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Reluctance to Recover in Anorexia Nervosa
Objective Reluctance to recover may explain poor treatment outcome and high dropout and relapse rates in the treatment of anorexia nervosa (AN). This study systematically explored what AN patients describe as interfering with their wish to recover. Method Two independent samples of women with AN (to...
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| Published in: | European eating disorders review 2012-01, Vol.20 (1), p.60-67 |
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| Main Authors: | , , , , , |
| Format: | Article |
| Language: | English |
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| cited_by | cdi_FETCH-LOGICAL-c4197-9abdeb5ec000d7189d590db608817746ab4c725cf7a1ddcf2329d84b4fb1c4af3 |
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| cites | cdi_FETCH-LOGICAL-c4197-9abdeb5ec000d7189d590db608817746ab4c725cf7a1ddcf2329d84b4fb1c4af3 |
| container_end_page | 67 |
| container_issue | 1 |
| container_start_page | 60 |
| container_title | European eating disorders review |
| container_volume | 20 |
| creator | Nordbø, Ragnfrid H. S. Espeset, Ester M. S. Gulliksen, Kjersti S. Skårderud, Finn Geller, Josie Holte, Arne |
| description | Objective
Reluctance to recover may explain poor treatment outcome and high dropout and relapse rates in the treatment of anorexia nervosa (AN). This study systematically explored what AN patients describe as interfering with their wish to recover.
Method
Two independent samples of women with AN (total N = 36) were interviewed in‐depth using a phenomenological study design. Interviews were tape recorded, transcribed and analysed using QSR‐NVivo7 (QSR International, Melbourne, Australia) software.
Results
Seven core obstacles were found to interfere with informants' wish to recover as follows: (i) ‘perceiving judgements’; (ii) ‘feeling stuck’; (iii) ‘feeling distressed’; (iv) ‘denying AN’; (v) ‘eating’; (vi) ‘gaining weight’; and (vii) ‘appreciating the benefits’.
Conclusion
The wish to recover is an autonomously based, fundamental motivational requirement for becoming ready to change. Understanding factors that contribute to this wish adds to the clinician's toolbox in motivational work with AN patients. Copyright © 2011 John Wiley & Sons, Ltd and Eating Disorders Association. |
| doi_str_mv | 10.1002/erv.1097 |
| format | article |
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Reluctance to recover may explain poor treatment outcome and high dropout and relapse rates in the treatment of anorexia nervosa (AN). This study systematically explored what AN patients describe as interfering with their wish to recover.
Method
Two independent samples of women with AN (total N = 36) were interviewed in‐depth using a phenomenological study design. Interviews were tape recorded, transcribed and analysed using QSR‐NVivo7 (QSR International, Melbourne, Australia) software.
Results
Seven core obstacles were found to interfere with informants' wish to recover as follows: (i) ‘perceiving judgements’; (ii) ‘feeling stuck’; (iii) ‘feeling distressed’; (iv) ‘denying AN’; (v) ‘eating’; (vi) ‘gaining weight’; and (vii) ‘appreciating the benefits’.
