ArticleThe International journal of eating disorders2020
Between wellness, relapse, and remission: Stages of illness in anorexia nervosa.
Article in The International journal of eating disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.
- Assisted death in eating disorders: a systematic review of cases and clinical rationales.Frontiers in psychiatry · 2024Pooled it
- Pooled it
- Clinical staging for eating disorders: A scoping review and update.European psychiatry : the journal of the Association of European Psychiatrists · 2026Article
- Clinician Practices in Determining Expected Body Weights Across Eating Disorders: A Mixed Methods Study.European eating disorders review : the journal of the Eating Disorders Association · 2026Article
- Key features of illness and treatment experiences in longstanding anorexia nervosa: qualitative descriptive study.BJPsych open · 2025Article
- Implicit approach-avoidance bias for body and food-related stimuli among individuals with anorexia nervosa in partial remission.Eating behaviors · 2025Article
- Exploring body uneasiness in severe and enduring eating disorders: insights from clinical practice.Journal of eating disorders · 2024Article
- Inclusion of the severe and enduring anorexia nervosa phenotype in genetics research: a scoping review.Journal of eating disorders · 2024Article
- An Intensive time series investigation of the relationships across eating disorder-specific fear responses and behavior urges in partially remitted anorexia nervosa.Journal of anxiety disorders · 2024Article
- The role of mindfulness on the psychological aspects of anorexia nervosa.Clinical child psychology and psychiatry · 2024Article
- Perspectives on relapse prevention following intensive treatment of anorexia nervosa: A focus group study.The International journal of eating disorders · 2023Article
- Lived experience perspectives on labeling and defining long-standing anorexia nervosa.Journal of eating disorders · 2021Article
- Changes in brain and behavior during food-based decision-making following treatment of anorexia nervosa.Journal of eating disorders · 2021Article
- Predictors of illness course and health maintenance following inpatient treatment among patients with anorexia nervosa.Journal of eating disorders · 2020Article
- Cholinergic dysfunction in the dorsal striatum promotes habit formation and maladaptive eating.The Journal of clinical investigation · 2020Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
objectivePsychiatric illnesses, like medical illnesses, can sometimes be considered as progressing through stages. Understanding these stages can lead to a better understanding of pathophysiology, and clarification of prognosis and treatment needs. Opinions from experts in the field of anorexia nervosa (AN) were sought to create a model of stages of illness.
methodThe Delphi approach was used to achieve consensus from a panel of 31 individuals from a range of disciplines with expertise in AN. Over three iterative rounds, participants rated agreement with statements about an overall staging framework and definitions of specific stages.
resultsAgreement was reached about a longitudinal progression including Subsyndromal, Full Syndrome, Persistent Illness, and Partial and Full Remission. The panel achieved consensus in defining Subsyndromal AN as characterized by body image disturbance and mild to moderate restrictive eating. Overall, there was consensus that restrictive eating is central to the behavioral features of all stages of AN, and agreement that its absence is essential to any stage of health. There was little consensus about biological markers, other than body mass index, and no consensus about quality of life indices associated with different stages. DISCUSSION: This panel discussion yielded an expert-informed staging model for AN. This model now needs to be tested for its validity. The lack of consensus in several areas highlighted other research questions to address in order to develop an empirically valid and scientifically useful model of the progression of AN.
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Registered trials
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.