Eating disorders treatment experiences and social support: Perspectives from service seekers in mainland China.
OBJECTIVE
This study explored treatment experiences and social support among individuals with eating disorders (EDs) in mainland China.


METHOD
Subscribers of a Chinese online social media platform (WeChat) focused on EDs were invited to complete a screening questionnaire that included the Eating Disorder Diagnostic Scale for the DSM-5. Of the 116 questionnaire responses, 31 met inclusion criteria for follow-up interviews. Individuals who never sought treatment were not eligible for follow-up interviews, but provided brief explanations about why they did not seek treatment. All eligible participants (n = 31) completed a semi-structured interview about their experiences with ED treatment and social support. Qualitative data from the interviews and survey responses regarding not seeking treatment were subjected to inductive data-driven thematic analysis with deductive coding to illuminate treatment and social support experiences or reasons for not seeking treatment.


RESULTS
Themes emerged from interviews revealed positive inpatient treatment experiences for anorexia nervosa, but negative outpatient treatment experiences, unaffordable care, and ineffective psychopharmacological treatments. Parents, friends, and partners were sources of social support, but participants largely felt misunderstood or blamed by these same entities. Shame, not recognizing ED as an illness, and financial constraints were listed as the primary reasons for not seeking treatment.


DISCUSSION
The importance of hearing patients' perspectives, improving ED literacy in China, increasing knowledge of culturally specific manifestations of EDs, and developing culturally responsive services and dissemination of treatment resources are emphasized.
['Ma|Ruofan|R|0000-0002-2909-1458', 'Zhang|Manning|M|', 'Oakman|Jonathan M|JM|', 'Wang|Jiping|J|', 'Zhu|Siqi|S|', 'Zhao|Chendi|C|', 'Hu|Zhiyuan|Z|0000-0002-1688-6032', 'Buchanan|NiCole T|NT|0000-0001-9288-5245']
D000553:Ambulatory Care D000856:Anorexia Nervosa D052018:Bulimia Nervosa D002681:China D001068:Feeding and Eating Disorders D033062:Friends D006801:Humans D010290:Parents
eating disorder treatment China qualitative anorexia nervosa accessibility barriers binge eating bulimia nervosa mental health