Conclusion
The wish to recover is an autonomously based, fundamental motivational requirement for becoming ready to change. Understanding factors that contribute to this wish adds to the clinician's toolbox in motivational work with AN patients. Copyright © 2011 John Wiley & Sons, Ltd and Eating Disorders Association.</description><identifier>ISSN: 1072-4133</identifier><identifier>EISSN: 1099-0968</identifier><identifier>DOI: 10.1002/erv.1097</identifier><identifier>PMID: 21305676</identifier><language>eng</language><publisher>Chichester, UK: John Wiley & Sons, Ltd</publisher><subject>Adolescent ; Adult ; ambivalence ; Anorexia ; Anorexia Nervosa - psychology ; Anorexia Nervosa - rehabilitation ; Anorexia Nervosa - therapy ; eating disorder ; Female ; Humans ; Interview, Psychological ; Medical treatment ; Motivation ; Motivation - physiology ; motivation to change ; Qualitative Research ; resistance ; Studies ; treatment ; Treatment Outcome ; Young Adult</subject><ispartof>European eating disorders review, 2012-01, Vol.20 (1), p.60-67</ispartof><rights>Copyright © 2011 John Wiley & Sons, Ltd and Eating Disorders Association.</rights><rights>Copyright John Wiley and Sons, Limited Jan 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4197-9abdeb5ec000d7189d590db608817746ab4c725cf7a1ddcf2329d84b4fb1c4af3</citedby><cites>FETCH-LOGICAL-c4197-9abdeb5ec000d7189d590db608817746ab4c725cf7a1ddcf2329d84b4fb1c4af3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21305676$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nordbø, Ragnfrid H. S.</creatorcontrib><creatorcontrib>Espeset, Ester M. S.</creatorcontrib><creatorcontrib>Gulliksen, Kjersti S.</creatorcontrib><creatorcontrib>Skårderud, Finn</creatorcontrib><creatorcontrib>Geller, Josie</creatorcontrib><creatorcontrib>Holte, Arne</creatorcontrib><title>Reluctance to Recover in Anorexia Nervosa</title><title>European eating disorders review</title><addtitle>Eur. Eat. Disorders Rev</addtitle><description>Objective
Reluctance to recover may explain poor treatment outcome and high dropout and relapse rates in the treatment of anorexia nervosa (AN). This study systematically explored what AN patients describe as interfering with their wish to recover.
Method
Two independent samples of women with AN (total N = 36) were interviewed in‐depth using a phenomenological study design. Interviews were tape recorded, transcribed and analysed using QSR‐NVivo7 (QSR International, Melbourne, Australia) software.
Results
Seven core obstacles were found to interfere with informants' wish to recover as follows: (i) ‘perceiving judgements’; (ii) ‘feeling stuck’; (iii) ‘feeling distressed’; (iv) ‘denying AN’; (v) ‘eating’; (vi) ‘gaining weight’; and (vii) ‘appreciating the benefits’.
Conclusion
The wish to recover is an autonomously based, fundamental motivational requirement for becoming ready to change. Understanding factors that contribute to this wish adds to the clinician's toolbox in motivational work with AN patients. Copyright © 2011 John Wiley & Sons, Ltd and Eating Disorders Association.</description><subject>Adolescent</subject><subject>Adult</subject><subject>ambivalence</subject><subject>Anorexia</subject><subject>Anorexia Nervosa - psychology</subject><subject>Anorexia Nervosa - rehabilitation</subject><subject>Anorexia Nervosa - therapy</subject><subject>eating disorder</subject><subject>Female</subject><subject>Humans</subject><subject>Interview, Psychological</subject><subject>Medical treatment</subject><subject>Motivation</subject><subject>Motivation - physiology</subject><subject>motivation to change</subject><subject>Qualitative Research</subject><subject>resistance</subject><subject>Studies</subject><subject>treatment</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>1072-4133</issn><issn>1099-0968</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><recordid>eNp10EFLwzAYBuAgiptT8BdI8aIeqkmTJs1xG3MqMmXoPIY0SaGza2fSzu3fm7K5g-Dp-wgPb5IXgHMEbxGE0Z2xK79wdgC6fvAQcpoctjuLQoIw7oAT5-YQ-vM4OQadCGEYU0a74GZqikbVslQmqKtgalS1MjbIy6BfVtascxlMfHrl5Ck4ymThzNlu9sD7_eht-BA-v4wfh_3nUBHEWchlqk0aG-Vv0wwlXMcc6pTCJEGMESpTolgUq4xJpLXKIhxxnZCUZClSRGa4B662uUtbfTXG1WKRO2WKQpamapzgiFDKIpR4eflHzqvGlv5xLeKYUB57dL1FylbOWZOJpc0X0m4EgqItT_jvibY8Ty92eU26MHoPf9vyINyC77wwm3-DxGg62wXufO5qs957aT8FZZjF4mMyFgP69DqYzbiI8A8ADYWZ</recordid><startdate>201201</startdate><enddate>201201</enddate><creator>Nordbø, Ragnfrid H. S.