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Just like fireworks in my brain: a Swedish interview study on experiences of emotionsin female patients with eating disorders
Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry. Region Kalmar County, Sweden.ORCID iD: 0000-0002-4811-2090
Region Kalmar County, Sweden.
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.ORCID iD: 0000-0003-1515-0485
2021 (English)In: Journal of Eating Disorders, E-ISSN 2050-2974, Vol. 9, p. 1-9, article id 24Article in journal (Refereed) Published
Abstract [en]

Background: Patients with eating disorders have reported poorer emotional awareness, more emotional suppression, less use of adaptive emotional regulation strategies, and more use of maladaptive emotional regulation strategies compared to people in healthy control groups.

Aim: To explore experiences of emotions by a transdiagnostic sample of patients with eating disorders.

Method: Nine patients with different eating disorder diagnoses at an eating disorder outpatient clinic in Swedenwere interviewed for their thoughts on emotions. The interviews were analyzed with Thematic Analysis.

Result: Four themes were constructed: “Not knowing what one feels”, “Switch off, run away, or hide behind amask”, “Emotions in a lifelong perspective”, and “Using eating behaviours to regulate emotions”. The patients described uncertainty regarding whether they experienced emotions correctly. They described how they tried to avoid difficult emotions through suppressive strategies and eating disorder behaviour. All described strategies were inefficient and all emotions were experienced as problematic, even joy. Since joy was used as a mask, the real experience of happiness was lost and mourned.

Conclusion: All kinds of emotions were considered problematic to experience, but shame, fear, and sadness were considered worst. It is difficult to know if the emotional difficulties preceded an eating disorder, however such difficulties may have increased as a result of the eating disorder.

Place, publisher, year, edition, pages
BioMed Central, 2021. Vol. 9, p. 1-9, article id 24
Keywords [en]
Eating disorders; Emotion regulation; Qualitative interview; Thematic analysis
National Category
Applied Psychology
Research subject
Social Sciences, Psychology
Identifiers
URN: urn:nbn:se:lnu:diva-101324DOI: 10.1186/s40337-021-00371-2ISI: 000620942900002PubMedID: 33597045Scopus ID: 2-s2.0-85101077543OAI: oai:DiVA.org:lnu-101324DiVA, id: diva2:1530955
Available from: 2021-02-24 Created: 2021-02-24 Last updated: 2023-11-13Bibliographically approved

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Petersson, SuzannePerseius, Kent-Inge

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