University of Twente Student Theses


Subjective relapses and their causes according to patients

Müller, Julie Charlotte (2020) Subjective relapses and their causes according to patients.

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Abstract:Despite the research effort, the process of healing from an eating disorder is still not sufficiently understood. There are few studies available examining what people with an eating disorder think are warning signs for their worsening in pathology. This study aimed to include a subjective view on the causes of relapse by incorporating the voice of a transdiagnostic sample of patients. Methods: The total sample of 636 patients contained the diagnoses anorexia nervosa, bulimia nervosa, BED and OSFED. Three follow-up measurements are included at six months, twelve months and 24 months after the treatment at Stichting Human Concern. Results: Several themes emerged. The ones most frequently mentioned were: negative emotional state, external stressors, sense of control, issues in interpersonal relationships, negative view of themselves as well as illnesses, a change in eating pattern and unresolved eating disorder pathology. Moreover, after six months, 46% of the patients, and after twelve months, 48% indicated at least one relapse. Discussion: Relapse was described by the patients as a process being triggered by many different causes. Future research should validate these causes and integrate this knowledge in the development of prevention programmes. Moreover, more qualitative research needs to be done to gain a more subjective view of the warning signs of recovery.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology MSc (66604)
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