Aspects of Self-Concept and Eating Disorder Recovery: What Does the Sense of Self Look Like When an Individual Recovers from an Eating Disorder?
Abstract
This research examined the relations between aspects of self-concept and various stages of eating disorder recovery. Individuals formerly seen for an eating disorder at a Midwestern clinic were categorized as having an active eating disorder (n = 53) or as partially recovered (n = 15) or as fully recovered (n = 20) using a comprehensive recovery definition whereby full recovery included physical, behavioral, and psychological recovery and partial recovery included only physical and behavioral recovery. The self-concepts of these groups were compared to each other and to 67 controls. The fully recovered group had higher self-esteem, higher self-directedness, and lower levels of the imposter phenomenon than individuals who were partially recovered or those who met criteria for an eating disorder, as well as higher self-efficacy than the active eating disorder group. Fully recovered individuals also looked better in terms of specific domains of self-concept (e.g., intimacy, sociability, etc.) when compared to the active eating disorder group. Results provide evidence that fully recovered individuals were comparable to controls on all measures of self-concept. Partially recovered individuals, however, were more similar to active eating disorder cases, suggesting that improved self-concept may be an integral part of full eating disorder recovery. Additionally, these results provide further support for a more comprehensive definition of recovery which acknowledges the psychological aspects of an eating disorder.
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The definition of recovery from EDs lacks consensus, partly due to conflicting criteria for relapse and recovery.
“The definition of recovery3 from EDs itself lacks consensus, based in part due to conflicting criteria for relapse and recovery [118–120].”
From A lived experience response to the proposed diagnosis of terminal anorexia nervosa: learning from iatrogenic harm, ambivalence and enduring hope (2023) · cites this paper as [120]
Cites
Self-efficacy: Toward a unifying theory of behavioral change
Bandura, A. (1977) · Psychological Review · doi:10.1037/0033-295x.84.2.191 · Cited by 43,925 · see citing works
Discovering Statistics Using SPSS
Field, A. P., & Miles, J. N. V. (2000) · Medical Entomology and Zoology · Cited by 28,268 · see citing works
Self-efficacy: Toward a unifying theory of behavioral change
Bandura, A. (1978) · Advances in Behaviour Research and Therapy · doi:10.1016/0146-6402(78)90002-4 · Cited by 10,586 · see citing works
A psychobiological model of temperament and character
Cloninger, C. R. (1993) · Archives of General Psychiatry · doi:10.1001/archpsyc.1993.01820240059008 · Cited by 5,458 · see citing works
The Self-Efficacy Scale: Construction and Validation
Sherer, M., Maddux, J. E., Mercandante, B., Prentice-Dunn, S., Jacobs, B., & Rogers, R. W. (1982) · Psychological Reports · doi:10.2466/pr0.1982.51.2.663 · Cited by 4,028 · see citing works
The Dynamic Self-Concept: A Social Psychological Perspective
Markus, H., & Wurf, E. (1987) · Annual Review of Psychology · doi:10.1146/annurev.ps.38.020187.001503 · Cited by 3,089 · see citing works
Risk and maintenance factors for eating pathology: A meta-analytic review.
Stice, E. M. (2002) · Psychological Bulletin · doi:10.1037/0033-2909.128.5.825 · Cited by 2,531 · see citing works
The development and validation of the body shape questionnaire
Cooper, P., Taylor, M., Cooper, Z., & Fairbum, C. G. (1987) · International Journal of Eating Disorders · doi:10.1002/1098-108x(198707)6:4 · Cited by 2,178 · see citing works
Misunderstanding analysis of covariance.
Miller, G. A., & Chapman, J. P. (2001) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.110.1.40 · Cited by 2,136 · see citing works
(2008) · Cited by 1,397 · see citing works
Comorbidity of Anxiety Disorders With Anorexia and Bulimia Nervosa
Kaye, W. H., Bulik, C. M., Thornton, L., Barbarich, N., Masters, K., & the Price Foundation Collaborative Group (2004) · American Journal of Psychiatry · doi:10.1176/appi.ajp.161.12.2215 · Cited by 1,162 · see citing works
Personality and eating disorders: A decade in review
Cassin, S. E., & von Ranson, K. M. (2005) · Clinical Psychology Review · doi:10.1016/j.cpr.2005.04.012 · Cited by 832 · see citing works
Perceptual and Conceptual Disturbances in Anorexia Nervosa
Bruch, H. (1962) · Psychosomatic Medicine · doi:10.1097/00006842-196203000-00009 · Cited by 760 · see citing works
The self in social psychology.
