Long-term outcome of children and adolescents with anorexia nervosa: study of comorbidity

Saccomani, L.; Savoini, M.; Cirrincione, Maurizio; Vercellino, Fabiana; Ravera, Giambattista

doi:10.1016/s0022-3999(97)00210-9

Cited by 77 publications

(61 citation statements)

References 17 publications

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“…Previous research into recovering from AN has predominantly focused on defining the recovery from AN the patient perspective [1][2][3][4][5][6] and looked at predictors of recovery using quantitative criteria such as length of treatment and follow up or age at onset [7][8][9] with mixed results.…”

mentioning

confidence: 99%

Becoming ‘whole’ again: A qualitative study of women's views of recovering from anorexia nervosa

Jenkins

Ogden

2011

Euro Eating Disorders Rev

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Objectives: The study explored women's perceptions of their recovery process and what recovery means to them in order to gain a better understanding of the predictors of recovery from anorexia nervosa (AN).Method: The data were analysed usingInterpretative Phenomenological Analysis (IPA). Semi-structured telephone interviews were carried out with fifteen women who received a diagnosis of AN and defined themselves as recovered/in recovery. The women were recruited from beat. Results:The women described their experiences in terms of four broad areas; being anorexic; dissatisfaction with treatment; process of change; and being recovered. Whilst anorexic, women experienced a series of dichotomies. In particular, they described splits between mind and body, AN behaviour and cognitions and rational and irrational side. Recovery occurred when the above dichotomies became resolved. Conclusion:Recovery occurs only when an individual becomes "whole" again, which is a lengthy psychological process. Therefore, it is also essential that therapy is not discontinued after patients reach their target weight.

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confidence: 99%

Becoming ‘whole’ again: A qualitative study of women's views of recovering from anorexia nervosa

Jenkins

Ogden

2011

Euro Eating Disorders Rev

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“…While the above changes are sina qua non for achieving remission, it has been reported that when only these somatic criteria were considered, 79% of AN patients were considered recovered; when psychological criteria were taken into account, however, the recovery rate fell to 49% [16]. Moreover, a common observation in clinical practice is that when some patients "recover" from ED symptomatology, they become extremely anxious, distressed or even depressed.…”

Section: Subjective Vs Objective Recoverymentioning

confidence: 99%

The Patient’s Perspective: Exploring Factors that Contribute to Recovery from Eating Disorders

Gonidakis¹,

Karapavlou²

2017

Eating Disorders - A Paradigm of the Biopsychosocial Model of Illness

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Eating Disorders (EDs) are quite distinct and difficult to treat mental disorders. Remarkably, when reviewing studies on the recovery process of ED's, the patients' experience of the therapeutic process has rarely been taken into account. To address the issue of the patients perspective on their recovery a study was conducted among ED patients. The main aims of the study were to investigate treatment factors, according to the patients view, that contributed to their recovery. Also, if there was any significant improvement within the first six months of the treatment and whether subjective improvement was in accordance with objective ED improvement and finally possible, if any, differences between different diagnostic groups.Overall, four major conclusions were produced. First, most of the patients appreciate a structured therapy in a specialized unit for EDs with a caring therapist that can form a strong therapeutic alliance with them. Second, most of the patients regard as recovery a change that goes beyond ED symptomatology to a more "holistic" improvement. Third, the patients opinion on therapy and recovery is not influenced by the diagnosis of the ED. Finally, the opinion of the patient and the objective evaluation of recovery present more similarities than differences.

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“…Fichter and Quadflieg (1999) found that the presence of a co-morbid psychiatric illness was predictive of an unfavourable eating disorder outcome at 2 and 6 year follow up after initial treatment. More specifically Saccomani et al (1998) found that co-morbid mood or personality disorders were predictors of negative prognosis at long term follow up. Similarly, a review of longitudinal studies and random controlled trials by Crane, Roberts and Treasure (2007) found that in the majority of cases, co-morbid anxiety disorders, specifically obsessive compulsive traits, were predictors of negative outcome in eating disorders, possibly suggesting that co-morbidities may interfere with the process of recovery in eating disorders patients.…”

Section: Introductionmentioning

confidence: 99%

Assessing the Impact on Patient Health of Attending a Day Treatment Programme for Eating Disorders

Wolfe

Ogden

Clare

2009

Mental Health Review Journal

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A repeated measures cohort study was conducted to investigate the impact of attending a day treatment programme on physical and psychological state, and to assess which baseline factors predicted level of recovery. Physical and psychological outcomes of treatment were analysed for 116 patients admitted to the treatment programme between 1996 and 2006 and were found to be in line with previous day care evaluations, with the majority of patients showing improvements on all measures. A multiple regression analysis revealed several factors to be predictive of treatment outcomes including patient demographics, comorbidities and traumatic life events. In particular, those patients who benefited most from the treatment had a lower body mass index at admission, stayed longer at the unit, were older, less likely to have other physical and psychiatric comorbidities, particularly obsessive compulsive disorder or a history of sexual abuse, and whose most predominant eating disorder problem was characterised by low weight.

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Long-term outcome of children and adolescents with anorexia nervosa: study of comorbidity

Cited by 77 publications

References 17 publications

Becoming ‘whole’ again: A qualitative study of women's views of recovering from anorexia nervosa

Becoming ‘whole’ again: A qualitative study of women's views of recovering from anorexia nervosa

The Patient’s Perspective: Exploring Factors that Contribute to Recovery from Eating Disorders

Assessing the Impact on Patient Health of Attending a Day Treatment Programme for Eating Disorders

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