{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T09:13:29Z","timestamp":1791969209788,"version":"4.3.4"},"reference-count":28,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2020,5,26]],"date-time":"2020-05-26T00:00:00Z","timestamp":1590451200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Appleby Family Foundation","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}]},{"name":"Maternal and Child Health Bureau, Health Resources Services and Administration"},{"name":"Brad Hollinger Eating Disorder Research Endowment, Leadership and Education in Adolescent Health","award":["T71MC00009"],"award-info":[{"award-number":["T71MC00009"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Recovery from an eating disorder (ED) may be defined differently by different stakeholders. We set out to understand the definition of ED recovery from the perspective of patients, their parents, and clinicians.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      We recruited patients with EDs (\n                      <jats:italic>n<\/jats:italic>\n                      = 24, ages 12\u201323\u2009years) representing different diagnoses (anorexia nervosa\n                      <jats:italic>n<\/jats:italic>\n                      = 17, bulimia nervosa\n                      <jats:italic>n<\/jats:italic>\n                      = 4, binge\u2010ED\n                      <jats:italic>n<\/jats:italic>\n                      = 2, avoidant\/restrictive food intake disorder\n                      <jats:italic>n<\/jats:italic>\n                      = 1), along with their parents (\n                      <jats:italic>n<\/jats:italic>\n                      = 20), dietitians (\n                      <jats:italic>n<\/jats:italic>\n                      = 11), therapists (\n                      <jats:italic>n<\/jats:italic>\n                      = 14), and primary care providers (\n                      <jats:italic>n<\/jats:italic>\n                      = 9) from three sites: Boston Children's Hospital, University of Michigan C. S. Mott Children's Hospital, and Penn State Hershey Children's Hospital. In\u2010depth, semi\u2010structured, qualitative interviews explored participants' definitions of recovery. Interviews were analyzed using inductive data\u2010driven thematic analysis. Statistical analyses followed to examine the distribution within each theme by respondent type.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Qualitative analysis resulted in the emergence of four overarching themes of ED recovery: (a) psychological well\u2010being, (b) eating\u2010related behaviors\/attitudes, (c) physical markers, and (d) self\u2010acceptance of body image. Endorsement of themes two and four did not significantly differ between patients, parents, and clinicians. Clinicians were significantly more likely to endorse theme one (\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      =\u20099.90,\n                      <jats:italic>df<\/jats:italic>\n                      =\u20092,\n                      <jats:italic>p<\/jats:italic>\n                      =\u2009.007,\n                      <jats:italic>\u03c6<\/jats:italic>\n                      <jats:sub>c<\/jats:sub>\n                      =\u20090.356) and theme three (\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      =\u20096.42,\n                      <jats:italic>df<\/jats:italic>\n                      =\u20092,\n                      <jats:italic>p<\/jats:italic>\n                      =\u2009.04,\n                      <jats:italic>\u03c6<\/jats:italic>\n                      <jats:sub>c<\/jats:sub>\n                      =\u20090.287) than patients and parents.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Our study demonstrates overwhelming support for psychological markers as indicators of ED recovery by all three groups. Clinicians should remain open to additional markers of recovery such as body acceptance and eating\u2010related behaviors\/emotions that may be of critical importance to patients and their caregivers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.23294","type":"journal-article","created":{"date-parts":[[2020,5,26]],"date-time":"2020-05-26T08:55:11Z","timestamp":1590483311000},"page":"1209-1218","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":40,"title":["How do you define recovery? A qualitative study of patients with eating disorders, their parents, and clinicians"],"prefix":"10.1002","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8178-1125","authenticated-orcid":false,"given":"Tracy K.","family":"Richmond","sequence":"first","affiliation":[{"name":"Division of Adolescent\/Young Adult Medicine Boston Children's Hospital  Boston Massachusetts USA"},{"name":"Department of Pediatrics Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G. Alice","family":"Woolverton","sequence":"additional","affiliation":[{"name":"Division of Adolescent\/Young Adult Medicine Boston Children's Hospital  Boston Massachusetts USA"},{"name":"Department of Psychology Suffolk University  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathy","family":"Mammel","sequence":"additional","affiliation":[{"name":"Division of Adolescent\/Young Adult Medicine University of Michigan\/Mott Children's Hospital  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7993-5110","authenticated-orcid":false,"given":"Rollyn M.","family":"Ornstein","sequence":"additional","affiliation":[{"name":"Penn State Hershey Children's Hospital  Hershey Pennsylvania USA"},{"name":"Veritas Collaborative  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allegra","family":"Spalding","sequence":"additional","affiliation":[{"name":"Division of Adolescent\/Young Adult Medicine Boston Children's Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth R.","family":"Woods","sequence":"additional","affiliation":[{"name":"Division of Adolescent\/Young Adult Medicine Boston Children's Hospital  Boston Massachusetts USA"},{"name":"Department of Pediatrics Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara F.","family":"Forman","sequence":"additional","affiliation":[{"name":"Division of Adolescent\/Young Adult Medicine Boston Children's Hospital  Boston Massachusetts USA"},{"name":"Department of Pediatrics Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,5,26]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.nmd.0000235795.51683.99"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2009.11.001"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-018-0932-9"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20369"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7967(00)00033-4"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20309"},{"key":"e_1_2_8_9_1","unstructured":"Creswell J. 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