Baumeister, R. F. (1999) · Psychology Press eBooks · Cited by 730 · see citing works
Eating disorder examination questionnaire (EDE-Q): norms for young adult women
Mond, J. M., Hay, P. J., Rodgers, B., & Owen, C. (2006) · Behaviour Research and Therapy · doi:10.1016/j.brat.2004.12.003 · Cited by 681 · see citing works
The Eating Disorder Examination (12th edition).
Fairburn, C. G., & Cooper, Z. (1993) · Cited by 638 · see citing works
Postremission predictors of relapse in women with eating disorders
Keel, P. K., Dorer, D. J., Franko, D. L., Jackson, S. C., & Herzog, D. B. (2005) · American Journal of Psychiatry · doi:10.1176/appi.ajp.162.12.2263 · Cited by 417 · see citing works
Validation of the Clance Imposter Phenomenon Scale
Chrisman, S. M., Pieper, W. A., Clance, P. R., Holland, C. L., & Glickauf-Hughes, C. (1995) · Journal of Personality Assessment · doi:10.1207/s15327752jpa6503_6 · Cited by 395 · see citing works
Bardone-Cone, A. M., Harney, M. B., Maldonado, C. R., Lawson, M. A., Robinson, D. P., Smith, R., & Tosh, A. (2010) · Behaviour Research and Therapy · doi:10.1016/j.brat.2009.11.001 · Cited by 392 · see citing works
Self-citationRelapse in anorexia nervosa: a survival analysis
CARTER, J. C., BLACKMORE, E., SUTANDAR-PINNOCK, K., & WOODSIDE, D. B. (2004) · Psychological Medicine · doi:10.1017/s0033291703001168 · Cited by 389 · see citing works
Confirmatory factor analysis of the General Self-Efficacy Scale
Bosscher, R. J., & Smit, J. H. (1998) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(98)00025-4 · Cited by 383 · see citing works
Covering up what can't be seen: Concealable stigma and mental control.
Smart, L., & Wegner, D. M. (1999) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.77.3.474 · Cited by 373 · see citing works
Grilo, C. M., Masheb, R. M., & Wilson, G. T. (2001) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.69.2.317 · Cited by 365 · see citing works
Cognitive-behavioral therapy for bulimia nervosa: Time course and mechanisms of change.
Wilson, G. T., Fairburn, C. G., Agras, W. S., Walsh, B. T., & KRAEMER, H. C. (2002) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.70.2.267 · Cited by 317 · see citing works
Symptom fluctuation in eating disorders: correlates of diagnostic crossover
Tozzi, F., Thornton, L. M., Klump, K. L., Fichter, M. M., Halmi, K. A., Kaplan, A. S., Strober, M., Woodside, D. B., Crow, S., Mitchell, J., et al. (2005) · American Journal of Psychiatry · doi:10.1176/appi.ajp.162.4.732 · Cited by 317 · see citing works
The Impostor Phenomenon: Overcoming the Fear That Haunts Your Success
Clance, P. R. (1985) · Cited by 311 · see citing works
Reliability of the structured clinical interview for DSM-iII-R: an evaluative review
Segal, D. L., Hersen, M., & Van Hasselt, V. B. (1994) · Comprehensive Psychiatry · doi:10.1016/0010-440x(94)90025-6 · Cited by 293 · see citing works
Heatherton, T. F., & Wyland, C. L. (2003) · American Psychological Association eBooks · doi:10.1037/10612-014 · Cited by 290 · see citing works
Perceived Fraudulence in Young Adults: Is There an 'Imposter Syndrome'?
Kolligian, J., & Sternberg, R. J. (1991) · Journal of Personality Assessment · doi:10.1207/s15327752jpa5602_10 · Cited by 262 · see citing works
Fairburn, C. G., Peveler, R., Jones, R., Hope, R. A., & al, E. (1993) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.61.4.696 · Cited by 260 · see citing works
Interpreting Interpersonal Behavior: The Effects of Expectancies
JONES, E. E. (1986) · Science · doi:10.1126/science.234.4772.41 · Cited by 248 · see citing works
What is recovery in adolescent anorexia nervosa?
