Leigh Gale1, Sue Channon2, Mike Larner3, Darren James4. 1. Caswell Clinic, Bridgend, CF31 4LN, UK. leigh.gale@wales.nhs.uk. 2. South Wales Doctoral Programme in Clinical Psychology, 11th Floor, Tower Building, Park Place, Cardiff, CF10 3AT, UK. 3. Talygarn, County Hospital, Pontypool, Torfaen, NP4 5YA, UK. 4. Caerphilly CMHT, Old School Building, Mill Road, Caerphilly, CF83 3FD, UK.
Abstract
PURPOSE: Previous research into the impact of pro-eating disorder (pro-ED) websites has predominantly been undertaken using experimental and survey designs. Studies have used both clinical and non-clinical (college student) samples. The present study aimed to explore the underlying functions and processes related to the access and continued use of pro-ED websites within a clinical eating disorder population using a qualitative research design. METHODS: Participants were recruited through NHS community mental health teams and specialist eating disorder services within South Wales, UK. Face-to-face semi-structured interviews were conducted with seven adult women in treatment for an eating disorder who had disclosed current or historic use of pro-ED websites. Interviewees ranged in age from 20 to 40 years (M = 31.2; SD = 7.8). Constructivist Grounded Theory was used to analyse interview transcripts. RESULTS: Five key themes were identified within the data, namely fear; ambivalence; social comparisons; shame; and pro-ED websites maintaining eating disordered behaviour. The pro-ED websites appeared to offer a sense of support, validation and reassurance to those in the midst of an eating disorder, whilst simultaneously reinforcing and maintaining eating disordered behaviour. CONCLUSION: Themes are discussed in relation to implications and recommendations for clinical practice. Limitations of the present study and suggestions for future research are also outlined.
PURPOSE: Previous research into the impact of pro-eating disorder (pro-ED) websites has predominantly been undertaken using experimental and survey designs. Studies have used both clinical and non-clinical (college student) samples. The present study aimed to explore the underlying functions and processes related to the access and continued use of pro-ED websites within a clinical eating disorder population using a qualitative research design. METHODS:Participants were recruited through NHS community mental health teams and specialist eating disorder services within South Wales, UK. Face-to-face semi-structured interviews were conducted with seven adult women in treatment for an eating disorder who had disclosed current or historic use of pro-ED websites. Interviewees ranged in age from 20 to 40 years (M = 31.2; SD = 7.8). Constructivist Grounded Theory was used to analyse interview transcripts. RESULTS: Five key themes were identified within the data, namely fear; ambivalence; social comparisons; shame; and pro-ED websites maintaining eating disordered behaviour. The pro-ED websites appeared to offer a sense of support, validation and reassurance to those in the midst of an eating disorder, whilst simultaneously reinforcing and maintaining eating disordered behaviour. CONCLUSION: Themes are discussed in relation to implications and recommendations for clinical practice. Limitations of the present study and suggestions for future research are also outlined.
Authors: Rebecka Peebles; Jenny L Wilson; Iris F Litt; Kristina K Hardy; James D Lock; Julia R Mann; Dina L G Borzekowski Journal: J Med Internet Res Date: 2012-10-25 Impact factor: 5.428
Authors: Carmela Mento; Maria Catena Silvestri; Maria Rosaria Anna Muscatello; Amelia Rizzo; Laura Celebre; Martina Praticò; Rocco Antonio Zoccali; Antonio Bruno Journal: Int J Environ Res Public Health Date: 2021-02-23 Impact factor: 3.390