Chronic anorexia nervosa: A Delphi study to explore practitioners' views

Authors

  • Stephanie Tierney PhD,

    1. School of Nursing, Midwifery and Social Work, University of Manchester, Manchester M13 9PL, United Kingdom
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  • John R.E. Fox DClinPsy

    Corresponding author
    1. Division of Clinical Psychology, University of Manchester, Manchester M13 9LT, United Kingdom
    2. Eating Disorders Unit, Russell House, Affinity Healthcare, Cheadle Royal Hospital, 100 Wilmslow Road, Cheadle, Cheshire SK8 3DG, United Kingdom
    • Division of Clinical Psychology, University of Manchester, Zochonis Building, Brunswick Street, Manchester M13 9LT, United Kingdom
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Abstract

Objective:

Anorexia nervosa (AN) can be an enduring condition. Increasing interest in the treatment of long-term cases has occurred over the recent years. This study explored healthcare practitioners' views of what constitutes a case of chronic AN and their opinions of its treatment.

Method:

A Delphi study was conducted, involving members of specialist groups for professionals with an interest in eating disorders and delegates from a conference about enduring AN.

Results:

Participants reached agreement and consensus on factors relating to weight, behaviors, and cognitions in cases of chronic AN, but did not for the importance of duration and number of treatment attempts. Adopting a supportive, co-ordinated, and eclectic approach was considered important in the care of these patients.

Conclusion:

Results suggest that chronic AN is not an easy term to define and that a rehabilitative model for working with this patient group may be required. © 2008 by Wiley Periodicals, Inc. Int J Eat Disord 2009

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