Abstract
Introduction: Review literature considering the experiences of people with anorexia nervosa (AN) is limited. Whilst recent quantitative systematic reviews found some benefits of physical activity; further qualitative based reviews are needed that can synthesise individuals’ experiences. The purpose of the current study was to synthesise qualitative evidence considering the role and experiences of physical activity in individuals with AN.
Methods: A thematic synthesis was undertaken within 3 stages. This included; (1) a systematic search for articles, (2) a critical appraisal using 3 techniques for different study designs used, and (3) a synthesis of findings.
Results: Data from a total of 122 (4 males) unique peoples with AN, 8 health care professionals, and 20 family members were identified and used within the synthesis. Six themes were identified and included: (1) effects of physical activity on an individual’s mental well-being and physical health, (2) the focus of physical activity pre contemplative acknowledgement of the negative impact of AN, (3) the focus of physical activity post contemplative acknowledgement of the negative impact of AN, (4) bio-psychosocial factors which influence health engagement in physical activity, (5) social support strategies to change behaviour and prevent relapse, (6) psychological strategies to change behaviour and prevent relapse. Further to these a model entitled the exercise needs model for AN was developed.
Discussion: The results provide a synthesised view of the current knowledge of the role and value of physical activity for individuals with AN. Key psychological determinants of physical activity behaviour as well as strategies to promote physical activity are considered.
Methods: A thematic synthesis was undertaken within 3 stages. This included; (1) a systematic search for articles, (2) a critical appraisal using 3 techniques for different study designs used, and (3) a synthesis of findings.
Results: Data from a total of 122 (4 males) unique peoples with AN, 8 health care professionals, and 20 family members were identified and used within the synthesis. Six themes were identified and included: (1) effects of physical activity on an individual’s mental well-being and physical health, (2) the focus of physical activity pre contemplative acknowledgement of the negative impact of AN, (3) the focus of physical activity post contemplative acknowledgement of the negative impact of AN, (4) bio-psychosocial factors which influence health engagement in physical activity, (5) social support strategies to change behaviour and prevent relapse, (6) psychological strategies to change behaviour and prevent relapse. Further to these a model entitled the exercise needs model for AN was developed.
Discussion: The results provide a synthesised view of the current knowledge of the role and value of physical activity for individuals with AN. Key psychological determinants of physical activity behaviour as well as strategies to promote physical activity are considered.
| Original language | English |
|---|---|
| Journal | Psychiatria Danubina |
| Publication status | Accepted/In press - 4 Oct 2015 |