</creator><creator>Espeset, Ester M. S.</creator><creator>Gulliksen, Kjersti S.</creator><creator>Skårderud, Finn</creator><creator>Geller, Josie</creator><creator>Holte, Arne</creator><general>John Wiley & Sons, Ltd</general><general>John Wiley and Sons, Limited</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201201</creationdate><title>Reluctance to Recover in Anorexia Nervosa</title><author>Nordbø, Ragnfrid H. S. ; Espeset, Ester M. S. ; Gulliksen, Kjersti S. ; Skårderud, Finn ; Geller, Josie ; Holte, Arne</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4197-9abdeb5ec000d7189d590db608817746ab4c725cf7a1ddcf2329d84b4fb1c4af3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>ambivalence</topic><topic>Anorexia</topic><topic>Anorexia Nervosa - psychology</topic><topic>Anorexia Nervosa - rehabilitation</topic><topic>Anorexia Nervosa - therapy</topic><topic>eating disorder</topic><topic>Female</topic><topic>Humans</topic><topic>Interview, Psychological</topic><topic>Medical treatment</topic><topic>Motivation</topic><topic>Motivation - physiology</topic><topic>motivation to change</topic><topic>Qualitative Research</topic><topic>resistance</topic><topic>Studies</topic><topic>treatment</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nordbø, Ragnfrid H. S.</creatorcontrib><creatorcontrib>Espeset, Ester M. S.</creatorcontrib><creatorcontrib>Gulliksen, Kjersti S.</creatorcontrib><creatorcontrib>Skårderud, Finn</creatorcontrib><creatorcontrib>Geller, Josie</creatorcontrib><creatorcontrib>Holte, Arne</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European eating disorders review</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nordbø, Ragnfrid H. S.</au><au>Espeset, Ester M. S.</au><au>Gulliksen, Kjersti S.</au><au>Skårderud, Finn</au><au>Geller, Josie</au><au>Holte, Arne</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reluctance to Recover in Anorexia Nervosa</atitle><jtitle>European eating disorders review</jtitle><addtitle>Eur. Eat. Disorders Rev</addtitle><date>2012-01</date><risdate>2012</risdate><volume>20</volume><issue>1</issue><spage>60</spage><epage>67</epage><pages>60-67</pages><issn>1072-4133</issn><eissn>1099-0968</eissn><abstract>Objective
Reluctance to recover may explain poor treatment outcome and high dropout and relapse rates in the treatment of anorexia nervosa (AN). This study systematically explored what AN patients describe as interfering with their wish to recover.
Method
Two independent samples of women with AN (total N = 36) were interviewed in‐depth using a phenomenological study design. Interviews were tape recorded, transcribed and analysed using QSR‐NVivo7 (QSR International, Melbourne, Australia) software.
Results
Seven core obstacles were found to interfere with informants' wish to recover as follows: (i) ‘perceiving judgements’; (ii) ‘feeling stuck’; (iii) ‘feeling distressed’; (iv) ‘denying AN’; (v) ‘eating’; (vi) ‘gaining weight’; and (vii) ‘appreciating the benefits’.
Conclusion
The wish to recover is an autonomously based, fundamental motivational requirement for becoming ready to change. Understanding factors that contribute to this wish adds to the clinician's toolbox in motivational work with AN patients. Copyright © 2011 John Wiley & Sons, Ltd and Eating Disorders Association.</abstract><cop>Chichester, UK</cop><pub>John Wiley & Sons, Ltd</pub><pmid>21305676</pmid><doi>10.1002/erv.1097</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1072-4133 |
| ispartof | European eating disorders review, 2012-01, Vol.20 (1), p.60-67 |
| issn | 1072-4133 1099-0968 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_914667218 |
| source | Wiley |
| subjects | Adolescent Adult ambivalence Anorexia Anorexia Nervosa - psychology Anorexia Nervosa - rehabilitation Anorexia Nervosa - therapy eating disorder Female Humans Interview, Psychological Medical treatment Motivation Motivation - physiology motivation to change Qualitative Research resistance Studies treatment Treatment Outcome Young Adult |
| title | Reluctance to Recover in Anorexia Nervosa |
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