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Consistent with objective biomedical benchmarks, conventional inpatient treatment is often focussed on weight gain. Consumers report that clinicians provide care focussed on weight and physical restoration without adequate consideration of their full spectrum of needs. The aim of this study was to explore consumers' perspectives of the biomedical focus on weight gain in the inpatient care of anorexia nervosa. This study employed a qualitative approach, involving semistructured interviews, and participants were recruited from relevant social media communities. This study was ethically approved by a university ethics committee and the COREQ checklist ensured ethical reporting. Ten women participated in interviews. Participants reported that the biomedical imperative of weight gain is focussed on at the exclusion of other relevant determinants of well\u2010being, and the narrow focus on weight gain does not suitably prepare consumers for discharge. The conflict between clinicians' biomedical focus and consumers' broader unmet needs leads to harmful interpersonal dynamics and feelings of invalidation. The inpatient care of anorexia nervosa needs to develop beyond biomedically driven objectives and incorporate the merits of an approach that substantively integrates person\u2010centred care, therapeutic relationships and trauma\u2010informed principles.<\/jats:p>","DOI":"10.1111\/inm.13242","type":"journal-article","created":{"date-parts":[[2023,10,14]],"date-time":"2023-10-14T05:58:39Z","timestamp":1697263119000},"page":"388-396","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["The focus on weight in the inpatient care of anorexia nervosa: A qualitative investigation of consumer perspectives"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2359-7183","authenticated-orcid":false,"given":"Joel Sebastian","family":"Zugai","sequence":"first","affiliation":[{"name":"School of Nursing University of Wollongong  Liverpool New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7174-0888","authenticated-orcid":false,"given":"Katherine","family":"Gill","sequence":"additional","affiliation":[{"name":"Consumer Led Research Network the University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6120-9380","authenticated-orcid":false,"given":"Luke","family":"Molloy","sequence":"additional","affiliation":[{"name":"School of Nursing University of Wollongong  Liverpool New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5654-5788","authenticated-orcid":false,"given":"Toby","family":"Raeburn","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery University of Notre Dame  Fremantle Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7815-3005","authenticated-orcid":false,"given":"Lucie","family":"Ramjan","sequence":"additional","affiliation":[{"name":"School of Nursing University of Wollongong  Liverpool New South Wales Australia"},{"name":"School of Nursing and Midwifery Western Sydney University  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,10,13]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23266"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2239"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2012.06.017"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/10640266.2011.551632"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/10640266.2011.551629"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/inm.12809"},{"issue":"2","key":"e_1_2_12_9_1","doi-asserted-by":"crossref","first-page":"947","DOI":"10.1177\/15248380231167399","article-title":"A systematic review of the effect of PTSD and trauma on treatment outcomes for eating Disorders","volume":"25","author":"Day S.","year":"2023","journal-title":"Trauma, Violence, and Abuse"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2012.09.007"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/1744987119880234"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/21662630.2014.978804"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psc.2019.01.009"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.outlook.2021.12.010"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/inm.12027"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/10640266.2019.1656460"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/23743735221079138"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/inm.12758"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13034-020-00323-9"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/1359105311419270"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1080\/07399332.2022.2087074"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732315588501"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/inm.12012"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-023-00787-y"},{"key":"e_1_2_12_25_1","unstructured":"Pacific Transcription. 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