ArticleEating and weight disorders : EWD2017
Recovery from eating disorder 1 year after start of treatment is related to better mentalization and strong reduction of sensitivity to others.
Article in Eating and weight disorders : EWD, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.
- Defining Recovery and Relapse in Bulimia Nervosa: A Systematic Review of the Literature.European eating disorders review : the journal of the Eating Disorders Association · 2026Pooled it
- The Effects of Autonomy-Enhancing Therapy for Eating Disorders: Protocol for a Single-Case Experimental Multiple Baseline Design.JMIR research protocols · 2026Article
- The Dual Facets of Emotion Perception in Adult Attachment Representations: A Systematic Review on Impathy and Empathy.Brain sciences · 2026Review
- Barriers Individuals From Racial-Ethnic Minority Groups Face in Accessing Eating Disorder Treatment and Proposed Solutions.Psychiatric services (Washington, D.C.) · 2026Review
- Mentalizing Oneself and Others in Anorexia Nervosa: From Subjective Evaluation to Performance.Journal of clinical psychology · 2025Article
- Psychometric Properties of the Turkish Version of the Reflective Functioning Questionnaire in Men on Probation for Substance Use and a Healthy Control Group.Turk psikiyatri dergisi = Turkish journal of psychiatry · 2025Article
- Attachment, mentalizing, and eating disorder symptoms in adolescent psychiatric inpatients and healthy controls: a test of a mediational model.Eating and weight disorders : EWD · 2021Article
- Three Mediating Pathways of Anxiety and Security in the Relationship between Coping Style and Disordered Eating Behaviors among Chinese Female College Students.Neural plasticity · 2021Article
- 'Impaired Autonomy and Performance' predicts binge eating disorder among obese patients.Eating and weight disorders : EWD · 2020Article
- Personal recovery of young adults with severe anorexia nervosa during adolescence: a case series.Eating and weight disorders : EWD · 2020Observational
- Early changes in depression predict outcomes of inpatient adolescent anorexia nervosa.Eating and weight disorders : EWD · 2020Article
- Eating disorder recovery is associated with absence of major depressive disorder and substance use disorders at 22-year longitudinal follow-up.Comprehensive psychiatry · 2019Article
- An Overview of Conceptualizations of Eating Disorder Recovery, Recent Findings, and Future Directions.Current psychiatry reports · 2018Review
Corrections and comments
- Erratum issued
Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo investigate whether recovery from an eating disorder is related to pre-treatment attachment and mentalization and/or to improvement of attachment and mentalization during treatment.
methodFor a sample of 38 anorexia nervosa (AN) and bulimia nervosa (BN) patients receiving treatment the relations between attachment security, mentalization, comorbidity and recovery status after 12 months (not recovered or recovered), and after 18 months (persistently ill, relapsed, newly recovered, or persistently recovered) were investigated. Attachment security and mentalization were assessed by the Adult Attachment Interview at the start of the treatment and after 12 months. Besides assessing co-morbidity-for its effect on treatment outcome-we measured psycho-neuroticism and autonomy because of their established relations to both eating disorder symptoms and to attachment security.
resultsRecovery both at 12 months and at 18 months was related to higher levels of mentalization; for attachment, no significant differences were found between recovered and unrecovered patients. Patients who recovered from AN or BN also improved on co-morbid symptoms: whereas pre-treatment symptom severity was similar, at 12 months recovered patients scored lower on co-morbid personality disorders, anxiety, depression, self-injurious behaviour and psycho-neuroticism than unrecovered patients. Improvement on autonomy (reduced sensitivity to others; greater capacity to manage new situations) in 1 year of treatment was significantly higher in recovered than in unrecovered patients.
conclusionA focus on enhancing mentalization in eating disorder treatment might be useful to increase the chances of successful treatment. Improvement of autonomy might be the mechanism of change in recovering from AN or BN. LEVEL OF EVIDENCE: Level III cohort study.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.