Archive > Research Thread
The Duration of Severe Insulin Omission is the Factor Most Closely Associated with the Microvascular Complications of Type 1 Diabetic Females with Clinical Eating Disorders
http://www.scribd.com/fullscreen/71540509?access_key=key-xttmw1asb740ws46xr9
Osteoporosis in Chinese Patients with Anorexia Nervosa
http://www.scribd.com/fullscreen/71540535?access_key=key-13f4dieglbt2di38n12z
Sociocultural Factors in the Development of Anorexia Nervosa in a Black Woman
http://www.scribd.com/fullscreen/71540641?access_key=key-19829ovbrewgwgq5ozwz
Managing the Chronic, Treatment-Resistant Patient with Anorexia Nervosa.
http://www.scribd.com/fullscreen/71540693?access_key=key-27fcvgre60uz7ktabvl7
This brings me onto something else. I do know that some people who have been sectioned have gone onto recover.
http://www.ncbi.nlm.nih.gov/pubmed/11446240
Anorexia Nervosa and Raynaud’s Phenomenon: A Case Report
http://www.scribd.com/fullscreen/71540805?access_key=key-qo7yjkq33pr07qx50ra
Relations Between Dietary Restraint, Depressive Symptoms, and Binge Eating: A Longitudinal Study
http://www.scribd.com/fullscreen/71540983?access_key=key-1tjjc7es0e6kihi0koxw
Five-Year Prospective Study of Personality Disorders in Adults with Longstanding Eating Disorders.
http://www.scribd.com/fullscreen/71541377?access_key=key-2kn28nm4ugknl7kcllkh
Hyperthyroidism in Anorexia Nervosa: Case Report and Review of the Literature
http://www.scribd.com/fullscreen/71541515?access_key=key-12ls9gnevs7ie7wbzxyp
Anorexia Nervosa and Pregnancy: Having a Baby When You Are Dying to be Thin
http://www.scribd.com/fullscreen/71542188?access_key=key-1xrsxdlxbbqjt076xlzv
Neuropsychological Study of Underweight and ‘‘Weight-Recovered’’ Anorexia Nervosa Compared with Bulimia Nervosa and Normal Controls
http://www.scribd.com/fullscreen/71542695?access_key=key-ey5nhaal28b30bj6mhz
Pregnancy in Severe Anorexia Nervosa
http://www.scribd.com/fullscreen/71542767?access_key=key-114a5zl1w6q49rdrfloq
Eating Disorders and Celiac Disease: A Case Report
http://www.scribd.com/fullscreen/71542872?access_key=key-16rdnu9m78na6loq5xlv
Season of Birth Bias in Eating Disorders—Fact or Fiction?
http://www.scribd.com/fullscreen/71543186?access_key=key-22vga32lgdo8ptn3ztl1
Spirituality and Clinical Care in Eating Disorders: A Qualitative Study
http://www.scribd.com/fullscreen/71545274?access_key=key-1o9inqpx1xy0m9ks1a11
missrising
That's it, it's probably less than half of what i have saved on my hard drive but i won't upload all of those articles.
Eating Patterns in Patients with Spectrum Binge-Eating Disorder
http://www.scribd.com/fullscreen/71550149?access_key=key-1unsbi6fkwn7kdd288dk
Maintenance of Binge Eating through Negative Mood: A Naturalistic Comparison of Binge Eating Disorder and Bulimia Nervosa
http://www.scribd.com/fullscreen/71550807?access_key=key-lrdgriqypgw8e6dmaa0
Eating Disorders in Patients with Obsessive–Compulsive Disorder: Prevalence and Clinical Correlates
http://www.scribd.com/fullscreen/71541643?access_key=key-1e64ou9crhx9nqwp67sg
The Association of Anxiety Disorders and Obsessive Compulsive Personality Disorder with Anorexia Nervosa:Evidence from a Family Study with Discussion of Nosological and Neurodevelopmental Implications
http://www.scribd.com/fullscreen/71541793?access_key=key-225xmxexf0x7tl4dk085
Eating disorders and obsessive–compulsive disorder: A dimensional approach to purported relations
http://www.scribd.com/fullscreen/71541643?access_key=key-1e64ou9crhx9nqwp67sg
Mood Change During Weight Restoration in Patients with Anorexia Nervosa
http://www.scribd.com/fullscreen/71551718?access_key=key-21fl3jjiwmxrkwjedeq1
Serum Cholesterol in Bulimia Nervosa
http://www.scribd.com/fullscreen/71551854?access_key=key-1trhyen61v4uibc6e4v5
Anorexia Nervosa and Celiac Disease: Two Case Reports
http://www.scribd.com/fullscreen/71552976?access_key=key-198fs4hilmpqw14o141n
missrising
May be these could be merged into the above. I've linked to some of these in some threads but haven't linked to them here. I wanted to add these a while ago but didn't want to bump it then from the last page.
