{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T21:26:50Z","timestamp":1792272410985,"version":"4.4.0"},"reference-count":38,"publisher":"Royal College of Psychiatrists","issue":"4","license":[{"start":{"date-parts":[[2022,7,20]],"date-time":"2022-07-20T00:00:00Z","timestamp":1658275200000},"content-version":"unspecified","delay-in-days":19,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000664","name":"Health Technology Assessment Programme","doi-asserted-by":"publisher","award":["14\/68\/09"],"award-info":[{"award-number":["14\/68\/09"]}],"id":[{"id":"10.13039\/501100000664","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych open"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:sec id=\"S205647242200535X_sec_a1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Relapse rates for individuals with anorexia nervosa after intensive hospital treatment (in-patient or full-time day care) are high. Better knowledge about the difficulties and opportunities that arise during this transition is needed to identify factors that support or hinder continued recovery upon discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S205647242200535X_sec_a2\">\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>The aim of this study was to explore the experiences of adult patients and their chosen carers on the process of transitioning from intensive eating disorder treatment settings to the community.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S205647242200535X_sec_a3\" sec-type=\"methods\">\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      Semi-structured interviews were conducted with patients with anorexia nervosa (\n                      <jats:italic>n<\/jats:italic>\n                      = 11) discharged from day or in-patient care from specialised eating disorder units across the UK, and their chosen carers (\n                      <jats:italic>n<\/jats:italic>\n                      = 20). Data were analysed with inductive thematic analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S205647242200535X_sec_a4\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Four interrelated themes were identified for both groups. For patients, themes were continuity of care, ambivalence about continued recovery, the value of social support and a call for enhanced transition support. For carers, themes were the impact of the eating disorder on themselves and the family, perceptions of recovery and support post-discharge, the impact of previous treatment and care experiences, and desire to create a supportive transition process.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S205647242200535X_sec_a5\" sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The study provides an insight into the unique challenges that individuals with anorexia nervosa face upon leaving intensive treatment. A lack of post-discharge planning, support system and identity formation outside of anorexia nervosa were perceived as barriers to continued recovery. Patients and carers advocated for transition support that incorporates a phased, inclusive approach with accessible professional and social support in the community.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1192\/bjo.2022.535","type":"journal-article","created":{"date-parts":[[2022,7,20]],"date-time":"2022-07-20T04:53:56Z","timestamp":1658292836000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":33,"title":["Transitions from intensive eating disorder treatment settings: qualitative investigation of the experiences and needs of adults with anorexia nervosa and their carers"],"prefix":"10.1192","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6422-7306","authenticated-orcid":false,"given":"Danielle","family":"Clark Bryan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5182-0979","authenticated-orcid":false,"given":"Pamela","family":"Macdonald","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7763-7099","authenticated-orcid":false,"given":"Valentina","family":"Cardi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9671-4344","authenticated-orcid":false,"given":"Katie","family":"Rowlands","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7975-1971","authenticated-orcid":false,"given":"Suman","family":"Ambwani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3805-0180","authenticated-orcid":false,"given":"Jon","family":"Arcelus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9123-9217","authenticated-orcid":false,"given":"Eva-Maria","family":"Bonin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3615-8075","authenticated-orcid":false,"given":"Sabine","family":"Landau","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1335-1937","authenticated-orcid":false,"given":"Ulrike","family":"Schmidt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0871-4596","authenticated-orcid":false,"given":"Janet","family":"Treasure","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2022,7,20]]},"reference":[{"key":"S205647242200535X_ref15","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000000388"},{"key":"S205647242200535X_ref20","first-page":"3","volume-title":"A Realist Approach for Qualitative Research","author":"Maxwell","year":"2012"},{"key":"S205647242200535X_ref3","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2021.694223"},{"key":"S205647242200535X_ref5","volume-title":"Eating Disorders: Recognition and Treatment","year":"2017"},{"key":"S205647242200535X_ref6","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2018.00158"},{"key":"S205647242200535X_ref22","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9030630"},{"key":"S205647242200535X_ref24","first-page":"420","article-title":"Treatment outcome in female in-patients with anorexia nervosa and comorbid personality disorders prevalence - therapy drop out and weight gain","volume":"67","author":"Link","year":"2017","journal-title":"Psychother Psychosom Med Psychol"},{"key":"S205647242200535X_ref28","article-title":"Who am I without anorexia? 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NHS England, 2019 (https:\/\/www.longtermplan.nhs.uk\/)."},{"key":"S205647242200535X_ref25","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-017-0791-9"},{"key":"S205647242200535X_ref34","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23152"},{"key":"S205647242200535X_ref32","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2021.21010026"},{"key":"S205647242200535X_ref9","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2820"},{"key":"S205647242200535X_ref18","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2762"},{"key":"S205647242200535X_ref19","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"S205647242200535X_ref35","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291719002824"},{"key":"S205647242200535X_ref38","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23357"},{"key":"S205647242200535X_ref27","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2017.08.001"},{"key":"S205647242200535X_ref36","doi-asserted-by":"publisher","DOI":"10.1108\/MHRJ-04-2021-0033"},{"key":"S205647242200535X_ref4","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-020-00348-7"},{"key":"S205647242200535X_ref16","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2542"},{"key":"S205647242200535X_ref37","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-021-00416-6"},{"key":"S205647242200535X_ref23","doi-asserted-by":"publisher","DOI":"10.1186\/s40359-020-00476-4"},{"key":"S205647242200535X_ref30","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2022.43"},{"key":"S205647242200535X_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30059-3"},{"key":"S205647242200535X_ref13","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2422"},{"key":"S205647242200535X_ref26","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-020-00327-y"},{"key":"S205647242200535X_ref2","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0000000000000453"},{"key":"S205647242200535X_ref14","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2021.1019"},{"key":"S205647242200535X_ref17","volume-title":"Diagnostic and Statistical Manual of Mental Disorders","year":"2013"},{"key":"S205647242200535X_ref11","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2021.21070697"},{"key":"S205647242200535X_ref7","unstructured":"7 Mitchell, J . Transition experience in adults after hospitalisation for anorexia nervosa. Doctoral thesis City, University of London, 2018."},{"key":"S205647242200535X_ref12","doi-asserted-by":"publisher","DOI":"10.1080\/09540261.2019.1573721"},{"key":"S205647242200535X_ref10","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2824"},{"key":"S205647242200535X_ref8","doi-asserted-by":"publisher","DOI":"10.1177\/1359105313520336"},{"key":"S205647242200535X_ref29","first-page":"212","article-title":"Prevalence of eating disorders in the general population: a systematic review","volume":"25","author":"Qian","year":"2013","journal-title":"Shanghai Arch Psychiatry"}],"container-title":["BJPsych Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S205647242200535X","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,8,1]],"date-time":"2022-08-01T08:55:46Z","timestamp":1659344146000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S205647242200535X\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7]]},"references-count":38,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2022,7]]}},"alternative-id":["S205647242200535X"],"URL":"https:\/\/doi.org\/10.1192\/bjo.2022.535","relation":{},"ISSN":["2056-4724"],"issn-type":[{"value":"2056-4724","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7]]},"assertion":[{"value":"Copyright \u00a9 The Author(s), 2022. Published by Cambridge University Press on behalf of the Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e137"}}