Recovery from Disordered Eating: Sufferers' and Clinicians' Perspectives

Francesca Emanuelli, Glenn Waller, Matthew Jones‐Chester, R Ostuzzi

European Eating Disorders Review · 2012 · 31 citations · 56 references

Concepts

TL;DR

Recovery from eating disorders is inconsistently defined, with existing models combining physical, cognitive, emotional, psychological, and social factors but lacking multidimensional frameworks that compare sufferers’ and clinicians’ perspectives. The study investigates the recovery perspectives of individuals with eating difficulties and clinicians. A survey of 238 participants—patients and clinicians—rated the importance of somatic, psychological, emotional, social, eating‑related, and body‑experience recovery criteria. Recovery criteria clustered into factors such as psychological–emotional–social, weight‑controlling behaviors, non‑life‑threatening and life‑threatening features, and appearance evaluation; sufferers and clinicians agreed on factor importance rankings, but sufferers placed greater weight on psychological–emotional–social and appearance evaluation criteria. © 2012 John Wiley & Sons, Ltd and Eating Disorders Association.

Abstract

Abstract Objective Disagreement exists on how to define recovery from eating disorders. Definitions typically include a combination of physical, cognitive, emotional, psychological and social factors. However, none provides multidimensional recovery models, addressing and comparing sufferers' 1 and clinicians' viewpoints. This study investigates those recovery perspectives. Method Two‐hundred and thirty‐eight participants (individuals with eating difficulties and clinicians working in the field) completed a checklist, rating the importance of somatic, psychological, emotional, social, eating‐related and body experience‐related recovery criteria. Results Recovery criteria fell into meaningful factors (psychological–emotional–social, weight‐controlling behaviours, non‐life‐threatening and life‐threatening features and evaluation of one's own appearance). Sufferers and clinicians agreed on the ranking of importance of these factors. However, sufferers considered ‘psychological–emotional–social’ and ‘evaluation of one's own appearance’ criteria as more important to recovery than clinicians. Discussion Findings are discussed in relation to existing research, together with study limitations and future research. Clinical implications are outlined, focusing on the facilitation of recovery. Copyright © 2012 John Wiley & Sons, Ltd and Eating Disorders Association.

References

56