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One of the challenges faced by paediatric health professionals treating children and adolescents with anorexia nervosa (an) is determining the specific weight needed to achieve physical, emotional and cognitive recovery. The manuscript describes the results of inductive, grounded theory analysis of 150 narratives, with the aim to explore what researchers most need to know about the role of weight in anorexia nervosa (an) and recovery. As an outpatient internist who specializes in eating disorders, i regularly talk about weight goals in anorexia nervosa treatment with patients, families, and professionals.
In present treatment, weight goals are consistently set too low for full psychological recovery The endpoint in treatment was the successful attainment of 90% ideal body weight, or a bmi of at least 19.5 kg/m2. The farther below their ideal body weight a patient remains, the greater the risk of relapse.
Attainment of appropriate body weight in anorexia nervosa is a critical element of full recovery
A person can be insightful, motivated, successful, and doing better than they were before, but unless they have achieved full weight restoration, they remain at medical and psychological risk and aren’t well This is pretty well accepted. Learn how we set individualized goal weights in eating disorder recovery, why weight gain is critical & the problems with weight suppression. Achieving a healthy weight is important for psychological recovery but focusing too much on a weight goal (especially an arbitrarily determined weight goal) is counter productive for recovery because it can fuel disordered thoughts and take time away from focusing on psychological recovery.
Determining an accurate treatment goal weight (tgw) is critical for treating eating disorders requiring weight restoration This is challenging in adolescents since body mass index (bmi) normally increases over time. Explore approaches to goal weight setting for adults in eating disorder recovery, emphasizing weight restoration as well as flaws in traditional methods. Underweight patients with an were admitted to the hospital and received treatment with our established refeeding protocol
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