Differences in Coping Across Stages of Recovery from an Eating Disorder
http://www.scribd.com/fullscreen/71797271?access_key=key-txzbykv9p5bwn13s3yj
Reversible Vision Loss Secondary to Malnutrition in a Woman with Severe Anorexia Nervosa, Purging Type, and Alcohol Abuse
http://www.scribd.com/fullscreen/86045142?access_key=key-1tur9hosljk0cv50lgoq
Pregnancy Complications and Neonatal Outcomes in Women With Eating Disorders
http://www.scribd.com/fullscreen/86045049?access_key=key-1dpjjxokl5zzi7sbspwv
Nonfat Phobic Anorexia Nervosa: Clinical Characteristics and Response to Inpatient Treatment
http://www.scribd.com/fullscreen/86044896?access_key=key-2hy8ohjbvjsw5eoxfmi5
Chronic tophaceous gout secondary to self-induced vomiting in anorexia nervosa
http://www.scribd.com/fullscreen/86044640?access_key=key-1ayeoxjwzouq2rc16cyc
A case of female premenopausal tophaceous gout requiring surgical management
http://www.scribd.com/fullscreen/86044575?access_key=key-2kg83fco8i5n5j5agbbb
The Changing profile of Eating Disorders at a Tertiary Pysch Clinic in Hong Kong (1987-2007)
http://www.scribd.com/fullscreen/75651660?access_key=key-18piikh5u4x1l8hx8756
Should non fat phobic be included in the DSM-V
http://www.scribd.com/fullscreen/75651522?access_key=key-10w6ct6wc3ad3a4lfmji
Why do Individuals with Anorexia Die? A Case of Sudden Death
http://www.scribd.com/fullscreen/71797994?access_key=key-2545g4ufxpbalq9c6ui6
Evidence of Diffuse Atrophy of the Thyroid Gland in Patients with Anorexia Nervosa
http://www.scribd.com/fullscreen/86053189?access_key=key-l6yirp28gf64oogquhf
Respiratory Muscle Weakness and Anorexia Nervosa
http://www.scribd.com/fullscreen/86053700?access_key=key-2h182q5uv92oczr9ez05
Grey matter deficit in long term recovered AN patients
http://www.scribd.com/fullscreen/75960814?access_key=key-i4lb453tzghwwg3zgng
Grey Matter Deficit in Long-Term Recovered Anorexia Nervosa Patients
http://www.scribd.com/fullscreen/71798426?access_key=key-282ft36dzkaczrkxkka4
missrising
Excellent stuff. Thanks for taking the time to type this all out.
flip
I posted this over on CC a few months back.
Ruth Harris is often referred about her work about the set point theory.
http://www.fasebj.org/content/4/15/3310.full.pdf
I also came across this article a while ago and this part seems to back up the ideas about the set point theory i've read on this board. The second paragraph is more relevant.
The balance between ongoing supportive nutritional psychoeducation (see Box 4) and active weight restoration strategies (see Box 5) should reflect a compromise between the patient’ s readiness for change and her nutritional status. A target weight should be negotiated and agreed with the patient. It should be a range that includes the premorbid weight, unless obese when a BMI of 20– 24 is appropriate. A weight gain of 1– 2 kg per week is a reasonable target for in-patients.
A frequent mistaken assumption is that if restraint on eating and weight is lifted, an all-consuming hunger will lead to massive weight gain. It is helpful to explain to the patient that the body establishes a set point for weight early in life and that some of the symptoms of anorexia nervosa arise from the body ’ s efforts to regain this set point. The powerful systems that regulate weight around a set point ensure that it does not go beyond the healthy set point. Indeed,those who have recovered from anorexia nervosa tend to have lower set points for weight than their peer group, their weight tending to settle in the thin–normal range. This may motivate the patient to realise that she does not have to do all the work of controlling weight herself– systems are in place to do this for her.
