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Eetstoornispatiënten over criteria voor herstel

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Tijdschrift voor Psychotherapie

Abstract

Over de definitie van herstel van eetstoornissen blijkt in de onderzoeksliteratuur geen consensus te bestaan. In effect- en follow-uponderzoek worden diverse herstelcriteria gehanteerd en, afhankelijk van de definitie van herstel, verschillende herstelpercentages genoemd. Zelden wordt het oordeel van patiënten gevraagd over criteria voor herstel. Het doel van dit onderzoek is om na te gaan wat eetstoornispatiënten belangrijk vinden aangaande herstel en in welke mate hun oordeel hierover verschilt van dat van therapeuten. Ook werd aan de patiënten gevraagd aan welke herstelcriteria ze voldeden aan het einde van hun laatste behandeling en ten tijde van dit onderzoek, waarna gekeken is of ze in deze periode nog verbeterd zijn. Zowel de ex-patiënten als de therapeuten vonden de meeste criteria belangrijk voor herstel van een eetstoornis; beide groepen vonden slechts 4 criteria niet belangrijk. Aan het eind van hun laatste behandeling waren slechts 4 criteria gerealiseerd door 80% van de patiënten, maar daarna verbeterden ze nog substantieel. We concluderen dat voor herstel van een eetstoornis niet alleen gekeken dient te worden naar het eetgedrag en het gewicht, maar ook naar het psychische, emotionele en sociale functioneren.

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Authors and Affiliations

  1. www.bsl.nl/shop/tijdschrift-v-psychotherapie-0165-1188.html

    Greta Noordenbos

Authors
  1. Greta Noordenbos
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  2. Aike Seubring
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Correspondence to Greta Noordenbos.

Additional information

Patients about criteria for recovery from eating disorders

No consensus on the criteria for recovery exists in the literature about eating disorders. Different criteria are used in effect and follow-up studies and different percentages of recovery are found, depending on the definition of recovery. Patients with eating disorders are seldom asked for their opinion about recovery. The goal of this research is to find out which criteria for recovery are valued by eating disorder patients and how they differ from their therapists in that respect. In order to analyse their improvement since treatment, patients have also been asked which criteria they had accomplished at the end of their last treatment episode and at the time of this study. Former patients and therapists judged most criteria as important for therapy. Only 4 criteria were evaluated as less important. Only 4 criteria were realized by 80% of the patients at the end of their last therapy, but in the following period of time (two years on average) they improved substantially. Our conclusion: for recovery of eating disorders not only eating behaviour and weight seem to be important, but also the psychological, emotional and social functioning of the (former) patients.

dr. greta noordenbos is als universitair docent verbonden aan de departementen klinische psychologie en vrouwenstudies van de Universiteit Leiden.

aike seubring is studente klinische psychologie aan de Universiteit Leiden.

Correspondentie adres: dr. G. Noordenbos, Klinische psychologie, Universiteit Leiden, Wassenaarseweg 52, 2333 AL Leiden.

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Noordenbos, G., Seubring, A. Eetstoornispatiënten over criteria voor herstel. PSIE 31, 84–92 (2005). https://doi.org/10.1007/BF03062132

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