‘My dad was like “it's your brain, what are you doing?”’: Participant experiences of repetitive transcranial magnetic stimulation treatment in severe enduring anorexia nervosa
Objective Repetitive transcranial magnetic stimulation (rTMS) is a promising emerging treatment for anorexia nervosa (AN). However, to date, patients' views and experiences of this treatment have not been fully explored. To assess these, we integrated a qualitative study into a feasibility rand...
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Veröffentlicht in: | European eating disorders review 2022-05, Vol.30 (3), p.237-249 |
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creator | Dalton, Bethan Austin, Amelia Ching, Brian C. F. Potterton, Rachel McClelland, Jessica Bartholdy, Savani Kekic, Maria Campbell, Iain C. Schmidt, Ulrike |
description | Objective
Repetitive transcranial magnetic stimulation (rTMS) is a promising emerging treatment for anorexia nervosa (AN). However, to date, patients' views and experiences of this treatment have not been fully explored. To assess these, we integrated a qualitative study into a feasibility randomised controlled trial of rTMS in individuals with severe enduring AN.
Method
Twenty‐nine (of 34) trial participants contributed to this study. Semi‐structured interviews were conducted 3‐months following the completion of rTMS treatment (4‐months post‐randomisation), prior to unblinding. Transcripts were analysed using content analysis.
Results
rTMS was deemed an acceptable but time‐consuming treatment. Many emphasised how their lives had changed to some extent during, but mainly after treatment by making them more positive, open‐minded, flexible and willing to try new things in relation to their AN and other aspects of their lives.
Conclusions
These qualitative data will be valuable in shaping participant information, recruitment and planning of future large‐scale trials of rTMS in AN.
Trial Registration
ISRCTN14329415, registered 23rd July 2015, https://www.isrctn.com/ISRCTN14329415
Highlights
This study is the first to systematically explore participants' experiences of repetitive transcranial magnetic stimulation (rTMS) treatment for severe enduring anorexia nervosa (AN), as part of a randomised controlled feasibility trial.
Participants expressed that rTMS was an acceptable but time‐consuming treatment. Many participants who received real rTMS described positive changes in relation to AN and quality of life.
Findings from this qualitative study will help to shape future research of rTMS treatment for AN. |
doi_str_mv | 10.1002/erv.2890 |
format | Article |
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Repetitive transcranial magnetic stimulation (rTMS) is a promising emerging treatment for anorexia nervosa (AN). However, to date, patients' views and experiences of this treatment have not been fully explored. To assess these, we integrated a qualitative study into a feasibility randomised controlled trial of rTMS in individuals with severe enduring AN.
Method
Twenty‐nine (of 34) trial participants contributed to this study. Semi‐structured interviews were conducted 3‐months following the completion of rTMS treatment (4‐months post‐randomisation), prior to unblinding. Transcripts were analysed using content analysis.
Results
rTMS was deemed an acceptable but time‐consuming treatment. Many emphasised how their lives had changed to some extent during, but mainly after treatment by making them more positive, open‐minded, flexible and willing to try new things in relation to their AN and other aspects of their lives.
Conclusions
These qualitative data will be valuable in shaping participant information, recruitment and planning of future large‐scale trials of rTMS in AN.
Trial Registration
ISRCTN14329415, registered 23rd July 2015, https://www.isrctn.com/ISRCTN14329415
Highlights
This study is the first to systematically explore participants' experiences of repetitive transcranial magnetic stimulation (rTMS) treatment for severe enduring anorexia nervosa (AN), as part of a randomised controlled feasibility trial.
Participants expressed that rTMS was an acceptable but time‐consuming treatment. Many participants who received real rTMS described positive changes in relation to AN and quality of life.
