{"id":"https://openalex.org/W7212371602","doi":"https://doi.org/10.1186/s40337-026-01770-z","title":"A missing dimension? Christian religion, spirituality and eating disorder healthcare: a qualitative study","display_name":"A missing dimension? Christian religion, spirituality and eating disorder healthcare: a qualitative study","publication_year":2026,"publication_date":"2026-09-12","ids":{"openalex":"https://openalex.org/W7212371602","doi":"https://doi.org/10.1186/s40337-026-01770-z"},"language":"en","primary_location":{"id":"doi:10.1186/s40337-026-01770-z","doi":"https://doi.org/10.1186/s40337-026-01770-z","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s40337-026-01770-z","pdf_url":null,"source":{"id":"https://openalex.org/S4210234357","display_name":"Journal of Eating Disorders","issn_l":"2050-2974","issn":["2050-2974"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Eating Disorders","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1186/s40337-026-01770-z","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5046692773","display_name":"Hayley Thomas","orcid":"https://orcid.org/0000-0001-8801-894X","observed_orcids":["https://orcid.org/0000-0001-8801-894X"]},"institutions":[{"id":"https://openalex.org/I165143802","display_name":"The University of Queensland","ror":"https://ror.org/00rqy9422","country_code":"AU","type":"education","lineage":["https://openalex.org/I165143802"]}],"countries":["AU"],"is_corresponding":true,"raw_author_name":"Hayley Thomas","raw_affiliation_strings":["General Practice Clinical Unit, The University of Queensland, Brisbane, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"General Practice Clinical Unit, The University of Queensland, Brisbane, Australia","institution_ids":["https://openalex.org/I165143802"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5068658663","display_name":"Clare C. O\u2019Callaghan","orcid":"https://orcid.org/0000-0002-3180-2781","observed_orcids":["https://orcid.org/0000-0002-3180-2781","https://orcid.org/0000-0003-2820-5465"]},"institutions":[{"id":"https://openalex.org/I165143802","display_name":"The University of Queensland","ror":"https://ror.org/00rqy9422","country_code":"AU","type":"education","lineage":["https://openalex.org/I165143802"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Clare O\u2019Callaghan","raw_affiliation_strings":["General Practice Clinical Unit, The University of Queensland, Brisbane, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"General Practice Clinical Unit, The University of Queensland, Brisbane, Australia","institution_ids":["https://openalex.org/I165143802"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5122708253","display_name":"Megan Best","orcid":"https://orcid.org/0000-0003-1570-8872","observed_orcids":["https://orcid.org/0000-0003-1570-8872"]},"institutions":[{"id":"https://openalex.org/I93396115","display_name":"The University of Notre Dame Australia","ror":"https://ror.org/02stey378","country_code":"AU","type":"education","lineage":["https://openalex.org/I93396115"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Megan Best","raw_affiliation_strings":["Institute for Ethics and Society, The University of Notre Dame Australia, Sydney, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute for Ethics and Society, The University of Notre Dame Australia, Sydney, Australia","institution_ids":["https://openalex.org/I93396115"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Michael Br\u00e4utigam","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802584246","display_name":"Melbourne School of Theology","ror":"https://ror.org/05kdkdw55","country_code":"AU","type":"education","lineage":["https://openalex.org/I2802584246"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Michael Br\u00e4utigam","raw_affiliation_strings":["Centre for Theology and Psychology, Melbourne School of Theology, Melbourne, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Theology and Psychology, Melbourne School of Theology, Melbourne, Australia","institution_ids":["https://openalex.org/I2802584246"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5063914071","display_name":"Thomas Kimber","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802584246","display_name":"Melbourne School of Theology","ror":"https://ror.org/05kdkdw55","country_code":"AU","type":"education","lineage":["https://openalex.org/I2802584246"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Thomas