Department of Psychology, University of North Carolina at Chapel Hill, 27599, USA.
Behav Res Ther. 2010 Mar;48(3):194-202. doi: 10.1016/j.brat.2009.11.001. Epub 2009 Nov 13.
Conceptually, eating disorder recovery should include physical, behavioral, and psychological components, but such a comprehensive approach has not been consistently employed. Guided by theory and recent recovery research, we identified a "fully recovered" group (n = 20) based on physical (body mass index), behavioral (absence of eating disorder behaviors), and psychological (Eating Disorder Examination-Questionnaire) indices, and compared them with groups of partially recovered (n = 15), active eating disorder (n = 53), and healthy controls (n = 67). The fully recovered group was indistinguishable from controls on all eating disorder-related measures used, while the partially recovered group was less disordered than the active eating disorder group on some measures, but not on body image. Regarding psychosocial functioning, both the fully and partially recovered groups had psychosocial functioning similar to the controls, but there was a pattern of more of the partially recovered group reporting eating disorder aspects interfering with functioning. Regarding other psychopathology, the fully recovered group was no more likely than the controls to experience current Axis I pathology, but they did have elevated rates of current anxiety disorder. Results suggest that a stringent definition of recovery from an eating disorder is meaningful. Clinical implications and future directions regarding defining eating disorder recovery are discussed.
从概念上讲,饮食失调的康复应该包括身体、行为和心理等方面,但这种全面的方法并未得到一致采用。我们根据理论和最近的康复研究,根据身体(体重指数)、行为(无饮食失调行为)和心理(饮食失调检查问卷)指标确定了一个“完全康复”组(n=20),并将其与部分康复组(n=15)、活跃的饮食失调组(n=53)和健康对照组(n=67)进行比较。完全康复组在所有使用的与饮食失调相关的测量指标上与对照组无异,而部分康复组在一些测量指标上比活跃的饮食失调组紊乱程度较轻,但在身体形象方面并非如此。在心理社会功能方面,完全康复组和部分康复组的心理社会功能与对照组相似,但部分康复组中更多的人报告饮食失调方面对功能的影响。至于其他精神病理学,完全康复组与对照组相比,当前轴 I 病理的可能性并没有更高,但他们确实有更高的当前焦虑障碍发病率。结果表明,对饮食失调的严格定义的康复是有意义的。讨论了关于定义饮食失调康复的临床意义和未来方向。