Important Factors in the Process of Recovery According to Patients with Anorexia Nervosa

  • G. Noordenbos

Abstract

According to Theander (1985 p. 493) “when assessing the total impact of a disease not only is the final outcome of importance, but also the course of the illness over time: the total duration of the illness; the suffering and discomfort it inflicts on the patient and family; whether the course over time is stable or fluctuating; which complications may be encountered; and whether relapses are apt to occur”. Stipulating the precise moment when it can be said that a patient with anorexia nervosa has recovered is difficult, because different opinions are possible. Can we say that a patient with anorexia nervosa has recovered when (s)he eats normally and has a normal weight? Or can we only talk about recovery when the patient has a more positive image of herself and her body, which reduces the likelihood of relapses? According to Theander (1985 p. 496) the following criteria are the most important for a favourable outcome in an eating disorder: “spontaneous and regular menstruation, a stable body weight within 15% of the average body weight for height, normal eating habits without bulimic episodes or undue dieting, and a reasonably normal conception of the body without unrealistic overestimation of the body size”.

Keywords

Cage Constipation Amenorrhea 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Bloois M de (1987) Anorexia nervosa: from within. How do patients with anorexia nervosa evaluate their treatment? A research of registered readers of ‘Antenne’, the journal of the Dutch Foundation for Anorexia nervosa. University of Leiden (in Dutch)Google Scholar
  2. Bruch H (1978) The golden cage. The enigma of anorexia nervosa. Harvard University Press, Cambridge (Mass.)Google Scholar
  3. Cremerius J (1978) Zur Theorie und Praxis der psychosomatischen Medizin. Suhrkamp Frankfurt am MainGoogle Scholar
  4. Lafeber C (1963) Klinisch psychiatrische Studie over de anorexia nervosa. Schrik’s Drukkerij, AstenGoogle Scholar
  5. Lafeber C (1981) Anorexia nervosa. Problems in adequate therapeutic planning. In: van de Loo KJM et al. (eds) Anorexia nervosa. Diagnosis, treatment and research. Dekker and van de Vegt, Nijmegen, pp 85–103 (in Dutch)Google Scholar
  6. Morgan HG, Russell GFM (1975) Value of family background in clinical features as predictors of long term outcome in anorexia nervosa: four year follow-up study of 41 patients’. Psychol Med 5:335–371CrossRefGoogle Scholar
  7. Noordenbos G (1987a) A multidisciplinary approach in the treatment of anorexia nervosa, possibilities and limitations. Mon J Ment Health 10:1087–1099 (in Dutch)Google Scholar
  8. Noordenbos G (1987b) Unlimmited slimming behaviour. Research on cultural and gender factors in the development of anorexia nervosa. Dissertation, University of Groningen, Leiden, DSWO-Press (in Dutch)Google Scholar
  9. Purgold J (1987) Who gets better? Who remains ill? Br Rev Bulimia Anorexia Nervosa 1:77–82Google Scholar
  10. Sours A (1969) Anorexia nervosa. In: Caplan G, Lebovici S (eds) Adolescence: psychological perspectives. Basic Books, New YorkGoogle Scholar
  11. Theander S (1985) Outcome and prognosis in anorexia nervosa and bulimia: Some results of previous investigations, compared with those of a Swedish long-term study. J Psychiatr Res 19:493–508PubMedCrossRefGoogle Scholar
  12. Vandereycken W, Meermann R (1984) Anorexia nervosa. A clinician’s guide to treatment. De Gruyter, BerlinGoogle Scholar
  13. Vandereycken W, Pierloot R (1983) Drop-out during in-patient treatment of anorexia nervosa. A clinical study of 133 patients. Br J Med Psychol 56:145–156PubMedCrossRefGoogle Scholar
  14. Winstead D, Willard SG (1983) Bulimia, diagnostic clues. South Med J 76:313–315PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1992

Authors and Affiliations

  • G. Noordenbos

There are no affiliations available

Personalised recommendations