Kimber","raw_affiliation_strings":["Centre for Theology and Psychology, Melbourne School of Theology, Melbourne, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Theology and Psychology, Melbourne School of Theology, Melbourne, Australia","institution_ids":["https://openalex.org/I2802584246"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5011103679","display_name":"Tracey D. Wade","orcid":"https://orcid.org/0000-0003-4402-770X","observed_orcids":["https://orcid.org/0000-0003-4402-770X"]},"institutions":[{"id":"https://openalex.org/I169541294","display_name":"Flinders University","ror":"https://ror.org/01kpzv902","country_code":"AU","type":"education","lineage":["https://openalex.org/I169541294"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Tracey Wade","raw_affiliation_strings":["Flinders Institute for Mental Health and Wellbeing, Flinders University, Adelaide, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Flinders Institute for Mental Health and Wellbeing, Flinders University, Adelaide, Australia","institution_ids":["https://openalex.org/I169541294"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5088968149","display_name":"Nancy Jennifer Sturman","orcid":"https://orcid.org/0000-0002-7124-5553","observed_orcids":["https://orcid.org/0000-0002-7124-5553"]},"institutions":[{"id":"https://openalex.org/I165143802","display_name":"The University of Queensland","ror":"https://ror.org/00rqy9422","country_code":"AU","type":"education","lineage":["https://openalex.org/I165143802"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Nancy Sturman","raw_affiliation_strings":["General Practice Clinical Unit, The University of Queensland, Brisbane, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"General Practice Clinical Unit, The University of Queensland, Brisbane, Australia","institution_ids":["https://openalex.org/I165143802"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5046692773"],"corresponding_institution_ids":["https://openalex.org/I165143802"],"apc_list":{"value":2190,"currency":"USD","value_usd":2190},"apc_paid":{"value":2190,"currency":"USD","value_usd":2190},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.7454332,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10263","display_name":"Eating Disorders and Behaviors","score":0.6776999831199646,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10263","display_name":"Eating Disorders and Behaviors","score":0.6776999831199646,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10509","display_name":"Religion, Spirituality, and Psychology","score":0.31929999589920044,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12873","display_name":"Nutrition, Health and Food Behavior","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2916","display_name":"Nutrition and Dietetics"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/eating-disorders","display_name":"eating disorders","score":0.9629999995231628},{"id":"https://openalex.org/keywords/religion","display_name":"religion","score":0.5680000185966492},{"id":"https://openalex.org/keywords/spirituality","display_name":"spirituality","score":0.9890000224113464},{"id":"https://openalex.org/keywords/christian-faith","display_name":"Christian faith","score":0.8349999785423279},{"id":"https://openalex.org/keywords/eating-disorder-treatment","display_name":"eating disorder treatment","score":0.800000011920929},{"id":"https://openalex.org/keywords/lived-experience","display_name":"lived experience","score":0.6759999990463257},{"id":"https://openalex.org/keywords/individualized-care","display_name":"individualized care","score":0.4860000014305115},{"id":"https://openalex.org/keywords/clinical-framework","display_name":"clinical framework","score":0.6470000147819519},{"id":"https://openalex.org/keywords/recovery","display_name":"recovery","score":0.5920000076293945},{"id":"https://openalex.org/keywords/australia-and-new-zealand","display_name":"Australia and New Zealand","score":0.7390000224113464},{"id":"https://openalex.org/keywords/patient-provider-communication","display_name":"patient-provider communication","score":0.5950000286102295}],"concepts":[{"id":"https://openalex.org/C514793146","wikidata":"https://www.wikidata.org/wiki/Q168796","display_name":"Spirituality","level":3,"score":0.8805999755859375},{"id":"https://openalex.org/C74196892","wikidata":"https://www.wikidata.org/wiki/Q7781188","display_name":"Thematic