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

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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

DOI 10.1016/j.brat.2009.11.001PMC PMC2829357

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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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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)
DOI: 10.1016/j.brat.2009.11.001
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
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
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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Defining recovery from an eating disorder: Conceptualization, validation, and examination of psychosocial functioning and psychiatric comorbidity

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