Findings from this qualitative study will help to shape future research of rTMS treatment for AN.</description><identifier>ISSN: 1072-4133</identifier><identifier>EISSN: 1099-0968</identifier><identifier>DOI: 10.1002/erv.2890</identifier><identifier>PMID: 35150473</identifier><language>eng</language><publisher>England: John Wiley and Sons, Limited</publisher><subject>Anorexia ; anorexia nervosa ; Anorexia Nervosa - therapy ; Brain ; content analysis ; eating disorders ; Humans ; qualitative ; Qualitative Research ; repetitive transcranial magnetic stimulation (rTMS) ; Transcranial Magnetic Stimulation ; Treatment Outcome</subject><ispartof>European eating disorders review, 2022-05, Vol.30 (3), p.237-249</ispartof><rights>2022 The Authors. European Eating Disorders Review published by Eating Disorders Association and John Wiley & Sons Ltd.</rights><rights>2022. This article is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4380-8330016385e8e2782d501bd1a17556460a5c1d555f67c523388c10864b84b5993</citedby><cites>FETCH-LOGICAL-c4380-8330016385e8e2782d501bd1a17556460a5c1d555f67c523388c10864b84b5993</cites><orcidid>0000-0002-4323-4814 ; 0000-0002-4979-4847 ; 0000-0003-0898-1926</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Ferv.2890$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Ferv.2890$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35150473$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dalton, Bethan</creatorcontrib><creatorcontrib>Austin, Amelia</creatorcontrib><creatorcontrib>Ching, Brian C. F.</creatorcontrib><creatorcontrib>Potterton, Rachel</creatorcontrib><creatorcontrib>McClelland, Jessica</creatorcontrib><creatorcontrib>Bartholdy, Savani</creatorcontrib><creatorcontrib>Kekic, Maria</creatorcontrib><creatorcontrib>Campbell, Iain C.</creatorcontrib><creatorcontrib>Schmidt, Ulrike</creatorcontrib><title>‘My dad was like “it's your brain, what are you doing?”’: Participant experiences of repetitive transcranial magnetic stimulation treatment in severe enduring anorexia nervosa</title><title>European eating disorders review</title><addtitle>Eur Eat Disord Rev</addtitle><description>Objective
Repetitive transcranial magnetic stimulation (rTMS) is a promising emerging treatment for anorexia nervosa (AN). However, to date, patients' views and experiences of this treatment have not been fully explored. To assess these, we integrated a qualitative study into a feasibility randomised controlled trial of rTMS in individuals with severe enduring AN.
Method
Twenty‐nine (of 34) trial participants contributed to this study. Semi‐structured interviews were conducted 3‐months following the completion of rTMS treatment (4‐months post‐randomisation), prior to unblinding. Transcripts were analysed using content analysis.
Results
rTMS was deemed an acceptable but time‐consuming treatment. Many emphasised how their lives had changed to some extent during, but mainly after treatment by making them more positive, open‐minded, flexible and willing to try new things in relation to their AN and other aspects of their lives.
Conclusions
These qualitative data will be valuable in shaping participant information, recruitment and planning of future large‐scale trials of rTMS in AN.
Trial Registration
ISRCTN14329415, registered 23rd July 2015, https://www.isrctn.com/ISRCTN14329415
Highlights
This study is the first to systematically explore participants' experiences of repetitive transcranial magnetic stimulation (rTMS) treatment for severe enduring anorexia nervosa (AN), as part of a randomised controlled feasibility trial.
Participants expressed that rTMS was an acceptable but time‐consuming treatment. Many participants who received real rTMS described positive changes in relation to AN and quality of life.
Findings from this qualitative study will help to shape future research of rTMS treatment for AN.</description><subject>Anorexia</subject><subject>anorexia nervosa</subject><subject>Anorexia Nervosa - therapy</subject><subject>Brain</subject><subject>content analysis</subject><subject>eating disorders</subject><subject>Humans</subject><subject>qualitative</subject><subject>Qualitative Research</subject><subject>repetitive transcranial magnetic stimulation (rTMS)</subject><subject>Transcranial Magnetic Stimulation</subject><subject>Treatment Outcome</subject><issn>1072-4133</issn><issn>1099-0968</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><recordid>eNp1kt9qFDEUxgdRbF0Fn0ACXtgLpyaTyUymF0op9Q9UFFFvw5nM2W3qTLImmd3u3T6Ggj6H77NPYtbWRQUJJOHkx3e-k3Oy7D6jh4zS4gn6xWEhG3oj22e0aXLaVPLm9l4Xeck438vuhHBBaYoLeTvb44IJWtZ8P_uxWX95vSIddGQJgfTmE5LN-puJjwJZudGT1oOxj8nyHCIBj9sg6Zyxs2eb9ffN-usReQs-Gm3mYCPByzl6g1ZjIG5KPM4xmmgWSKIHG3TaDPRkgJlND5qEaIaxh2icTQRCHDCpGEsCLjBlQ9uNPiUjYJ3HSwPEplpdgLvZrSn0Ae9dn5Psw_PT9ycv87M3L16dHJ_luuSS5pJzSlnFpUCJRS2LTlDWdgxYLURVVhSEZp0QYlrVWhScS6kZlVXZyrIVTcMn2dMr3fnYDtjpZM9Dr-beDOBXyoFRf79Yc65mbqEaTkuW0k-yg2sB7z6PGKIaTNDY92DRjUEVVSGTR85YQh_-g16kDthUXqLKSjZcprUT1N6F4HG6M8Oo2k6DSj-kttOQ0Ad_mt-Bv9ufgPwKWJoeV_8VUqfvPv4S_Amn0cT2</recordid><startdate>202205</startdate><enddate>202205</enddate><creator>Dalton, Bethan</creator><creator>Austin, Amelia</creator><creator>Ching, Brian C. F.</creator><creator>Potterton, Rachel</creator><creator>McClelland, Jessica</creator><creator>Bartholdy, Savani</creator><creator>Kekic, Maria</creator><creator>Campbell, Iain C.