Compliance and outcome in treatment‐resistant anorexia and bulimia: A retrospective study

Towell, Dawn M. Baker; Woodford, Sally; Reid, Steven; Rooney, Barbara; Towell, Anthony

doi:10.1348/014466501163634

Cited by 22 publications

(15 citation statements)

References 15 publications

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“…Clinicians have long described the fear of weight gain and the emotional distress experienced by AN patients when they gain weight in response to refeeding. Clinical studies have also emphasized the importance of addressing body image disturbance in AN to achieve lasting treatment success (Loewe et al, 2001;Towell, Woodford, Reid, Rooney, & Towell, 2001).…”

Section: Discussionmentioning

confidence: 99%

Changes in weight and body image over time in women with eating disorders

Striegel‐Moore¹,

Franko²,

Thompson³

et al. 2004

Intl J Eating Disorders

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Body weight seems to influence perception of body size more so for girls with AN than for noED girls. No support was found for an accelerated weight gain over time for BN. Weight may increase over time for the BED group relative to the noED group, but larger studies are needed. Across all three groups, ideal body size appears to be unrelated to diagnostic status. Rather, the risk for developing an eating disorder appears to arise from size overestimation and related weight dissatisfaction.

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Section: Discussionmentioning

confidence: 99%

Changes in weight and body image over time in women with eating disorders

Striegel‐Moore¹,

Franko²,

Thompson³

et al. 2004

Intl J Eating Disorders

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show abstract

“…Early drop-outs are related to a longer duration of illness and a history of previous hospitalizations, often prematurely terminated (Kahn & Pike, 2001;Zeeck & Herzog, 2000). However, research is much too scarce to relate clinical indices of prognosis to compliance with inpatient treatment or vice versa (see also Steiner, Mazer, & Litt, 1990;Towell, Woodford, Reid, Rooney, & Towell, 2001;Vandereycken & Pierloot, 1983). As with the clinician's decision to hospitalize a patient, we are faced here with the clinician's perception of the patient's readiness for discharge.…”

Section: When Is the Patient Ready For Discharge?mentioning

confidence: 99%

The place of inpatient care in the treatment of anorexia nervosa: Questions to be answered

Vandereycken

2003

Intl J Eating Disorders

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“…While there have been impressive advances in the treatment of AN, particularly for adolescents (4–6), treatments for both adults and adolescents have had limited effectiveness in improving disturbance in the experience of the body (often referred to as body image disturbance) (1, 7, 8). The degree of body image disturbance predicts poor treatment response (9) and has been reported to motivate hazardous weight loss behaviors (1, 2). Elucidation of the biological substrate of body image disturbance is thus considered essential to understanding the pathophysiology of AN.…”

Section: Introductionmentioning

confidence: 99%

The Clinical Significance of Posterior Insular Volume in Adolescent Anorexia Nervosa

et al. 2017

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Objective The diagnostic criterion disturbance in the experience of the body remains a poorly understood and persistent feature of anorexia nervosa (AN). Increased sophistication in understanding the structure of the insular cortex - a neural structure that receives and integrates visceral sensations with action and meaning - may elucidate the nature of this disturbance. We explored age, weight-status, illness severity, and self-reported body dissatisfaction associations with insular cortex volume. Methods Structural MRI data were collected from 21 adolescents with a history of AN and 20 age, sex, and BMI-matched controls. Insular cortical volumes (bilateral anterior and posterior regions) were identified using manual tracing. Results Volumes of the right posterior insula demonstrated: 1) a significant age by clinical status interaction (β = −0.018 ± 0.008; t = 2.32, p = 0.02) and 2) larger volumes were associated with longer duration of illness (r = .48, p < .04). In contrast, smaller volumes of the right anterior insula were associated with longer duration of illness (r = −.50, p < .03). The associations of insular volume with body dissatisfaction were of moderate effect size, also of opposite direction, but a statistical trend in right posterior (r = .40, p < .10 in right posterior; r = −.49, p < .04 in right anterior). Conclusions In this exploratory study, findings of atypical structure of the right posterior insular cortex point to the importance of future work investigating the role of visceral afferent signaling in understanding disturbance in body experience in AN.

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Compliance and outcome in treatment‐resistant anorexia and bulimia: A retrospective study

Abstract: Results suggest the importance of compliance in facilitating recovery and treatment success among treatment-resistant eating-disordered in-patients. The promotion of strategies to improve compliance in this population should be considered. A role for motivational interviewing is discussed.

Cited by 22 publications

References 15 publications

Changes in weight and body image over time in women with eating disorders

Changes in weight and body image over time in women with eating disorders

The place of inpatient care in the treatment of anorexia nervosa: Questions to be answered

The Clinical Significance of Posterior Insular Volume in Adolescent Anorexia Nervosa

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