Participants stated that blind weighing decreased anxiety and eating disorder psychopathology (e.g., weight preoccupation) and increased treatment responsivity. Qualitative analyses yielded five themes: (1) therapy engagement and progress (2) Control and tolerance of weight uncertainty (3) treatment team relationships and autonomy (4) life outside of treatment and (5) weighing practice preferences and rationale. Participant demographics, clinical characteristics, weighing anxiety and weight concerns were also assessed. Interviews were audiotaped, transcribed verbatim and analysed thematically using framework methods. Semi-structured qualitative interviews were conducted with 41 women with a current or past diagnosis of Anorexia or Bulimia Nervosa: 26 were undergoing specialist inpatient treatment ( n = 13 being blind weighed n = 13 being open weighed) and 15 were community members who have recovered from an eating disorder. In addition, little is known about patients’ perspectives of open and blind weighing and which weighing practice they view as more acceptable and/or beneficial for their treatment. Despite considerable debate about this issue in the literature, there is no empirical evidence supporting the superiority of one weighing approach over the other. Most treatment protocols advocate for open weighing, however, many clinicians choose to use blind weighing, especially during the early phase of treatment. Weighing is a key component in the treatment of eating disorders.
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