</creator><creator>Schmidt, Ulrike</creator><general>John Wiley and Sons, Limited</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-4323-4814</orcidid><orcidid>https://orcid.org/0000-0002-4979-4847</orcidid><orcidid>https://orcid.org/0000-0003-0898-1926</orcidid></search><sort><creationdate>202205</creationdate><title>‘My dad was like “it's your brain, what are you doing?”’: Participant experiences of repetitive transcranial magnetic stimulation treatment in severe enduring anorexia nervosa</title><author>Dalton, Bethan ; Austin, Amelia ; Ching, Brian C. F. ; Potterton, Rachel ; McClelland, Jessica ; Bartholdy, Savani ; Kekic, Maria ; Campbell, Iain C. ; Schmidt, Ulrike</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4380-8330016385e8e2782d501bd1a17556460a5c1d555f67c523388c10864b84b5993</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Anorexia</topic><topic>anorexia nervosa</topic><topic>Anorexia Nervosa - therapy</topic><topic>Brain</topic><topic>content analysis</topic><topic>eating disorders</topic><topic>Humans</topic><topic>qualitative</topic><topic>Qualitative Research</topic><topic>repetitive transcranial magnetic stimulation (rTMS)</topic><topic>Transcranial Magnetic Stimulation</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dalton, Bethan</creatorcontrib><creatorcontrib>Austin, Amelia</creatorcontrib><creatorcontrib>Ching, Brian C. F.</creatorcontrib><creatorcontrib>Potterton, Rachel</creatorcontrib><creatorcontrib>McClelland, Jessica</creatorcontrib><creatorcontrib>Bartholdy, Savani</creatorcontrib><creatorcontrib>Kekic, Maria</creatorcontrib><creatorcontrib>Campbell, Iain C.</creatorcontrib><creatorcontrib>Schmidt, Ulrike</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Wiley Online Library (Open Access Collection)</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European eating disorders review</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dalton, Bethan</au><au>Austin, Amelia</au><au>Ching, Brian C. F.</au><au>Potterton, Rachel</au><au>McClelland, Jessica</au><au>Bartholdy, Savani</au><au>Kekic, Maria</au><au>Campbell, Iain C.</au><au>Schmidt, Ulrike</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>‘My dad was like “it's your brain, what are you doing?”’: Participant experiences of repetitive transcranial magnetic stimulation treatment in severe enduring anorexia nervosa</atitle><jtitle>European eating disorders review</jtitle><addtitle>Eur Eat Disord Rev</addtitle><date>2022-05</date><risdate>2022</risdate><volume>30</volume><issue>3</issue><spage>237</spage><epage>249</epage><pages>237-249</pages><issn>1072-4133</issn><eissn>1099-0968</eissn><abstract>Objective
Repetitive transcranial magnetic stimulation (rTMS) is a promising emerging treatment for anorexia nervosa (AN). However, to date, patients' views and experiences of this treatment have not been fully explored. To assess these, we integrated a qualitative study into a feasibility randomised controlled trial of rTMS in individuals with severe enduring AN.
Method
Twenty‐nine (of 34) trial participants contributed to this study. Semi‐structured interviews were conducted 3‐months following the completion of rTMS treatment (4‐months post‐randomisation), prior to unblinding. Transcripts were analysed using content analysis.
Results
rTMS was deemed an acceptable but time‐consuming treatment. Many emphasised how their lives had changed to some extent during, but mainly after treatment by making them more positive, open‐minded, flexible and willing to try new things in relation to their AN and other aspects of their lives.
Conclusions
These qualitative data will be valuable in shaping participant information, recruitment and planning of future large‐scale trials of rTMS in AN.
Trial Registration
ISRCTN14329415, registered 23rd July 2015, https://www.isrctn.com/ISRCTN14329415
Highlights
This study is the first to systematically explore participants' experiences of repetitive transcranial magnetic stimulation (rTMS) treatment for severe enduring anorexia nervosa (AN), as part of a randomised controlled feasibility trial.
Participants expressed that rTMS was an acceptable but time‐consuming treatment. Many participants who received real rTMS described positive changes in relation to AN and quality of life.
Findings from this qualitative study will help to shape future research of rTMS treatment for AN.</abstract><cop>England</cop><pub>John Wiley and Sons, Limited</pub><pmid>35150473</pmid><doi>10.1002/erv.2890</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0002-4323-4814</orcidid><orcidid>https://orcid.org/0000-0002-4979-4847</orcidid><orcidid>https://orcid.org/0000-0003-0898-1926</orcidid><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; Access via Wiley Online Library |
subjects | Anorexia anorexia nervosa Anorexia Nervosa - therapy Brain content analysis eating disorders Humans qualitative Qualitative Research repetitive transcranial magnetic stimulation (rTMS) Transcranial Magnetic Stimulation Treatment Outcome |
title | ‘My dad was like “it's your brain, what are you doing?”’: Participant experiences of repetitive transcranial magnetic stimulation treatment in severe enduring anorexia nervosa |
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