http://apt.rcpsych.org/content/6/2/135.full.pdf
More Than Just Milk: A Review of Prolactin's Impact on the Treatment of Anorexia Nervosa
http://onlinelibrary.wiley.com/doi/10.1002/erv.1119/pdf
The Pros and Cons of Change in Individuals with Eating Disorders: A Broader Perspective
http://www.scribd.com/fullscreen/86459239?access_key=key-8h8wfg12x9w5oy3gwcr
Alexithymia and Facial Emotion Recognition in Patients with Eating Disorders
http://www.scribd.com/fullscreen/86459085?access_key=key-2j137n7mprrfuod782gn
"End-Stage Kidney’’ in Longstanding Bulimia Nervosa
http://www.scribd.com/fullscreen/86458988?access_key=key-10qpqsx6smnl96xkp2ed
History of Anorexia Nervosa in Bulimic Patients:Its Influence on Body Composition
http://www.scribd.com/fullscreen/86457999?access_key=key-8vbvetb3mesh6pux8ii
Acute Liver Damage in Anorexia Nervosa
http://www.scribd.com/fullscreen/86458309?access_key=key-qx3gcodumr95fkn2fww
Liver Function Test Abnormalities in Anorexia Nervosa—Cause or Effect
http://www.scribd.com/fullscreen/86460697?access_key=key-13c7wwstvwhoz6kzmfv9
Effect on Bone Health of Estrogen Preparations in Premenopausal Women with Anorexia Nervosa: A Systematic Review and Meta-Analyses
http://www.scribd.com/fullscreen/86460617?access_key=key-25lqkls7x2doarupa8ik
Sexual Functioning in Women with Eating Disorders
http://www.scribd.com/fullscreen/86460558?access_key=key-uj2w38gzstn79p3rh82
missrising
Quick question:
What's the difference between fat-free mass and fat mass?
facingfears
Fat mass is the weight in your body that is fat. Fat free mass is everything else (muscle, tissues, etc).
feeltherain
An Adult with Prader-Willi Syndrome and Anorexia Nervosa: A Case Report
http://www.scribd.com/fullscreen/87032028?access_key=key-dja05mvi88d3ifqev05
Metabolic Assessment of Menstruating and Nonmenstruating Normal Weight Adolescents-AN recovery
http://www.sterlingnutrition.com/images/pdf/R EEand%20AN.pdf
This site has some i think interesting articles. You can read them as a non subscriber if you register and it's free to register.
Predictors of menstrual resumption by patients with anorexia nervosa
It can be downloaded here and read for free as a non subscriber if you register and registration is free-
2010 December V15 Month 12
http://www.kurtis.it/ewd/en/previous.cfm
The article i mentioned before in another thread about a woman in her mid or late 50s whose periods returned after 30 years of AN has been uploaded.
http://www.kurtis.it/ewd/en/abstract.cfm
/7717/Resumption%20of%20menses%20after%2032%20years%20in%20anorexia%20nervosa
As before you can download the full article if you register.
2011 Volume 16 Month 9.
Resumption of Menses in Anorexia Nervosa
http://www.macpeds.com/documents/Resumptionof MensesinAnorexiaNervosa.pdf
Someone uploaded these-
You can make the articles full screen
Menstrual Cycle Abnormalities and Subclinical Eating Disorders: A Preliminary Report
http://www.scribd.com/doc/52398410/menstrual-abnormalities-and-subclinical-eating-disorders?
Patterns of menstrual disturbance in eating disorders
http://www.scribd.com/doc/52398775/patterns-of-menstrual-disturbance-in-eating-disorders?
Anorexia Nervosa: A Guide for Anorexics and their Loved Ones
Adapted to flee famine
http://www.drsarahravin.com/web/pdf/AN-Guisinger-article.pdf
Is there evidence for a set point that regulates human body weight?
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2990627/
missrising
Thanks for all the research links :)
Just read the set point article... Not very reassuring in recovery, I think... :( (not blaiming anyone, of course! Just a bit disheartened by reading it). Especially the conclusion: "Searching for the genetic background of excess weight gain in a world of abundance is misleading since the possible biological control is widely overshadowed by the effect of the environment. As a consequence, environmental factors rather than the physiology (including the genetic background) have to be addressed to tackle population-wide, non-syndromic human obesity."
It might just be my ED talking, but the bottom-line I get from it is that restriction is an unnecessary evil... Sigh
hesko
(edit to the above: necessary evil, not unnecessary, lol)
hesko
I thought it was interesting that they seemed to agree it existed and they also discussed about the various setting points. I've not read that before in an article. We do know about suppressed metabolims/ leptin resistance that Gwen has talked about and has said the latter is not an issue people on the REDs face. It might be arguing things slightly differently but when you look at it i'm not sure if really that radically different..i don't know for sure.
