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Self-admission to inpatient treatment for patients with anorexia nervosa: The patient's perspective
Stockholm Centre for Eating Disorders, Stockholm, Sweden; Karolinska Institutet, Stockholm, Sweden.
Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden; Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States; Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Stockholm Centre for Eating Disorders, Stockholm, Sweden; Karolinska Institutet, Stockholm, Sweden.
Örebro University, School of Medical Sciences.
2017 (English)In: International Journal of Eating Disorders, ISSN 0276-3478, E-ISSN 1098-108X, Vol. 50, no 4, 398-405 p.Article in journal (Refereed) Published
Abstract [en]

The aim of the present study was to explore patients' experiences of participating in a self-admission program at a specialist eating disorders clinic. Sixteen adult program participants with a diagnosis of anorexia nervosa were interviewed at 6 months about their experiences in the self-admission program. A qualitative content analysis approach was applied to identify recurring themes. Four themes were identified: Agency and Flexibility, Functions, Barriers, and Applicability. Participants used self-admission to boost healthy behaviors, to prevent deterioration, to forestall the need for longer periods of hospitalizations, and to get a break from overwhelming demands. Quick access to brief admissions provides a safety net that can increase feelings of security in everyday life, even for patients who do not actually make use of the opportunity to self-admit. It also provided relief to participants' relatives. Furthermore, participants experienced that self-admission may foster agency and motivation. However, the model also requires a certain level of maturity and an encouraging environment to overcome barriers that could otherwise hinder optimal use, such as ambivalence in asking for help. Informants experienced that self-admission could allow them to gain greater insight into their disease process, take greater responsibility for their recovery, and transform their health care from crisis-driven to proactive. By offering a shift in perspective on help-seeking and participation, self-admission may potentially strengthen participants' internal responsibility for their treatment and promote partnership in treatment.

Place, publisher, year, edition, pages
John Wiley & Sons, 2017. Vol. 50, no 4, 398-405 p.
Keyword [en]
anorexia nervosa, eating disorders, inpatients, patient admissions, patient participation, patient-centered care, voluntary admissions
National Category
Nutrition and Dietetics Psychology Psychiatry
Research subject
Nutrition
Identifiers
URN: urn:nbn:se:oru:diva-57403DOI: 10.1002/eat.22659ISI: 000398841500009PubMedID: 28106920ScopusID: 2-s2.0-85010410345OAI: oai:DiVA.org:oru-57403DiVA: diva2:1092323
Available from: 2017-05-02 Created: 2017-05-02 Last updated: 2017-05-16Bibliographically approved

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CiteExportLink to record
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Citation style
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