title: All better? How former anorexia nervosa patients define recovery and engaged in treatment.
abstract: The purpose of this study was to explore how individuals with anorexia nervosa (AN) engage in treatment and define recovery. A mixed methods design was used to triangulate the experience of 20 women with a history of AN. Interview data were analysed thematically to explore frequency of emergent themes and current eating disorder psychopathology was assessed using standardized self-report measures. Participants' mean age was 29.35 (SD = 12.11). Participants' scores were indicative of persistent psychopathology. Those with more involvement in treatment choice had better motivation to change and normalized eating. Participants' definition of recovery mapped on well to current research conceptualizations, though a substantial proportion of the group expressed some ambivalence around the concept. Results are interpreted in the context of self-determination theory of motivation and suggest that patients should be involved collaboratively in the formulation of shared goals and concepts of recovery in treatment settings.
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, CA 94305, USA. adarcy@stanford.edu
authors.forename: Alison M
authors.initials: AM
authors.lastname: Darcy
authors.forename: Shaina
authors.initials: S
authors.lastname: Katz
authors.forename: Kathleen Kara
authors.initials: KK
authors.lastname: Fitzpatrick
authors.forename: Sarah
authors.initials: S
authors.lastname: Forsberg
authors.forename: Linsey
authors.initials: L
authors.lastname: Utzinger
authors.forename: James
authors.initials: J
authors.lastname: Lock
mesh_terms: D000328:Adult; D000856:Anorexia Nervosa / Q000523:psychology / Q000628:therapy*; D016009:Chi-Square Distribution; D005247:Feeding Behavior / Q000523:psychology; D005260:Female; D006801:Humans; D008875:Middle Aged; D009042:Motivation; D010358:Patient Participation / Q000523:psychology*; D011788:Quality of Life / Q000523:psychology*; D020127:Recovery of Function; D011795:Surveys and Questionnaires; D016896:Treatment Outcome