The article on the Prader Willi i find interesting because of their genes and traits. I don't know really anything much about this medical problem/eating disorder but i found it interesting.
missrising
no, restriction is an unnecessary evil is more correct, hesko. have you read the fat series? "matalin" in part IX is basically my mother in a nutshell.
i also liked this study:
In a study involving 692 female adolescents, weight-loss attempts predicted elevated increase in weight and onset of obesity over the 4-year study period [E. Stice et al., 1999].
No matter their starting weight, the young women in the study had a 3.24 times greater chance of obesity onset than non-dieters. The risk was no greater for girls who started overweight than those who were underweight or normal weight at baseline [ibid.].
So when your 13-year old daughter decides she is going to diet because her thighs are getting too big, do you tell her that she’s over 3 times more likely to become clinically obese that way than if she just didn’t diet at all? I’m thinking it might be a good idea.
suddenblue
What is leptin resistance exactly?
And is "suppressed metabolism" meaning one is likely to gain weight due to diets or overeating, etc? (i.e. body stores fat). And isn't it possible that even if a person starts being sensible with food and never restricts, that stress in their life can be the real problem that makes the problem still exist?
Also, if one had a suppressed metabolism, and never restricted again, but didn't necessarily reach some "minimum" would the problem still never technically be solved?
I used to have a sharper brain that could read this stuff and understand at first glance, I find the last couple years, I have to read things a few times over to catch on. I'm losing my intelligence. Uh oh.
sara-eats
suddenblue: Yes, I read the fat series with great enthusiasm, and I sometimes re-read some of the posts to keep reassuring myself (ED!) that recovery is the right thing to do... It's just really easy for ED to get VERY loud when any research you read can be interpreted to the effect: You will never be able to let go of restriction. ED then immediately takes over and asks, why bother with recovery anyway...?
At the end of the day I suppose research will never be conclusive and never provide any solid guarantees, even though I can clearly see that Gwyn's fat series has condensed a lot of it into what basically seems a very good reassurance that no restriction is the way to go. The hard part, I suppose, is learning to accept and trust yourself. That's certainly less tangible and scientific than any research anyway!
Thanks for reminding me of that particular study excerpt :) - the thigh quote is a really good one :D
hesko
saraeats In these threads Gwen explained about leptin resistance and i believe suppressed metabolisms-
http://www.gwynetholwyn.com/yah-not-me/post/1744095
http://www.gwynetholwyn.com/relapse/post/1661260
missrising
Dietary Energy Density and Diet Variety as Risk Factors for Relapse in Anorexia Nervosa: A Replication
http://onlinelibrary.wiley.com/doi/10.1002/eat.20922/pdf
Houseelf posted the original research part 1 of the research eleswhere-
Dietary energy density and diet variety as predictors of outcome in anorexia nervosa
http://www.ajcn.org/content/87/4/810.full?sid=9cf2742d-bd26-41f9-aba7-44e760d6a077
One day i will look up a tutorial how to do links because i haven't got a clue and it looks a little complex from the example below in the posting box.
missrising
Can you put this in layman's terms?
facingfears
Links should be like this:
Dietary Energy Density and Diet Variety as Risk Factors for Relapse in Anorexia Nervosa: A Replication
And
Dietary energy density and diet variety as predictors of outcome in anorexia nervosa
And very interesting studies, actually...
hesko
facingfears: The conclusion, to me, basically seems that the best results for AN recovery in the longer run (remission as I think Gwyn usually calls it) are achieved by those whose diets are varied and which include calorie-dense foods (= basically foods with a relatively high amount of calories per unit of weight - like nuts, seeds etc.).
But I guess it makes sense - if you're able to overcome fear foods and fear of calorie-dense foods, you probably have a more 'normal' and less restrictive relationship with food...
hesko
Hesko, that stuff interests me. i'll try to look through those articles. But are there any major bullet points (specific foods, macronutrient % breakdown , etc) that they emphasize?
I know I shouldn't think about that stuff cause then it can lead to guilt for "too much" of this or that (figures)...but I definitely eat a lot of fats (like a lot).
Do any of the articles address how it affects body composition or metabolism, etc...Ii wonder? or does it only address "recovery" and risk of relapse? Probably the latter.
I'll read through some time when I get a chance.
I think A LOT of these articles look interesting but some of them go over my head or I dont have time to read them through.
I like bullet points :)
sara-eats
I searched this out last year or the year before i think when my GP told me she thinks i have this health problem that i had never heard in anyone else with this ed before. I searched and i found that others had experienced this. I thought i would link to it anyway.
