Oxford, UK.
Sam Clark-StoneGloucestershire Health and Care NHS Foundation Trust, Gloucestershire, UK.
Trinisha GovenderGloucestershire Health and Care NHS Foundation Trust, Gloucestershire, UK.
Anne StewartOxford Health NHS Foundation Trust, Oxford, UK.
Paul MoranCentre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Helen BouldNIHR Biomedical Research Centre, University Hospitals Bristol and Weston NHS Foundation Trust and University of Bristol, Bristol, UK.

Funding

National Institute of Health Research Advanced fellowship (302271)
6 · The paper itself

Abstract

backgroundSocial eating is a key aspect of recovery for many individuals with an Eating Disorder (ED). To develop effective interventions to support recovery of social eating we need to understand the challenges that people with ED face when eating in public spaces. This study was conducted in the context of the development of a virtual reality graded-exposure café intervention for people with ED. The current analysis explores stakeholder perspectives on the challenges that people with ED face in café environments.

methodsPeople with lived experience of ED (n = 15), parents/carers (n = 4) and clinicians (n = 6) took part in semi-structured focus groups and 1:1 interviews. Transcripts were analysed thematically.

resultsWe identified six major themes: (1) Facing the unexpected and unknown; (2) Cafés elicit difficult emotions; (3) Challenges are highly individual; (4) Challenges relating to the physical café environment; (5) Challenges of social interactions in cafés; (6) Challenges of the process of choosing and consuming food and drink.

conclusionsThis study highlights the challenges cafés present for people with ED, many of which also apply to other social eating scenarios. These findings will enable more targeted support and development of novel interventions to help people with ED return to social eating.

Indexed as

AdolescentsEating disordersLived experienceQualitative researchSocial eatingThematic analysisYoung adults

Identifiers

PMID41402859
PMCPMC12821942

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.