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Narratives from within ‘lockdown’: A qualitative exploration of the impact of COVID-19 confinement on individuals with anorexia nervosa

Rachael Hunter, Chloe Gibson

Appetite, Volume: 166, Start page: 105451

Swansea University Author: Rachael Hunter

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DOI (Published version): 10.1016/j.appet.2021.105451

Abstract

ObjectivesThe COVID-19 pandemic and associated ‘lockdown’ confinement restrictions have resulted in multiple challenges for those living with eating disorders. This qualitative study aimed to examine the lived, psychosocial experiences of individuals with anorexia nervosa from within COVID-19 ‘lockd...

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Published in: Appetite
ISSN: 0195-6663
Published: Elsevier BV 2021
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URI: https://cronfa.swan.ac.uk/Record/cronfa58139
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last_indexed 2021-10-26T03:24:20Z
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spelling 2021-10-25T13:19:08.8550045 v2 58139 2021-09-28 Narratives from within ‘lockdown’: A qualitative exploration of the impact of COVID-19 confinement on individuals with anorexia nervosa 677f0b38990c50c0cc8496382b2e44fc Rachael Hunter Rachael Hunter true false 2021-09-28 PSYS ObjectivesThe COVID-19 pandemic and associated ‘lockdown’ confinement restrictions have resulted in multiple challenges for those living with eating disorders. This qualitative study aimed to examine the lived, psychosocial experiences of individuals with anorexia nervosa from within COVID-19 ‘lockdown’ confinement.MethodsAudio-recorded semi -structured interviews were conducted online during the first wave of the COVID-19 pandemic during confinement with a purposive sample of 12 participants who identified as having Anorexia Nervosa. Interviews were transcribed and anonymous data analysed using Thematic Analysis (Braun & Clarke, 2006).ResultsThree key themes with six contributory subthemes were identified. Key themes were: loss of control, support during confinement, and time of reflection on recovery. Theme content varied according to stage of recovery and current clinical management. Availability of ‘safe’ foods, increases in compensatory exercise and symptomology, and enhanced opportunities for “secrecy” were described.ConclusionsThese findings provide a unique insight for a vulnerable group from within COVID-19 confinement. The data demonstrated that the impact for individuals with anorexia nervosa has been broadly negative, and participants voiced concerns over the long-term effects of the pandemic on their recovery. The findings highlight the risks of tele-health support and an important role for health professionals in enhancing targeted support during, and after confinement. Journal Article Appetite 166 105451 Elsevier BV 0195-6663 Anorexia nervosa; Eating disorders; Qualitative research; COVID-19 1 11 2021 2021-11-01 10.1016/j.appet.2021.105451 COLLEGE NANME Psychology School COLLEGE CODE PSYS Swansea University 2021-10-25T13:19:08.8550045 2021-09-28T16:35:05.3441718 Faculty of Medicine, Health and Life Sciences School of Psychology Rachael Hunter 1 Chloe Gibson 2
title Narratives from within ‘lockdown’: A qualitative exploration of the impact of COVID-19 confinement on individuals with anorexia nervosa
spellingShingle Narratives from within ‘lockdown’: A qualitative exploration of the impact of COVID-19 confinement on individuals with anorexia nervosa
Rachael Hunter
title_short Narratives from within ‘lockdown’: A qualitative exploration of the impact of COVID-19 confinement on individuals with anorexia nervosa
title_full Narratives from within ‘lockdown’: A qualitative exploration of the impact of COVID-19 confinement on individuals with anorexia nervosa
title_fullStr Narratives from within ‘lockdown’: A qualitative exploration of the impact of COVID-19 confinement on individuals with anorexia nervosa
title_full_unstemmed Narratives from within ‘lockdown’: A qualitative exploration of the impact of COVID-19 confinement on individuals with anorexia nervosa
title_sort Narratives from within ‘lockdown’: A qualitative exploration of the impact of COVID-19 confinement on individuals with anorexia nervosa
author_id_str_mv 677f0b38990c50c0cc8496382b2e44fc
author_id_fullname_str_mv 677f0b38990c50c0cc8496382b2e44fc_***_Rachael Hunter
author Rachael Hunter
author2 Rachael Hunter
Chloe Gibson
format Journal article
container_title Appetite
container_volume 166
container_start_page 105451
publishDate 2021
institution Swansea University
issn 0195-6663
doi_str_mv 10.1016/j.appet.2021.105451
publisher Elsevier BV
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Psychology{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Psychology
document_store_str 0
active_str 0
description ObjectivesThe COVID-19 pandemic and associated ‘lockdown’ confinement restrictions have resulted in multiple challenges for those living with eating disorders. This qualitative study aimed to examine the lived, psychosocial experiences of individuals with anorexia nervosa from within COVID-19 ‘lockdown’ confinement.MethodsAudio-recorded semi -structured interviews were conducted online during the first wave of the COVID-19 pandemic during confinement with a purposive sample of 12 participants who identified as having Anorexia Nervosa. Interviews were transcribed and anonymous data analysed using Thematic Analysis (Braun & Clarke, 2006).ResultsThree key themes with six contributory subthemes were identified. Key themes were: loss of control, support during confinement, and time of reflection on recovery. Theme content varied according to stage of recovery and current clinical management. Availability of ‘safe’ foods, increases in compensatory exercise and symptomology, and enhanced opportunities for “secrecy” were described.ConclusionsThese findings provide a unique insight for a vulnerable group from within COVID-19 confinement. The data demonstrated that the impact for individuals with anorexia nervosa has been broadly negative, and participants voiced concerns over the long-term effects of the pandemic on their recovery. The findings highlight the risks of tele-health support and an important role for health professionals in enhancing targeted support during, and after confinement.
published_date 2021-11-01T02:21:58Z
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score 11.04748

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