Physical illness encountered in patients with eating disorders
http://www.scribd.com/fullscreen/89952521?secret_password=iklgid07fhngay2a6lp
The adaptive response of the immune system to the particular malnutrition of eating disorders
http://www.nature.com/ejcn/journal/v56/n3s/pdf/1601482a.pdf
Reduced Febrile Response to Bacterial Infection in Anorexia Nervosa Patients
http://www.scribd.com/fullscreen/87033066?secret_password=2uyo49z5p9elqi8xv7a
Resumption of menses after 32 years in anorexia nervosa
I posted this before but i should really should have given its own title
http://www.kurtis.it/ewd/en/abstract.cfm
/7717/Resumption%20of%20menses%20after%2032%20years%20in%20anorexia%20nervosa
You can download the full article if you register and it's free to regsiter.
Another article that they have on their website i think is interesting-
Persistence of anorectic cognitions following a moderate calorie restricted diet
http://www.kurtis.it/ewd/en/abstract.cfm/1923/Persistence%20of%20anorectic%20cognitions%20following%20a%20moderate%20calorie%20restricted%20diet
Obese patients went on a restricted diet for three months and after three months they ranked higher in anorexic cognitions compared to controls. I guess it just reaffirms for us what the Minnesota study already informed us.
Vol. 11, Nr 1 - March 2006
2011 Volume 16 Month 9.
Pneumomediastinum Simulating a Panic Attack ina Patient with Anorexia Nervosa
http://www.scribd.com/fullscreen/87032549?secret_password=1hnrpqbyh7maqdlh13tc
missrising
I never properly looked over that Physical problems encountered by people with eating disorders before. I just really looked at if anyone had my issue. I did though go back and look over it yesterday. Over 70% of AN and BN patients didn't even know that they were physically unwell on admission to hospital. Hopefully better monitoring is happening today but it is estimated that a third of people with AN do not present to their GP's. Do try and get yourself monitored.
This is another article on the theme of medical issues-
Medical findings and predictors of long-term physical outcome in anorexia nervosa: a prospective, 12-year follow-up study
http://www.scribd.com/fullscreen/90115754?secret_password=1kichei0t3ccmsmunp00
missrising
I think this article is interesting-
I had to pull out the main points for this one.
Spontaneous recovery is possible and some case studies below seemed to suggest that seeking additional help may only help to maximise your recovery efforts. The conditions needed to facilitate spontaneous recovery i think were interesting.
...................................................
Self-Change in Eating Disorders: Is “Spontaneous Recovery” Possible?
A limited series of community studies including non-treatment seekers has shown that a considerable number of eating disorder patients do not enter the health care system but can be considered “clinically recovered” (remission of major symptoms) if followed up
long enough. The possibility of “spontaneous recovery” (overcoming an eating disorder without professional treatment or formal help) often faces scepticism on the part of professionals. Clearly, self-change is an underestimated pathway to recovery from an eating disorder, but open-minded clinicians can learn a lot from it. Active coping and making use of one’s “recovery capital” are key features of self-change even if maintenance of change is associated with social support and positive life changes.
Evidence for self-change may come from several lines of study (Sobell, 2007): (a) prevalence and longitudinal studies in the general population; (b) waiting list control groups and treatment drop-outs; and (c) active case finding studies (usually through media advertisements). The first type of research (community studies about the natural course of a disorder) is the
best for estimating the likelihood of spontaneous recovery.
The most interesting study is the oldest one in the series, a completely overlooked German investigation by Jäger, Klapper, and Liedtke (1994) that deserves special attention because it was the first to focus on the determinants of spontaneously remitting eating disorders.
We summarize 10 community studies about the course of eating disorders in non-treatment-seekers.
Unfortunately many studies suffer from methodological weaknesses: small samples (Table 1: study n_ 1, 2), lack of comparison between treated and untreated cases (studies 3, 4, 6, 7, 10), and short follow-up (studies 2, 9). Moreover, they all show the well-known problem
of using different definitions of remission or recovery as well as applying various methods to assess the outcome. Since this impedes the comparabilityof the findings, we have to be cautious in drawing conclusions. Generally speaking, from these studies emerges the picture that a considerable number of eating disorder patients remain outside the formal health
care system but nevertheless can show “clinical recovery” (almost complete remission of major eating disorder symptoms) if followed up long enough.
