The process of recovery in eating disorder sufferers' own words: An Internet-based study

Keski‐Rahkonen, Anna; Tozzi, Federica

doi:10.1002/eat.20123

Cited by 137 publications

(66 citation statements)

References 15 publications

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“…It was not a very effective way because it was just ignoring what was going on… but I guess at the time, that was the only thing I had.' [38] (c) Denial of Disease [3,[5][6][7]11] . This eating behavior is considered normal by some patients, since they do not consider themselves mentally ill.…”

Section: Symptom Identification Disease Representationmentioning

confidence: 99%

“…The results of this research reveal a complex structure characterized by the presence of many variables, outstanding among which are various ways of understanding the disease, peculiarities of personal history, emotional difficulties, and the structure of family dynamics [3][4][5] . Other studies have identified experiences related to rejection, low self-esteem, insecurity, and autoevaluation centered on the body [6][7][8] . As would be expected, most research has involved small samples, generally from 1 to 12 patients [3,[9][10][11] .…”

Section: Introductionmentioning

confidence: 99%

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Anorexia Nervosa’s Meaning to Patients: A Qualitative Synthesis

Espíndola

Blay

2009

Psychopathology

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Background: We carried out a qualitative synthesis of international literature to provide insight into the patient’s experience as a means to help clinicians recognize symptoms of anorexia nervosa. Method: International publications from 1990 to 2005 were searched for relevant qualitative investigations, and meta-ethnography was employed to identify common themes across studies. Databases included were PubMed, ISI, PsycINFO, EMBASE, LILACS and SciELO. Results: 24 studies were included from a total of 3,415 papers. The second-order interpretation process using reciprocal translation allowed the identification of two concepts: (1) symptom identification (disease representation, self-concept, development of anorexia) and (2) disease interpretation (positive aspects, negative aspects, areas of life affected). Third-order constructs emerged revealing the disease as connected with identity and control. Conclusion: Knowledge of patients’ efforts to interpret the illness as a part of their own identity and sense of control have a key role in physician understanding of the disorder by allowing physicians to bring structure to the patients’ lives generally and to their help-seeking behavior specifically. The study has some limitations. Most of the results come from B-grade studies (as classified by the Critical Appraisal Skills Programme) that used qualitative methodology, implying the need for caution in data interpretation. Moreover, study populations were almost exclusively female, and no comparison was attempted concerning the severity of the condition between studies.

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Section: Symptom Identification Disease Representationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Anorexia Nervosa’s Meaning to Patients: A Qualitative Synthesis

Espíndola

Blay

2009

Psychopathology

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“…21 Two studies used male and female participants. 12,25 Eating disorders are much less frequent in men than in women. For that reason, men have been relatively neglected and ignored by specialists.…”

Section: Discussionmentioning

confidence: 99%

“…Empathic understanding and support emerged as the most common factors. 25 a) Factors that contributed to production of change:…”

Section: Recoverymentioning

confidence: 99%

Bulimia e transtorno da compulsão alimentar periódica: revisão sistemática e metassíntese

Espíndola

Blay

2006

Rev. psiquiatr. Rio Gd. Sul

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OBJETIVO: Esta revisão sistemática teve como objetivo organizar o conjunto das informações disponibilizadas pelos estudos qualitativos sobre a vivência dos pacientes portadores de bulimia e transtorno da compulsão alimentar periódica. METODOLOGIA: Pesquisas foram conduzidas nas seguintes bases de dados: PubMed, ISI, PsycINFO, EMBASE, LILACS e SciELO, no período de 1990 a 2005. Critérios de inclusão: 1) artigos com foco principal na bulimia ou transtorno da compulsão alimentar periódica; 2) pesquisas originais em inglês, espanhol, francês ou português; 3) uso de qualquer método qualitativo, como entrevista, grupo focal ou observação de campo. Critérios de exclusão: artigos exclusivamente teóricos ou que utilizam população infantil ou da terceira idade. Utilizou-se a abordagem meta-etnográfica para sintetizar os dados. Cada estudo foi lido, e as categorias centrais de cada um foram comparadas e interpretadas com as categorias de todos os outros estudos. RESULTADOS: Foram incluídos 15 estudos de um total de 3.415 artigos. Sete temas centrais que se sobrepõem foram identificados: representação da doença; sentimentos negativos (medo, culpa, raiva, solidão, perda de controle); sentimentos positivos (auto-controle; poder; função do sintoma; relacionamentos interpessoais; história pessoal; contexto sociocultural; recuperação). CONCLUSÕES: Embora muitos aspectos sejam negativos, a experiência, como um todo, não é referida apenas como má. Alguns aspectos dos transtornos alimentares são sentidos como benéficos, segundo os pacientes.

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“…Pettersen & Rosenvinge, 2002;Rahkonen & Tozzi, 2005;Tozzi et al, 2003) provide compelling evidence that treatment do contribute to recovery or a recovery process.…”

Section: Treatment Factorsmentioning

confidence: 99%