Anorexia Nervosa's Meaning to Patients: A Qualitative Synthesis

Anorexia Nervosa's Meaning to Patients: A Qualitative Synthesis

Author Espíndola, Cybele Ribeiro Autor UNIFESP Google Scholar
Blay, Sergio Luis Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract Background: We carried out a qualitative synthesis of international literature to provide insight into the patient's experience as a means to help clinicians recognize symptoms of anorexia nervosa. Method: International publications from 1990 to 2005 were searched for relevant qualitative investigations, and meta-ethnography was employed to identify common themes across studies. Databases included were PubMed, ISI, PsycINFO, EMBASE, LILACS and SciELO. Results: 24 studies were included from a total of 3,415 papers. the second-order interpretation process using reciprocal translation allowed the identification of two concepts: (1) symptom identification (disease representation, self-concept, development of anorexia) and (2) disease interpretation (positive aspects, negative aspects, areas of life affected). Third-order constructs emerged revealing the disease as connected with identity and control. Conclusion: Knowledge of patients' efforts to interpret the illness as a part of their own identity and sense of control have a key role in physician understanding of the disorder by allowing physicians to bring structure to the patients' lives generally and to their help-seeking behavior specifically. the study has some limitations. Most of the results come from B-grade studies (as classified by the Critical Appraisal Skills Programme) that used qualitative methodology, implying the need for caution in data interpretation. Moreover, study populations were almost exclusively female, and no comparison was attempted concerning the severity of the condition between studies. Copyright (C) 2009 S. Karger AG, Basel
Keywords Anorexia nervosa
Anorexia nervosa, systematic review
Anorexia nervosa, metasynthesis
Language English
Sponsor Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
Grant number FAPESP: 07/50739-1
Date 2009-01-01
Published in Psychopathology. Basel: Karger, v. 42, n. 2, p. 69-80, 2009.
ISSN 0254-4962 (Sherpa/Romeo, impact factor)
Publisher Karger
Extent 69-80
Origin http://dx.doi.org/10.1159/000203339
Access rights Closed access
Type Review
Web of Science ID WOS:000263748600001
URI http://repositorio.unifesp.br/handle/11600/31220

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