Three Studies-
1)In one case study 27 bulimics who went without treatment were followed up and they were functioning much better than current bulimic participants but they still showed signs of psychosocial dysfunctioning compared to controls.
6)In a large Italian community study of young women, aged 18 to 25, the lifetime prevalence of the whole spectrum of eating disorders was estimated, including the “atypical” (partial, subthreshold) cases. Among the remitted anorexia nervosa cases, 70% had sought some sort of treatment versus only 37% of the remitted bulimia nervosa cases.
7)In another Italian community-based survey (Faravelli et al., 2006), on average 7 years after the onset of the eating disorder, 50% of the cases was found to have fully recovered. Strikingly enough, the vast majority had consulted a general practitioner for their eating disorder and about a third had contacted a psychologist or psychiatrist.
8)To assess the natural course of eating disorders among women from the general population, a large cohort of Finnish twins was screened. For anorexia nervosa, half of the cases had not been detected in the health care system. The 5-year “clinical recovery” rate (defined as the restoration of weight and menstruation, and the absence of bingeing and purging for at least 1 year) was 66.8%; outcomes did not differ between detected and undetected cases. After clinical recovery, most probands had reached (nearly) complete psychological recovery and closely resembled their unaffected co-twins and healthy women in weight and most psychological and social measures (Keski-Rahkonen et al., 2007). For bulimia nervosa, the 5-year “clinical recovery” rate (defined as 1-year abstinence from bingeing and purging combined with a BMI above 19) was 55%. Less than a third of the cases had been detected by health-care professionals, and detection did not influence outcome. After attaining abstinence from bingeing and purging, many clinically recovered women experienced residual psychological symptoms
(Keski-Rahkonen et al., 2009).
In case of treatment barriers, self-help for eating disorders has been found to be a valuable alternative in its pure form (self-help material only) or with some interventions by a professional, the so-called “guided self-help” (Perkins, Murphy, Schmidt, & Williams, 2006). Many instances of self-help may, in fact, concern (informal) mutual help, showing that “self” does not
necessarily mean “on one’s own.” An exploratory study of 18 university students reporting recovery from an eating disorder without professional treatment found one striking and consistent result: the key turning point for most respondents was the empathic, nurturing support from a parent, boyfriend, or friend (Woods, 2004).
Referring to this type of recovery, “spontaneous” does not mean effortless, including the ability to mobilize external resources. In the same sense, so-called “maturing out” is not a passive process. In the often quoted community study by Fairburn and colleagues (2000), few bulimic women sought treatment. Hence, the gradual improvement found in this sample could only partially be explained by the treatment in a sub sample of bulimia nervosa women, whereas treatment could not account for the favorable outcome in the women with binge eating disorder. As a possible explanation for these improvements, especially in (young) adults, the authors mention the potential influence of maturation with “a change in the balance of developmental
risks and protective processes” (Fairburn et al., 2000). Many life events may precipitate or aggravate an eating disorder, as many can also become the turning point in a recovery process. Typical examples are a separation from home, an intimate relationship, and pregnancy. In the latter case, some females may be at greater risk, while other pregnant women actually manage
to put the eating disorder behind them (Madsen, Hørder, & Støving,2009).
Spontaneous recovery, however, is not just a matter of luck or time acting as the naturally healing factor. In a study of spontaneously remitting eating disorder patients who had never been treated, the former bulimic women were interviewed concerning their own views on the determinants of recovery. The development of a reliable feeling of self-esteem and self efficacy was ascertained as crucial to remission (Jäger et al., 1994). Ten to fifteen years later and on two different continents, almost similar findings were reported. In a qualitative inquiry of women who had recovered from an eating disorder, the recovery occurred when they re-engaged with life, developed skills necessary for conflict resolution, and rediscovered their sense of self (Patching & Lawler, 2009). The journey to “informed self-care” as a crucial phase in the recovery process was depicted as “self-awareness, self differentiation, and self-regulation” (Weaver, Wuest, & Ciliska, 2005, p. 201).In summary: active coping remains a key feature of self-change even if
maintenance of change—also treatment-induced change—is mainly associatedwith social support and positive life changes (Klingemann, Sobell, &Sobell, 2010).
An important concern is the “false hope syndrome” as Polivy (2001) has called the unrealistic expectations of self-change. She refers to the repeated self-change attempts despite previous failures. Weight loss attempts in overweight people are a well known example of such a cycle of repeated failures and renewed efforts. In the early stages, self-change attempts induce feelings of control and optimism that supersede the lessons of prior experience. To avoid false hope and overconfidence, it is important to learn to distinguish between potentially feasible and impossible self-change goals (Polivy & Herman, 2002). If people lack this kind of critical self-reflection, they risk becoming easy victims of the never ending stream of “new” methods with the seducing promise of a simple and quick fix, be it in the commercialized market of self-help, alternative healing, or so-called professional help.