Couturier, J. L., & Lock, J. (2006) · International Journal of Eating Disorders · doi:10.1002/eat.20309 · Cited by 235 · see citing works
Causes and recovery in anorexia nervosa: The patient's perspective
Tozzi, F., Sullivan, P. F., Fear, J. L., McKenzie, J. M., & Bulik, C. M. (2003) · International Journal of Eating Disorders · doi:10.1002/eat.10120 · Cited by 232 · see citing works
The patient's account of relapse and recovery in anorexia nervosa: a qualitative study
Federici, A., & Kaplan, A. S. (2007) · European Eating Disorders Review · doi:10.1002/erv.813 · Cited by 230 · see citing works
Fairburn, C. G., Peveler, R., Jones, R., et al. (1993) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.61.4.696 · Cited by 220 · see citing works
Alterations in Serotonin Activity and Psychiatric Symptoms After Recovery From Bulimia Nervosa
Kaye, W. H., Greeno, C. G., Moss, H. B., Fernstrom, J. D., Fernstrom, M. H., Lilenfeld, L., Weltzin, T. E., & Mann, J. J. (1998) · Archives of General Psychiatry · doi:10.1001/archpsyc.55.10.927 · Cited by 209 · see citing works
Measuring the Impostor Phenomenon: A Comparison of Clance's IP Scale and Harvey's I-P Scale
Holmes, S. W., Kertay, L., Adamson, L. B., Holland, C., & Clance, P. R. (1993) · Journal of Personality Assessment · doi:10.1207/s15327752jpa6001_3 · Cited by 207 · see citing works
LILENFELD, L. R. R., STEIN, D., BULIK, C. M., STROBER, M., PLOTNICOV, K., POLLICE, C., RAO, R., MERIKANGAS, K. R., NAGY, L., & KAYE, W. H. (2000) · Psychological Medicine · doi:10.1017/s0033291799002792 · Cited by 206 · see citing works
Patterns and Predictors of Recovery in Anorexia Nervosa and Bulimia Nervosa
Herzog, D. B., SACKS, N. R., Keller, M. B., Lavori, P. W., von Ranson, K. M., & Gray, H. M. (1993) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199307000-00020 · Cited by 195 · see citing works
Personality characteristics of women before and after recovery from an eating disorder
KLUMP, K. L., STROBER, M., BULIK, C. M., THORNTON, L., JOHNSON, C., DEVLIN, B., FICHTER, M. M., HALMI, K. A., KAPLAN, A. S., BLAKE WOODSIDE, D., et al. (2004) · Psychological Medicine · doi:10.1017/s0033291704002442 · Cited by 194 · see citing works
Striegel‐Moore, R. H., Silberstein, L. R., & Rodin, J. (1993) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.102.2.297 · Cited by 187 · see citing works
The process of recovery in eating disorder sufferers' own words: An Internet-based study
Keski‐Rahkonen, A., & Tozzi, F. (2005) · International Journal of Eating Disorders · doi:10.1002/eat.20123 · Cited by 168 · see citing works
Stein, K. F., & Corte, C. M. (2006) · European Eating Disorders Review · doi:10.1002/erv.726 · Cited by 152 · see citing works
Gual, P. L., Pérez-Gaspar, M., Martínez‐González, M. Á., Lahortiga‐Ramos, F., de Irala, J., & Cervera‐Enguix, S. (2002) · International Journal of Eating Disorders · doi:10.1002/eat.10040 · Cited by 146 · see citing works
Temperament, Character, and Personality Disorders
de la Rie, S. M., Duijsens, I. J., & Cloninger, C. R. (1998) · Journal of Personality Disorders · doi:10.1521/pedi.1998.12.4.362 · Cited by 144 · see citing works
Striegel‐Moore, R. H., Silberstein, L. R., & Rodin, J. (1993) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.102.2.297 · Cited by 143 · see citing works
Bizeul, C., Sadowsky, N., & Rigaud, D. (2001) · European Psychiatry · doi:10.1016/s0924-9338(01)00570-3 · Cited by 127 · see citing works
Duration of illness predicts outcome for bulimia nervosa: A long-term follow-up study
Reas, D. L., Williamson, D. A., Martin, C. K., & Zucker, N. L. (2000) · International Journal of Eating Disorders · doi:10.1002/(sici)1098-108x(200005)27:4 · Cited by 126 · see citing works
Developmental Considerations of Anorexia Nervosa and Obesity
Bruch, H. (1981) · The Canadian Journal of Psychiatry · doi:10.1177/070674378102600402 · Cited by 124 · see citing works
Patching, J., & Lawler, J. (2009) · Nursing Inquiry · doi:10.1111/j.1440-1800.2009.00436.x · Cited by 110 · see citing works
An Examination of Cognitive Versus Behavioral Components of Recovery From Anorexia Nervosa
Bachner-Melman, R., Zohar, A., & Ebstein, R. (2006) · Journal of Nervous and Mental Disease · doi:10.1097/01.nmd.0000235795.51683.99 · Cited by 106 · see citing works
Why the high rate of dropout from individualized cognitive-behavior therapy for bulimia nervosa?
