Care experiences of young people with eating disorders and their parents: qualitative study

BJPsych Open. 2019 Jan;5(1):e6. doi: 10.1192/bjo.2018.78.

Abstract

Background: Perspectives of young people with eating disorders and their parents on helpful aspects of care should be incorporated into evidence-based practice and service design, but data are limited.AimsTo explore patient and parent perspectives on positive and negative aspects of care for young people with eating disorders.

Method: Six online focus groups with 19 young people aged 16-25 years with existing or past eating disorders and 11 parents.

Results: Thematic analysis identified three key themes: the need to (a) shift from a weight-focused to a more holistic, individualised and consistent care approach, with a better balance in targeting psychological and physical problems from an early stage; (b) improve professionals' knowledge and attitude towards patients and their families at all levels of care from primary to 'truly specialist'; (c) enhance peer and family support.

Conclusions: Young people and parents identified an array of limitations in approaches to care for young people with eating disorders and raised the need for change, particularly a move away from a primarily weight-focused treatment and a stronger emphasis on psychological needs and individualised care.Declaration of interestNone.

Keywords: Qualitative research; anorexia nervosa; bulimia nervosa; carers; eating disorders NOS.