In the area of addiction, Granfield and Cloud (1999) elaborated on the concept of “recovery capital,” i.e., the quantity and quality of internal and external assets available to initiate and sustain recovery from substance use problems. This recovery capacity differs from individual to individual and at multiple points in time. It also interacts with problem severity to shape the intensity or level of care one needs in terms of professional treatment. Clientswith high problem severity but very high recovery capital may require fewer resources to initiate and sustain recovery than individuals with moderate
problem severity but very low recovery capital. As many studies of self change in substance dependent clients have shown, therapists may learn alot from the common strategies used by remitters and from the concept of recovery capital “as a way to capture the embeddedness of these natural recovery strategies within a unique structural context of personal attributes and social environments” (Cloud & Granfield, 2001, p. 83). By making the most of people’s recovery capital—with or without professional help—we are rating self-change at its true value: without false hope, a promising but underestimated pathway to recovery from an eating disorder.
missrising
Missrising: In your second to last comment, what "condition" are you referring to?
Do you do this research for personal knowledge or are you in a study program? You are well-learned.
sara-eats
sara eats, i'm not currently studying no.
That brings me onto something else. I've got very little or zero interest in reading eating disorder books on true life or fiction.
You asked me about the health condition. It is most likely caused by a renal issue-it's an inflammatory issue. I found it interesting with the second article on medical issues. I've not had the time to read all of that yet but there projections on medical issues was interesting to me given the issue that i developed and some of the other indexes met.
missrising
Treatment of Chronic Anorexia Nervosa: A 4-Year Follow-Up of Adult Patients Treated in an Acute Inpatient Setting
http://onlinelibrary.wiley.com/doi/10.1002/cpp.738/pdf
The Fault Is Not in Her Parents but in Her Insula—A Neurobiological Hypothesis of Anorexia Nervosa
http://www.oslo-universitetssykehus.no/SiteCollectionDocuments/Fagfolk/Forskning%20og%20utvikling/RASP/RASP,Insula%20theory%20published%20version1.pdf
missrising
This is the article on Self Change that i posted a bit of a few posts above.
Spontaneous Recovery
http://www.scribd.com/fullscreen/91629948?secret_password=xp6vjspw6znjbb3c0dc
missrising
I see that i had one article that i uploaded a while ago that was mentioned in one of the above articles but i didn't link to it here because for some reason someone underlined it and done notes on it. I trawled through the journals I have and found the article and took notes out but could not take the underlining out. It wasn't me who did that. May be i found it on the net but cannot remember where. Anyway, for those with an interest in this it is still readable.
Enchaning motivation for change in treatment-resistant eating disorders
http://www.scribd.com/fullscreen/91642515?secret_password=2eucmwixkr36tk1y1269
Cognitive Behavioural Therapy for Individuals with Longstanding Anorexia Nervosa: Adaptations, Clinician Survival and System Issues
http://onlinelibrary.wiley.com/doi/10.1002/erv.1080/pdf
I linked to this in another thread on this board-
Eating Disorders in Older Women: Does Late Onset Anorexia Nervosa Exist?
http://www.scribd.com/fullscreen/90571934?secret_password=2blc0k5r7ogqh7qk2w8j
The below article can be downloaded free as a non subscriber if you register.
Comparison of middle-age and young women inpatients with eating disorders
2008 Volume issue 4 month 12
http://www.kurtis.it/ewd/en/previous.cfm
This is an abstract about it-
http://www.kurtis.it/ewd/en/abstract.cfm/5210/Comparison%20of%20middle-age%20and%20young%20women%20inpatients%20with%20eating%20disorders
Bulimia Nervosa with History of Anorexia Nervosa: Could the Clinical Subtype of Anorexia Have Implications for Clinical Status and Treatment Response?
http://www.scribd.com/fullscreen/91639818?secret_password=msq95cdy6dyl6vsjywj
Validity and Utility of Subtyping Anorexia Nervosa
http://www.scribd.com/fullscreen/91639941?secret_password=1pm3uxlsvz5v2ucm9182
missrising
The article on chronic AN and acute inpatient treatment i thought was interesting. I noticed that the patients were on 2,500 calories what Gwen recommends for people over 25. They started on 1,500 calories and in the second week went up to 2,000 and it looks like week 3 they went up to 2,500. I can't remember if they mentioned the patients ages as i didn't read the article that closely.
