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Defining recovery from an eating disorder: Conceptualization, validation, and examination of psychosocial functioning and psychiatric comorbidity
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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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“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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Metadata
- 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)
- PMC
- PMC2829357
- 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
- green
- www.ncbi.nlm.nih.gov
- 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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