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Hermansens Mindelegat","award":["no grant number available"],"award-info":[{"award-number":["no grant number available"]}]},{"DOI":"10.13039\/100000025","name":"The National Institute of Mental Health","doi-asserted-by":"crossref","award":["R01MH120170; R01MH124871; R01MH119084; R01MH118278; R01 MH124871"],"award-info":[{"award-number":["R01MH120170; R01MH124871; R01MH119084; R01MH118278; R01 MH124871"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000874","name":"Brain and Behavior Research Foundation","doi-asserted-by":"publisher","award":["Distinguished Investigator Grant"],"award-info":[{"award-number":["Distinguished Investigator Grant"]}],"id":[{"id":"10.13039\/100000874","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Swedish Research Council Vetenskapsr\u00e5det","award":["award 538-2013-8864"],"award-info":[{"award-number":["award 538-2013-8864"]}]},{"DOI":"10.13039\/100000002","name":"The National Institutes of Health","doi-asserted-by":"crossref","award":["R01MH120170"],"award-info":[{"award-number":["R01MH120170"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100003554","name":"Lundbeckfonden","doi-asserted-by":"publisher","award":["R276-2018-4581"],"award-info":[{"award-number":["R276-2018-4581"]}],"id":[{"id":"10.13039\/501100003554","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Eat Disord"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>A small but significant group of patients with anorexia nervosa (AN) undergo multiple involuntary treatment (IT) events. To enhance our understanding of IT and potentially inform treatment, we explored experiences and perspectives on IT of these patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We designed a qualitative semi-structured interview study and used reflexive thematic analysis. Participants were at least 18\u00a0years of age, had multiple past IT events (\u2265\u20095) related to AN over a period of at least one month of which the last IT event happened within the preceding five years. Participants had no current IT, intellectual disability, acute psychosis, or severe developmental disorder. We adopted an inductive approach and constructed meaning-based themes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We interviewed seven participants. The data portrayed a process of living and leaving a life of coercion with a timeline covering three broad themes: living with internal coercion, coercive treatment, and leaving coercion; and five subthemes: helping an internal battle, augmenting suffering, feeling trapped, a lasting imprint, and changing perspectives. We highlighted that patients with AN and multiple IT events usually experienced internal coercion from the AN prior to external coercion from the health care system. IT evoked significant negative affect when experienced, and often left an adverse imprint. Moreover, IT could help an internal battle against AN and perspectives on IT could change over time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our study suggests that feeling internally coerced by AN itself sets the stage for IT. Clinicians should be conscious of the potential iatrogenic effects of IT, and reserve IT for potentially life-threatening situations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s40337-023-00765-4","type":"journal-article","created":{"date-parts":[[2023,3,13]],"date-time":"2023-03-13T12:05:01Z","timestamp":1678709101000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":43,"title":["Living and leaving a life of coercion: a qualitative interview study of patients with anorexia nervosa and multiple involuntary treatment events"],"prefix":"10.1186","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7901-3642","authenticated-orcid":false,"given":"Benjamin","family":"Mac Donald","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1460-4238","authenticated-orcid":false,"given":"Sanna A.","family":"Gustafsson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7772-3264","authenticated-orcid":false,"given":"Cynthia M.","family":"Bulik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4559-8347","authenticated-orcid":false,"given":"Loa","family":"Clausen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,3,13]]},"reference":[{"key":"765_CR1","doi-asserted-by":"publisher","first-page":"697","DOI":"10.1016\/j.ijlp.2003.09.010","volume":"26","author":"J Tan","year":"2003","unstructured":"Tan J, Hope T, Stewart A. Competence to refuse treatment in anorexia nervosa. Int J Law Psychiatry. 2003;26:697\u2013707.","journal-title":"Int J Law Psychiatry"},{"key":"765_CR2","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1186\/s40337-014-0029-8","volume":"2","author":"L Clausen","year":"2014","unstructured":"Clausen L, Jones A. A systematic review of the frequency, duration, type and effect of involuntary treatment for people with anorexia nervosa, and an analysis of patient characteristics. J Eat Disord. 2014;2:29.","journal-title":"J Eat Disord"},{"key":"765_CR3","first-page":"390","volume":"15","author":"T Carney","year":"2007","unstructured":"Carney T, Tait D, Touyz S. Coercion is coercion? Reflections on trends in the use of compulsion in treating anorexia nervosa. 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According to the Consolidation Act on Research Ethics Review of Health Research Projects, Consolidation Act number 1083 of 15 September 2017, section 14(2) notification of questionnaire surveys or medical database research projects to the research ethics committee system is only required if the project involves human biological material. However, the study conformed to the Helsinki Declaration. Prior to inclusion and following detailed oral explanation and written information potential participants gave their written informed consent for participation, pseudonymization, and follow-up contact. After the interview the participants were handed a distress management document with mental health emergency contact information and could give their written consent for receiving information on the outcome of the study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Prior to inclusion and following detailed oral explanation and written information potential participants gave their written informed consent for publication.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"Dr. Bulik reports: Takeda (past grant recipient, scientific advisory board); Pearson (author, royalty recipient); Equip Health Inc. (stakeholder advisory board). Dr. Mac Donald and Drs. Gustafsson and Clausen have no conflict of interest to declare.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"40"}}