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Role of gender in the treatment experiences of people with an eating disorder: a metasynthesis

机译:性别在进食障碍患者治疗经验中的作用:一种合成

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Background Traditionally perceived as a disorder of women, Eating Disorders (EDs) are known to have impacts on people irrespective of their gender. This study is designed to synthesise the available qualitative research studies to more broadly understand the diverse experiences of ED and their treatment, specifically in relationship to issues of gender. Methods The methodology involved a systematic search and quality appraisal of the literature published after 1980 using terms that aimed to represent the primary concepts of “role of gender” and “treatment experiences” and “eating disorders”. Nine qualitative studies met the inclusion criteria. Meta-themes were inductively generated through a synthesis of data across themes from the relevant included papers. Results Analysis of data was constructed around three meta-themes, each with subthemes. The first meta-theme “Out of sight, out of mind” depicted the experience of gender issues that were marginalised in treatment. More specifically for transgender people, when gender issues were ignored by treatment providers, this frequently led to non-disclosure of their gender identity. Furthermore, men were less likely to be assessed for an eating disorder and within this context; diagnosis of an ED and referral to specialist treatment was frequently hindered. The second meta-theme “Lack of literacy among health care providers” focused on issues related to misdiagnosis of EDs, and the question of whether this was related to a lack of health literacy amongst health professionals. The final theme “Pathways into treatment that address stigma and other barriers” highlighted the need for the development of future treatment interventions address the complex social reality of the experiencing person, including questions of gender. Conclusion Gender issues impact upon the ED experience and require broader consideration in the development and evaluation of ED treatment interventions, including the further development of gender-informed interventions. Trial registration Protocol registered on PROSPERO 2017 CRD42017082616 .
机译:背景技术传统上被认为是一种女性疾病,饮食失调(EDs)对人们的影响不分性别。本研究旨在综合现有的定性研究,以更广泛地了解ED及其治疗的各种经验,特别是在性别问题上。方法该方法论涉及对1980年以后出版的文献进行系统的检索和质量评估,这些术语的使用旨在代表“性别角色”,“治疗经历”和“饮食失调”的主要概念。九项定性研究符合纳入标准。元主题是通过综合相关主题论文中的主题数据而归纳产生的。结果数据分析围绕三个元主题构建,每个元主题都有子主题。第一个元主题“看不见,心不在””描述了在治疗中被边缘化的性别问题的经历。更具体地说,对于跨性别者,当治疗提供者忽略了性别问题时,这常常导致其性别身份无法公开。此外,在这种情况下,男性不太可能接受饮食失调评估。 ED的诊断和转诊至专科治疗经常受到阻碍。第二个元主题“卫生保健提供者缺乏素养”侧重于与ED误诊有关的问题,以及这是否与卫生专业人员之间缺乏卫生素养有关的问题。最终主题“解决耻辱和其他障碍的治疗途径”强调指出,有必要制定未来的治疗干预措施,以解决经历者的复杂社会现实,包括性别问题。结论性别问题影响了ED的经验,在ED治疗干预措施的制定和评估中需要更广泛的考虑,包括进一步发展以性别为依据的干预措施。试用注册协议已在PROSPERO 2017 CRD42017082616上注册。

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