Serious and enduring anorexia nervosa from a developmental point of view: How to detect potential risks at an early stage and prevent chronic illness?
- Authors
- Type
- Published Article
- Journal
- International Journal of Eating Disorders
- Publisher
- Wiley (John Wiley & Sons)
- Publication Date
- Aug 01, 2020
- Volume
- 53
- Issue
- 8
- Pages
- 1313–1314
- Identifiers
- DOI: 10.1002/eat.23329
- PMID: 32538483
- Source
- Medline
- Keywords
- Language
- English
- License
- Unknown
Abstract
This commentary on serious and enduring anorexia nervosa adopts the position of a developmental psychiatrist. It argues that this perspective illuminates the etiology and course of severe and enduring anorexia nervosa (SE-AN) and could thus help to develop treatments targeting typical early characteristics of patients with SE-AN. Based on a detailed knowledge of contributing factors, a risk score for SE-AN should be designed by which the probability of chronicity could be calculated at an early stage and preventive measures be taken. As the formation of habits seems to play an important role in establishing a chronic course of AN, psychotherapeutic techniques that include "habit reversal" should be considered during the early stage. Another recommended step in preventing SE-AN is the identification of resilience factors that are associated with a late favorable outcome. © 2020 The Author. International Journal of Eating Disorders published by Wiley Periodicals, Inc.