analysis","level":3,"score":0.6776999831199646},{"id":"https://openalex.org/C2777617010","wikidata":"https://www.wikidata.org/wiki/Q18957","display_name":"Mainstream","level":2,"score":0.6434000134468079},{"id":"https://openalex.org/C2776394216","wikidata":"https://www.wikidata.org/wiki/Q373822","display_name":"Eating disorders","level":2,"score":0.6111999750137329},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.5809000134468079},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.5633999705314636},{"id":"https://openalex.org/C2781316041","wikidata":"https://www.wikidata.org/wiki/Q1230584","display_name":"Diversity (politics)","level":2,"score":0.42989999055862427},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.40880000591278076},{"id":"https://openalex.org/C2776444855","wikidata":"https://www.wikidata.org/wiki/Q5282515","display_name":"Disordered eating","level":3,"score":0.373199999332428},{"id":"https://openalex.org/C3019221131","wikidata":"https://www.wikidata.org/wiki/Q55621107","display_name":"Lived experience","level":2,"score":0.3474999964237213},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.3474000096321106},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.3474000096321106},{"id":"https://openalex.org/C156325361","wikidata":"https://www.wikidata.org/wiki/Q1152864","display_name":"Grounded theory","level":3,"score":0.33340001106262207},{"id":"https://openalex.org/C2778202721","wikidata":"https://www.wikidata.org/wiki/Q209522","display_name":"Binge-eating disorder","level":4,"score":0.3025999963283539},{"id":"https://openalex.org/C542102704","wikidata":"https://www.wikidata.org/wiki/Q183257","display_name":"Psychotherapist","level":1,"score":0.2937999963760376},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.29010000824928284},{"id":"https://openalex.org/C2994416777","wikidata":"https://www.wikidata.org/wiki/Q1081988","display_name":"Spiritual care","level":4,"score":0.2678999900817871},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.2599000036716461},{"id":"https://openalex.org/C3019806175","wikidata":"https://www.wikidata.org/wiki/Q11974939","display_name":"Health professionals","level":3,"score":0.2533000111579895}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1186/s40337-026-01770-z","doi":"https://doi.org/10.1186/s40337-026-01770-z","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s40337-026-01770-z","pdf_url":null,"source":{"id":"https://openalex.org/S4210234357","display_name":"Journal of Eating Disorders","issn_l":"2050-2974","issn":["2050-2974"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Eating Disorders","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1186/s40337-026-01770-z","doi":"https://doi.org/10.1186/s40337-026-01770-z","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s40337-026-01770-z","pdf_url":null,"source":{"id":"https://openalex.org/S4210234357","display_name":"Journal of Eating Disorders","issn_l":"2050-2974","issn":["2050-2974"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Eating Disorders","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9537000060081482,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[{"id":"https://openalex.org/G7434585469","display_name":"Eating Disorders and Christian Spirituality:  An Exploratory and Co-design Approach to Prevention, Whole Person Care and Recovery","funder_award_id":"62963","funder_id":"https://openalex.org/F4320306193","funder_display_name":"John Templeton Foundation"}],"funders":[{"id":"https://openalex.org/F4320306193","display_name":"John Templeton Foundation","ror":"https://ror.org/035tnyy05"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"Eating":[0,345],"disorders":[1,346],"are":[2,34,60,348],"serious":[3,349],"conditions":[4,352],"that":[5,353,362,392,407,476],"require":[6,354],"more":[7,355],"effective,":[8],"individualised":[9],"approaches":[10,39,357],"to":[11,40,133,215,226,325,329,358,400,450,453,480],"care.":[12,43,280,300,344,359,463,483,529],"For":[13,189,375,484],"some":[14,264,294,315,336,376],"people,":[15,377,446],"religious":[16,286,305,502],"and":[17,46,50,54,74,79,88,97,111,121,143,161,196,204,208,218,229,244,247,252,255,273,287,290,292,302,306,309,332,334,350,372,406,431,457,491,495,503,506,512,520],"spiritual":[18,288,307,504],"factors":[19,33],"can":[20],"become":[21],"intertwined":[22,199],"with":[23,81,107,200,317],"eating":[24,41,57,82,100,116,123,205,232,278,318,342],"disorders,":[25],"heightening":[26],"struggle":[27],"and/or":[28,383,441],"supporting":[29],"recovery.":[30,209