The recovery model and anorexia nervosa

Aust N Z J Psychiatry. 2014 Nov;48(11):1009-16. doi: 10.1177/0004867414539398. Epub 2014 Jun 13.

Abstract

Objective: Treatments in anorexia nervosa (AN) have not been wholly effective and, accordingly, practices need to be reviewed. The recovery model is an approach to treatment that has become a guiding principle for mental health policy worldwide that might provide promise for AN treatment. The model has received much attention in recent years; however, there is a dearth of literature exploring how useful this model is for AN. The aim of the current article was to consider the relevance of this model in AN.

Methods: This article provides a summary of the recovery model and reviews the literature to establish whether it is compatible with AN. The possible utility of the approach in AN is explored and suggestions are made as to how the model might be implemented in treatment.

Results: Qualitative studies examining the patient's perspective of AN support the recovery model. Many evidenced-based treatments currently used in AN have elements that are consistent with a recovery model approach. Treatments that are most consistent with recovery approaches have been effective for those with chronic AN.

Conclusion: It is proposed that the model might offer a way in which to add to current practice and might have particular relevance for those with chronic AN. Future research is required to better understand how the model can best be utilised in AN.

Keywords: Anorexia nervosa; recovery; recovery model; treatment.

Publication types

  • Review

MeSH terms

  • Anorexia Nervosa / psychology*
  • Anorexia Nervosa / rehabilitation
  • Anorexia Nervosa / therapy*
  • Humans
  • Patient Participation / methods*
  • Psychotherapy / methods
  • Quality of Life / psychology