Many Roads Lead to Rome: Why Does Cognitive Behavioural Therapy Remain Unsuccessful for Many Eating Disorder Patients?
http://www.scribd.com/fullscreen/91709358?secret_password=1dhcj1f2v5cidu0x67x
Monetary Costs Associated with Bulimia
http://www.scribd.com/fullscreen/91709406?secret_password=12ihtxiox7wlkrpcpx3o
Anaerobic Bacterial Empyema Accompanying Intrathoracic Gas Formation in Anorexia Nervosa
http://www.scribd.com/fullscree/91638706?secret_password=1kujl2dp68o4ywhrygq8
I found where i got the enchancing motivation in treatment resistant AN.
I got it from this site and they have a few other articles linked also-
http://www.fafich.ufmg.br/transtornosalimentares/artigos-e-documentos/
missrising
I'm just going to link to directly what i have saved in my Scribd account. I saved different studies that seem topical and that may be of wider interest.
Feel free to post any research information in this thread.
BMI, Body Composition, and the Energy Requirement for Body Weight Gain in Patients with Anorexia Nervosa-includes AN-R and AN-B subjects
http://www.scribd.com/fullscreen/64990669?access_key=key-1hd3iiwnbly45695o11p
Energy intake and body composition in anorexia and bulimia nervosa-includes AN-R, AN-B and BN subjects
http://www.scribd.com/fullscreen/65765669?access_key=key-21iql489ry8xr7flmdm2
Energy Metabolism and Body Composition in Long-Term Recovery from AN
http://www.scribd.com/fullscreen/64990294?access_key=key-1gv9hac34y4o218ambig
Abnormal Calorie Requirements for Weight Maintenance in patients with AN and BN
http://www.scribd.com/fullscreen/65397476?access_key=key-2i6wo5yabnv5812z4mbo
Factors Associated with Improvements in Readiness for Change: Low vs. Normal BMI Eating Disorders
http://www.scribd.com/fullscreen/65003482?access_key=key-2187t7qx4orknbm1i02c
The Course of Illness Following Inpatient Treatment of Adults with Longstanding Eating Disorders: A 5-Year Follow-Up
http://www.scribd.com/fullscreen/64983321?access_key=key-1svlm1l420rexovgkesv
Rate of Inpatient Weight Restoration Predicts Outcome
http://www.scribd.com/fullscreen/64974713?access_key=key-27h97gxprcwq7ed45te
Percent Body Fat is a Risk Factor for Relapse in AN: A Replication Study
http://www.scribd.com/fullscreen/64990543?access_key=key-2157ss5ffn9igl7dbhqt
What is Remission in Adolescent AN?
http://www.scribd.com/fullscreen/64974189?access_key=key-eagn7g98otq7jlfhy7r
Guidelines for nutritional management of Anorexia Nervosa
http://docs.google.com/viewer?a=v&pid=explorer&chrome=true&srcid=1pi2t5xoOJIaAt-nVbolFqrTNpgDuKCvN7H-DS58X_ePG44Py7dfj-qyMoq-R&hl=en
MARISPAN-Management of really sick patients with Anorexia Nervosa
http://www.rcpsych.ac.uk/files/pdfversion/CR162.pdf
Exploring Weight Gain in Year Before Treatment for Binge Eating Disorder: A Different Context for Interpreting Limited Weight Losses in Treatment Studies
http://www.scribd.com/fullscreen/65371881?access_key=key-1ualj69r4yutwuieoeaw
A DRD4/BDNF Gene–Gene Interaction Associated with Maximum BMI in Women with BN
http://www.scribd.com/fullscreen/65393030?access_key=key-7y4rqs89wzce22w3nwm
Patterns of Weight Change after Treatment for BN
http://www.scribd.com/fullscreen/65393598?access_key=key-1yc2mbj1l000rc5c7bl0
The Relation of Weight Suppression and BMI to Bulimic Symptoms
http://www.scribd.com/fullscreen/65672694?access_key=key-1xodmqmn106v5gvmg8ga
Restoration of Ovarian and Uterine Maturity in Adolscents with AN
http://www.scribd.com/fullscreen/65177256?access_key=key-1ug0mbjo0ypv1cr6cdvd
Etiology of of Hypercholesterolemia in Patients With Anorexia Nervosa
http://www.scribd.com/fullscreen/69732465?access_key=key-zen2xgt1e68r3z8utxu