Steel, Z., Jones, J. M., Adcock, S., Clancy, R., Bridgford-West, L., & Austin, J. (2000) · International Journal of Eating Disorders · doi:10.1002/1098-108x(200009)28:2 · Cited by 86 · see citing works
The Eating Disorders Continuum, Self‐Esteem, and Perfectionism
Peck, L. D., & Lightsey, O. R. (2008) · Journal of Counseling & Development · doi:10.1002/j.1556-6678.2008.tb00496.x · Cited by 85 · see citing works
Specificity of self‐concept disturbances in eating disorders
Jacobi, C., Paul, T., de Zwaan, M., Nutzinger, D. O., & Dahme, B. (2004) · International Journal of Eating Disorders · doi:10.1002/eat.10240 · Cited by 84 · see citing works
Vanderlinden, J., Buis, H., Pieters, G., & Probst, M. (2006) · European Eating Disorders Review · doi:10.1002/erv.768 · Cited by 83 · see citing works
Girls with anorexia nervosa as young adults: Personality, self‐esteem, and life satisfaction
Halvorsen, I., & Heyerdahl, S. (2006) · International Journal of Eating Disorders · doi:10.1002/eat.20248 · Cited by 81 · see citing works
Maintaining change following eating disorder treatment.
Cockell, S. J., Zaitsoff, S. L., & Geller, J. (2004) · Professional Psychology Research and Practice · doi:10.1037/0735-7028.35.5.527 · Cited by 80 · see citing works
Wonderlich, S. A., Engel, S. G., Peterson, C. B., Robinson, M. D., Crosby, R. D., Mitchell, J. E., Smith, T. L., Klein, M. H., Lysne, C. M., Crow, S. J., et al. (2008) · International Journal of Eating Disorders · doi:10.1002/eat.20551 · Cited by 77 · see citing works
Psychological correlates of weight gain in patients with anorexia nervosa
Channon, S., & DeSilva, W. P. (1985) · Journal of Psychiatric Research · doi:10.1016/0022-3956(85)90027-5 · Cited by 75 · see citing works
Persistent amenorrhoea in weight-recovered anorexics: psychological and biological aspects
Brambilla, F., Monteleone, P., Bortolotti, F., Grave, R. D., Todisco, P., Favaro, A., Santonastaso, P., Ramacciotti, C., Paoli, R. A., & Maj, M. (2003) · Psychiatry Research · doi:10.1016/s0165-1781(03)00074-x · Cited by 70 · see citing works
Bloks, H., Hoek, H. W., Callewaert, I., & van Furth, E. F. (2004) · The Journal of Nervous and Mental Disease · doi:10.1097/01.nmd.0000110284.12816.fe · Cited by 67 · see citing works
Pinto, A. M., Heinberg, L. J., Coughlin, J. W., Fava, J. L., & Guarda, Á. S. (2007) · Eating Behaviors · doi:10.1016/j.eatbeh.2007.07.001 · Cited by 64 · see citing works
Stein, D. J., Kaye, W. H., Matsunaga, H., Orbach, I., Har‐Even, D., Frank, G., McConaha, C. W., & Rao, R. (2002) · International Journal of Eating Disorders · doi:10.1002/eat.10025 · Cited by 61 · see citing works
Wasted: A Memoir of Anorexia and Bulimia
Hornbacher, M. (1998) · Medical Entomology and Zoology · Cited by 59 · see citing works
The efficacy of cognitive–behavioral therapy on the core symptoms of bulimia nervosa
山本, 聡., & Maloney, K. C. (2001) · Clinical Psychology Review · doi:10.1016/s0272-7358(00)00076-3 · Cited by 57 · see citing works
Stein, K. F., & Corte, C. M. (2003) · Archives of Psychiatric Nursing · doi:10.1016/s0883-9417(03)00003-7 · Cited by 47 · see citing works
