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Body attitudes in patients with eating disorders a...[Eat Behav. 2009] - PubMed Result

Posted Mar 12 2009 3:12pm
Unfortunately, because diagnostic categorization of eating disorders are based primarily on body weight, statistics on recovery are also based on restored body weight.

Which is dumb. The illness is still there, at least for a while, and withdrawing treatment and alarm at the very time one most needs it mentally strikes me as cruel.

I am always happy to see research drawing together information on what we know is happening medically and what is happening cognitively. This research, Body attitudes in patients with eating disorders, looked at body attitudes but at intake and months after weight restoration.

And an interesting and important observation arises: Restrictive anorexia "patients indicated no significant improvement in body attitudes" while purging anorexics, bulimics, and EDNOS patients all did share improvement in that measure.

It is important to know, if this bears out, that restrictive anorexics may have more intractable body dysmorphia than other eating disorder patients. For one thing, so we don't promise patients that weight restoration will make that feeling go away. So we can better predict who WILL feel better on that measure. So we can search in a focused way for better treatment for body dysmorphic symptoms in those who are more at risk for relapse for that reason.
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