Cited by 392Eating Disorders and BehaviorsNutrition, Health and Food BehaviorChild Nutrition and Feeding Issues

Defining recovery from an eating disorder: conceptualization, validation, and examination of psychosocial functioning and psychiatric comorbidity

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Bardone-Cone, Anna M., Harney, Megan B., Maldonado, Christine R., Lawson, Melissa A., Robinson, D. Paul, Smith, Roma, Tosh, Aneesh·2010·Behaviour Research and Therapy

Abstract

Conceptually, eating disorder recovery should include physical, behavioral, and psychological components, but such a comprehensive approach has not been consistently employed. Guided by theory and recent recovery research, we identified a "fully recovered" group (n = 20) based on physical (body mass index), behavioral (absence of eating disorder behaviors), and psychological (Eating Disorder Examination-Questionnaire) indices, and compared them with groups of partially recovered (n = 15), active eating disorder (n = 53), and healthy controls (n = 67). The fully recovered group was indistinguishable from controls on all eating disorder-related measures used, while the partially recovered group was less disordered than the active eating disorder group on some measures, but not on body image. Regarding psychosocial functioning, both the fully and partially recovered groups had psychosocial functioning similar to the controls, but there was a pattern of more of the partially recovered group reporting eating disorder aspects interfering with functioning. Regarding other psychopathology, the fully recovered group was no more likely than the controls to experience current Axis I pathology, but they did have elevated rates of current anxiety disorder. Results suggest that a stringent definition of recovery from an eating disorder is meaningful. Clinical implications and future directions regarding defining eating disorder recovery are discussed.

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Crossref · 10.1016/j.brat.2009.11.001

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  • No consensus definition of anorexia nervosa recovery exists.

    “Because no consensus definition of AN recovery exists (Bardone-Cone et al., 2010, Hoek, 2006, Pike, 1998)”

    From Factors associated with recovery from anorexia nervosa (2013) · cites this paper as Bardone-Cone et al., 2010

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  1. First MB Spitzer RL Gibbon M Williams JB Structured Clinical Interview for the DSM-IV Axis I disorders – Patient edition (SCID-I/P, version 2) 1995 New York State Psychiatric Institute, Biometrics Research Department New York

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Authors
Bardone-Cone, A. M., Harney, M. B., Maldonado, C. R., Lawson, M. A., Robinson, D. P., Smith, R., & Tosh, A.
Affiliations
  • University of North Carolina at Chapel Hill (US)
  • University of Missouri (US)
Venue
Behaviour Research and Therapy
Publisher
Elsevier BV
Published
2010-03
Volume
48
Issue
3
Pages
194-202
ISSN
0005-7967 (ISSN-L)
OpenAlex
W2078494219
Cited by
392
References
70
Citations by year
2026: 25 · 2025: 23 · 2024: 29 · 2023: 29 · 2022: 32 · 2021: 35 · 2020: 38 · 2019: 29 · 2018: 29 · 2017: 21 · 2016: 22 · 2015: 16 · 2014: 19 · 2013: 13 · 2012: 17
FWCI
10.49
Type
journal article
Language
en
Open access
Locations
  • Behaviour Research and Therapy (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
  • UNC Libraries
Funders
University of Missouri
Topics
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
  • Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
Keywords
eating disorder recovery, recovery definition, body mass index, eating disorder behaviors, Eating Disorder Examination Questionnaire, body image, psychosocial functioning, psychiatric comorbidity, anxiety disorders, eating disorder severity
MeSH terms
Anxiety Disorders, Feeding and Eating Disorders, Mental Disorders, Body Image, Feeding Behavior, Female, Humans, Interpersonal Relations, Interview, Psychological, Models, Psychological, Surveys and Questionnaires, Comorbidity, Body Mass Index, Treatment Outcome, Young Adult

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