ArticleJournal of eating disorders2021
How and why does the disease progress? A qualitative investigation of the transition into long-standing anorexia nervosa.
Article in Journal of eating disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Severe and Enduring Eating Disorders: A Qualitative Study of Patients' Experiences and Perceived Treatment Needs.European eating disorders review : the journal of the Eating Disorders Association · 2026Article
- Examining Facets of Body Image Disturbance Across Anorexia Nervosa Illness and Recovery Stages.European eating disorders review : the journal of the Eating Disorders Association · 2026Article
- Clinical staging for eating disorders: A scoping review and update.European psychiatry : the journal of the Association of European Psychiatrists · 2026Article
- "Always, always have hope:" persons with lived experience, carers and health professionals' experiences before and after discharge from hospital for an eating disorder.Journal of eating disorders · 2026Article
- Who gets to decide? Matters arising from Robinson et al. (2024), "Can people with longstanding bulimia nervosa suffer from severe and enduring eating disorder? A qualitative study".Journal of eating disorders · 2026Article
- Key features of illness and treatment experiences in longstanding anorexia nervosa: qualitative descriptive study.BJPsych open · 2025Article
- How Do the Psychological Functions of Eating Disorder Behaviours Compare with Self-Harm? A Systematic Qualitative Evidence Synthesis.Healthcare (Basel, Switzerland) · 2025Review
- An (un)answered cry for help: a qualitative study exploring the subjective meaning of eating disorders in the context of transgenerational trauma.Journal of eating disorders · 2025Article
- Outcomes in people with eating disorders: a transdiagnostic and disorder-specific systematic review, meta-analysis and multivariable meta-regression analysis.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2024Article
- Anorexia nervosa through the lens of a severe and enduring experience: 'lost in a big world'.Journal of eating disorders · 2024Article
- Conceptualisation of severe and enduring anorexia nervosa: a qualitative meta-synthesis.BMC psychiatry · 2023Review
- Transitions from intensive eating disorder treatment settings: qualitative investigation of the experiences and needs of adults with anorexia nervosa and their carers.BJPsych open · 2022Article
- Conceptualising specialist supportive clinical management (SSCM): current evidence and future directions.Journal of eating disorders · 2022Review
- Lived experience perspectives on labeling and defining long-standing anorexia nervosa.Journal of eating disorders · 2021Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveDespite an increased interest in understanding characteristics of long-standing anorexia nervosa (AN), there is a lack of knowledge into the processes that occur with the development and maintenance of the disease. This has impeded the development of novel treatment approaches that may prove more effective than traditional medical models of therapy. To improve the prognosis of these long-standing presentations, an understanding as to how and why the AN disease progresses is required. It was therefore the aim of the current study to investigate the transition of AN from earlier to later stages.
methodThe study adopted a narrative inquiry approach and a total of 11 women with long-standing AN participated in an interview. The newly developed photovoice method assisted in data collection with typologies of chronic illness facilitating the emergence of salient themes.
resultsThe qualitative analysis resulted in the identification of five themes: (a) transition, (b) trauma, (c) functionality, (d) identity, and (e) failure of current models of treatment.
conclusionsTogether with identifying key themes, the study provides insight into some possible reasons why current treatment models are failing to promote recovery. Future research examining the effectiveness of treatment that targets underlying causes and maintaining factors of the illness are suggested. Additional education for health professionals is also recommended in order to reduce the trauma that is currently being experienced by some patients with a long-standing illness.
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