Personal recovery of young adults with severe anorexia nervosa during adolescence: a case series.
Eat Weight Disord
; 25(4): 867-878, 2020 Aug.
Article
em En
| MEDLINE
| ID: mdl-31098986
ABSTRACT
PURPOSE:
Despite the emergence of a growing qualitative literature about the personal recovery process in mental disorders, this topic remains little understood in anorexia nervosa (AN), especially severe AN during adolescence. This cases series is a first step that aims to understand recovery after severe AN among adolescents in France, from a first-person perspective.METHODS:
This cases series applied the interpretative phenomenological analysis (IPA) method to data collected in semi-structured face-to-face interviews about the recovery process of five young women who had been hospitalized with severe AN 10 years earlier during adolescence.RESULTS:
A model of recovery in four stages (corseted, vulnerable, plastic, and playful) crossing seven dimensions (struggle and path of initiation; work on oneself; self-determination and help; body; family; connectedness; and timeline) emerged from the analysis. New features of the AN personal recovery process were characterized bodily well-being and pleasure of body; stigmatization; the role of the group; relation to time; and importance of narratives. We suggest a new shape to model the AN recovery process, one that suggests several tipping points. Recruitment must now be widened to different AN contexts.CONCLUSIONS:
The personal recovery paradigm may provide a new approach to care, complementary to medical paradigm. REGISTRATION OF CLINICAL TRIAL No. NCT03712384. Our study was purely observational, without assignment of medical intervention. As a consequence, this clinical trial was registered retrospectively. LEVEL OF EVIDENCE Level V, descriptive study.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Anorexia Nervosa
Tipo de estudo:
Observational_studies
/
Qualitative_research
Limite:
Adolescent
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Adult
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Female
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Humans
País como assunto:
Europa
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article