,388],"However,":[31],"such":[32],"rarely":[35],"considered":[36,526],"in":[37,56,65,86,99,163,186,231,268,277,293,299,335,341,366,461,469,527,535],"mainstream":[38],"disorder":[42,58,83,101,124,206,233,279,343],"Additionally,":[44],"patient":[45],"healthcare":[47,77,125,313,327,397,444],"provider":[48],"attitudes":[49],"experiences":[51,75,267,310,458,522],"concerning":[52,91],"religion":[53,96,195,228,246,272,331,371],"spirituality":[55,98,197,230,248,274,373],"care":[59,217,234,537],"not":[61,192],"well":[62],"understood,":[63],"especially":[64],"contexts":[66],"outside":[67],"the":[68,72,92,187,284],"USA.":[69],"To":[70],"explore":[71,454],"views":[73,456],"of":[76,94,114,271,421,523],"providers":[78,126,328,398],"people":[80,106,428,448],"lived":[84,112],"experience":[85,113],"Australia":[87,430],"New":[89,432],"Zealand":[90,433],"role":[93],"Christian":[95,109,297,339,467],"healthcare.":[102],"Participants":[103,136],"included":[104,240,282],"(a)":[105],"a":[108,164,385,419],"background":[110],"an":[115,148,437],"disorder/s":[117],"(n":[118,127],"=":[119,128],"21)":[120],"(b)":[122],"16;":[129],"six":[130,447],"participants":[131,154,194,265,474,516],"belonged":[132,449],"both":[134,451,518],"groups).":[135],"were":[137,155,172,198,275,478,497,508],"recruited":[138],"through":[139],"media,":[140],"professional":[141,254,511],"organisations":[142],"personal":[144,201],"contacts.":[145],"They":[146],"completed":[147],"initial":[149],"survey,":[150],"from":[151,180,429],"which":[152,269],"31":[153,427],"purposively":[156],"selected":[157],"for":[158,314,387,418,532],"demographic":[159],"diversity":[160],"participated":[162],"semi-structured":[165],"interview":[166],"(mean":[167],"duration":[168],"73":[169],"min).":[170],"Transcripts":[171],"analysed":[173],"using":[174],"thematic":[175],"analysis.":[176],"Three":[177],"themes":[178],"resulted":[179],"analysis:":[181],"(1)":[182],"Relevance:":[183],"\u2018an":[184],"elephant":[185],"room\u2019.":[188],"many,":[190],"though":[191],"all,":[193],"identity,":[202,489],"worldview,":[203],"risk":[207],"Overlooking":[210],"this":[211,470],"could":[212,249],"miss":[213],"opportunities":[214],"personalise":[216],"avoid":[219],"miscommunication.":[220],"(2)":[221],"Reservations:":[222],"\u2018wearing":[223],"gloves\u2019.":[224],"Barriers":[225],"considering":[227,533],"existed":[235],"at":[236],"multiple":[237],"levels.":[238],"These":[239],"uncertainty":[241],"about":[242,402,500],"whether":[243],"how":[245],"be":[250,384,412],"discussed,":[251],"perceived":[253,510],"systemic":[256],"barriers.":[257,514],"(3)":[258],"Responses:":[259],"\u2018working":[260],"with\u2019":[261],"faith.":[262],"Nonetheless,":[263,515],"described":[266,517],"aspects":[270],"incorporated":[276],"Approaches":[281],"exploring":[283,303],"patient\u2019s":[285],"struggles":[289],"supports,":[291],"cases":[295,337],"integrating":[296],"resources":[298,340],"Acknowledging":[301],"individual":[304],"perspectives":[308],"may":[311,379,411],"enhance":[312],"patients":[316,394],"disorders.":[319],"A":[320,530],"clinical":[321],"framework":[322,531],"is":[323,363,370,538],"proposed":[324],"support":[326],"consider":[330],"spirituality,":[333],"incorporate":[338],"(EDs)":[347],"complex":[351],"effective":[356,414],"One":[360],"domain":[361],"largely":[364],"overlooked":[365],"most":[367],"ED":[368,382,438,443,462,482,492,528,536],"treatments":[369],"(R/S).":[374],"R/S":[378,404,460,468,477,486,524,534],"exacerbate":[380],"their":[381,403,455,481,488],"resource":[386],"Emerging":[389],"evidence":[390],"suggests":[391],"many":[393],"would":[395],"like":[396],"(HCPs)":[399],"enquire":[401],"beliefs,":[405],"therapies":[408,417],"incorporating":[409],"these":[410],"as":[413,415],"traditional":[416],"range":[420],"mental":[422],"health":[423],"conditions.":[424],"We":[425,464],"interviewed":[426],"who":[434],"had":[435],"experienced":[436],"(21":[439],"people)":[440],"provided":[442],"(16":[445],"groups)":[452],"regarding":[459],"focused":[465],"on":[466],"study.":[471],"Not":[472],"all":[473],"felt":[475],"relevant":[479],"others,":[485],"affected":[487],"worldview":[490],"experience.":[493],"Patients":[494],"HCPs":[496],"often":[498],"cautious":[499],"raising":[501],"issues,":[505],"there":[507],"also":[509],"system-level":[513],"helpful":[519],"unhelpful":[521],"being":[525],"suggested.":[539]},"counts_by_year":[],"updated_date":"2026-10-14T16:39:01.820549","created_date":"2026-09-13T00:00:00"}