Grave, R. D., Calugi, S., Brambilla, F., Daga, G. A., Fassino, S., & Marchesini, G. (2006) · Behaviour Research and Therapy · doi:10.1016/j.brat.2006.09.016 · Cited by 42 · see citing works
Anorexic self‐control and bulimic self‐hate: Differential outcome prediction from initial self‐image
Birgegård, A., Björck, C., Norring, C. E. A., Sohlberg, S., & Clinton, D. N. (2008) · International Journal of Eating Disorders · doi:10.1002/eat.20642 · Cited by 41 · see citing works
Coping Strategies and Recovery in Patients with a Severe Eating Disorder
Bloks, H., van Furth, E. F., Callewaert, I., & Hoek, H. W. (2004) · Eating Disorders · doi:10.1080/10640260490445131 · Cited by 34 · see citing works
Psychological characteristics of women with eating disorders: Permanent or transient features?
Blaase, H., & Elklit, A. (2001) · Scandinavian Journal of Psychology · doi:10.1111/1467-9450.00260 · Cited by 34 · see citing works
Outcome measurement in eating disorders.
Anderson, D. A., & Williamson, D. A. (2002) · Cited by 33 · see citing works
State self‐esteem ratings in women with bulimia nervosa and bulimia nervosa in remission
Daley, K. A., Jimerson, D. C., Heatherton, T. F., Metzger, E. D., & Wolfe, B. E. (2007) · International Journal of Eating Disorders · doi:10.1002/eat.20447 · Cited by 30 · see citing works
An Investigation Into the Cognitive Functioning of Bulimic Women
Etringer, B. D., ALTMAIER, E. M., & Bowers, W. A. (1989) · Journal of Counseling & Development · doi:10.1002/j.1556-6676.1989.tb01360.x · Cited by 20 · see citing works
Binge eating and binge eating disorder
Schmidt, U. H. (2000) · European Eating Disorders Review · doi:10.1002/1099-0968(200010)8:5 · Cited by 14 · see citing works
Assessment of eating disorders: interview or self-report questionnaire
Fairburn, C. G., & Beglin, S. J. (1994) · International Journal of Eating Disorders · doi:10.1002/1098-108x(199412)16:4
Luce (1999) · doi:10.1002/(sici)1098-108x(199904)25:3
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Elwyn, R. (2023) · Journal of Eating Disorders · doi:10.1186/s40337-022-00729-0 · Cited by 61 · see citing works
- Authors
- Bardone-Cone, A. M., Schaefer, L. M., Maldonado, C. R., Fitzsimmons, E. E., Harney, M. B., Lawson, M. A., Robinson, D. P., Tosh, A., & Smith, R.
- Affiliations
- University of South Florida (US)
- University of Missouri (US)
- University of North Carolina at Chapel Hill (US)
- ORCID
- Schaefer, Lauren M.
- Venue
- Journal of Social and Clinical Psychology
- Publisher
- Guilford Publications
- Published
- 2010-09
- Volume
- 29
- Issue
- 7
- Pages
- 821-846
- ISSN
- 0736-7236 (ISSN-L)
- OpenAlex
- W2053522270
- Cited by
- 45
- References
- 76
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 5 · 2023: 3 · 2022: 3 · 2021: 3 · 2020: 3 · 2019: 1 · 2018: 5 · 2017: 2 · 2016: 3 · 2015: 4 · 2014: 3 · 2013: 2 · 2012: 4
- FWCI
- 2.46
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Social and Clinical Psychology (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
- Keywords
- eating disorder recovery, self-concept, self-esteem, self-direction, impostor syndrome, self-efficacy, recovery definition, psychological recovery, eating disorders
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