CoChat
Sign Up
Cited by 37Eating Disorders and BehaviorsNutrition, Health and Food BehaviorChild Nutrition and Feeding Issues

Harm minimization in severe and enduring anorexia nervosa

Russell, Janice, Mulvey, Bridget, Bennett, Hayley, Donnelly, Brooke, Frig, Elizabeth·2019·International Review of Psychiatry
DOI 10.1080/09540261.2019.1601073
Open this paper in CoChat — free account

Abstract

For many sufferers of anorexia nervosa, the time course is long, and the prospect of disability and family burden great. This is all too often the case, even with early diagnosis and treatment. The term severe and enduring anorexia nervosa has been applied to these survivors. Yet, a majority of patients do eventually recover and, even where this is not the case, adaptive medical stability and function can be maintained despite alarming dilapidation. Managing the years of illness so as to have the best outcome physically and psychologically, even where full weight recovery does not occur, or has not yet occurred, is the topic of this article. Literature pertaining to harm minimization in chronic, severe, enduring, and long-standing anorexia nervosa was selectively reviewed using an Ovid data base and Google Scholar. The authors’ own clinical experience over almost four decades in public and private hospital and community settings has also informed much of what has been written. The authors would like to think that it is possible to do better than the familiar injunction (variously attributed to Hippocrates, Galen, and others) of ‘primum non nocere’—although this is a good place to start.

Integrity signals

Registry

Crossref · 10.1080/09540261.2019.1601073

Cites

46 of 46 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Related

Authors
Russell, J., Mulvey, B., Bennett, H., Donnelly, B., & Frig, E.
Affiliations
Royal Prince Alfred Hospital (AU)
Corresponding author
Russell, Janice
ORCID
Venue
International Review of Psychiatry
Publisher
Informa UK Limited
Published
2019-05-10
Volume
31
Issue
4
Pages
391-402
ISSN
  • 0954-0261 (ISSN-L)
  • 1369-1627
DOI
10.1080/09540261.2019.1601073
OpenAlex
W2944031577
Cited by
37
References
46
Citations by year
2026: 3 · 2025: 7 · 2024: 8 · 2023: 6 · 2022: 4 · 2021: 4 · 2020: 3 · 2019: 2
FWCI
0.51
Type
journal article
Language
en
Open access
closed
Locations
  • International Review of Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
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
harm reduction, severe and enduring anorexia nervosa, chronic anorexia nervosa, weight recovery, psychological outcomes, family burden, disability, non-maleficence
MeSH terms
Anorexia Nervosa, Humans, Patient Education as Topic, Psychotherapy, Social Support, Harm Reduction

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review