PDF(Pubmed)
Abstract：
BACKGROUND: Avoidant restrictive food intake disorder (ARFID) is characterized as a pattern of restrictive eating leading to significant medical and/or psychosocial impairment (American Psychiatric Association in Diagnostic and statistical manual of mental disorders, American Psychiatric Association, Washington, D.C., 2013). Most existing research on ARFID utilizes quantitative methodologies to study children and adolescents. As a result, the experiences of adults with ARFID have been underrepresented in research. To fill this gap, the current study examines the lived experiences of adults with a DSM-5 diagnosis of ARFID.
METHODS: Participants (n = 9) included adult women aged 20-42 (M = 27, SD = 6.2) recruited from social media advertising. Open-ended, semi-structured interviews were conducted. Data were analyzed using interpretative phenomenological analysis (IPA).
RESULTS: One of three overarching themes identified by IPA will be discussed in this study: \"A tradeoff between safety and freedom,\" which consists of two subthemes: (a) Ensuring safety from food unknowns and (c) Longing for Freedom. This overarching theme explores the influence of ARFID on an individual\'s sense of safety and freedom.
CONCLUSIONS: This study is one of few to qualitatively examine ARFID, and the only to do so using IPA. Findings offer novel insights relevant to researchers and clinicians who treat adults with ARFID and who wish to increase consideration and understanding of patient lived experience in their work.
METHODS: Participants (n = 9) included adult women aged 20-42 (M = 27, SD = 6.2) recruited from social media advertising. Open-ended, semi-structured interviews were conducted. Data were analyzed using interpretative phenomenological analysis (IPA).
RESULTS: One of three overarching themes identified by IPA will be discussed in this study: \"A tradeoff between safety and freedom,\" which consists of two subthemes: (a) Ensuring safety from food unknowns and (c) Longing for Freedom. This overarching theme explores the influence of ARFID on an individual\'s sense of safety and freedom.
CONCLUSIONS: This study is one of few to qualitatively examine ARFID, and the only to do so using IPA. Findings offer novel insights relevant to researchers and clinicians who treat adults with ARFID and who wish to increase consideration and understanding of patient lived experience in their work.
摘要：
背景：避免限制性食物摄入障碍（ARFID）的特征是限制性饮食导致严重的医学和/或心理社会损害的模式（美国精神病学协会在精神障碍的诊断和统计手册中，美国精神病学协会,华盛顿,D.C.,2013).大多数关于ARFID的现有研究都采用定量方法来研究儿童和青少年。因此,成人接受ARFID的经验在研究中代表性不足.为了填补这个空白，本研究调查了DSM-5诊断为ARFID的成年人的生活经历.
方法：参与者（n=9）包括从社交媒体广告招募的20-42岁成年女性（M=27，SD=6.2）。开放式,进行了半结构化访谈。使用解释现象学分析(IPA)对数据进行分析。
结果：本研究将讨论IPA确定的三个总体主题之一：“安全与自由之间的权衡，“其中包括两个子主题：（a）确保食品安全，不受未知食品的影响；（c）渴望自由。这个总体主题探讨了ARFID对个人安全感和自由感的影响。
结论：这项研究是对ARFID进行定性检查的少数研究之一，也是唯一使用IPA这样做的。研究结果为研究人员和临床医生提供了新的见解，这些研究人员和临床医生使用ARFID治疗成人，并希望在工作中增加对患者生活经验的考虑和理解。
方法：参与者（n=9）包括从社交媒体广告招募的20-42岁成年女性（M=27，SD=6.2）。开放式,进行了半结构化访谈。使用解释现象学分析(IPA)对数据进行分析。
结果：本研究将讨论IPA确定的三个总体主题之一：“安全与自由之间的权衡，“其中包括两个子主题：（a）确保食品安全，不受未知食品的影响；（c）渴望自由。这个总体主题探讨了ARFID对个人安全感和自由感的影响。
结论：这项研究是对ARFID进行定性检查的少数研究之一，也是唯一使用IPA这样做的。研究结果为研究人员和临床医生提供了新的见解，这些研究人员和临床医生使用ARFID治疗成人，并希望在工作中增加对患者生活经验的考虑和理解。
