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What happens after treatment? A systematic review of relapse, remission, and recovery in anorexia nervosa

Overview of attention for article published in Journal of Eating Disorders, June 2017
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  • In the top 5% of all research outputs scored by Altmetric
  • Among the highest-scoring outputs from this source (#27 of 959)
  • High Attention Score compared to outputs of the same age (98th percentile)
  • High Attention Score compared to outputs of the same age and source (80th percentile)

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Title
What happens after treatment? A systematic review of relapse, remission, and recovery in anorexia nervosa
Published in
Journal of Eating Disorders, June 2017
DOI 10.1186/s40337-017-0145-3
Pubmed ID
Authors

Sahib S. Khalsa, Larissa C. Portnoff, Danyale McCurdy-McKinnon, Jamie D. Feusner

Abstract

Relapse after treatment for anorexia nervosa (AN) is a significant clinical problem. Given the level of chronicity, morbidity, and mortality experienced by this population, it is imperative to understand the driving forces behind apparently high relapse rates. However, there is a lack of consensus in the field on an operational definition of relapse, which hinders precise and reliable estimates of the severity of this issue. The primary goal of this paper was to review prior studies of AN addressing definitions of relapse, as well as relapse rates. Data sources included PubMed and PsychINFO through March 19th, 2016. A systematic review was performed following the PRISMA guidelines. A total of (N = 27) peer-reviewed English language studies addressing relapse, remission, and recovery in AN were included. Definitions of relapse in AN as well as definitions of remission or recovery, on which relapse is predicated, varied substantially in the literature. Reported relapse rates ranged between 9 and 52%, and tended to increase with increasing duration of follow-up. There was consensus that risk for relapse in persons with AN is especially high within the first year following treatment. Standardized definitions of relapse, as well as remission and recovery, are needed in AN to accelerate clinical and research progress. This should improve the ability of future longitudinal studies to identify clinical, demographic, and biological characteristics in AN that predict relapse versus resilience, and to comparatively evaluate relapse prevention strategies. We propose standardized criteria for relapse, remission, and recovery, for further consideration.

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The data shown below were collected from the profiles of 42 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 351 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 351 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 61 17%
Student > Bachelor 50 14%
Student > Ph. D. Student 32 9%
Researcher 29 8%
Student > Doctoral Student 20 6%
Other 51 15%
Unknown 108 31%
Readers by discipline Count As %
Psychology 103 29%
Medicine and Dentistry 44 13%
Nursing and Health Professions 21 6%
Neuroscience 14 4%
Social Sciences 8 2%
Other 34 10%
Unknown 127 36%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 141. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 06 July 2023.
All research outputs
#293,395
of 25,408,670 outputs
Outputs from Journal of Eating Disorders
#27
of 959 outputs
Outputs of similar age
#6,231
of 331,834 outputs
Outputs of similar age from Journal of Eating Disorders
#3
of 10 outputs
Altmetric has tracked 25,408,670 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 98th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 959 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 19.7. This one has done particularly well, scoring higher than 97% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 331,834 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 98% of its contemporaries.
We're also able to compare this research output to 10 others from the same source and published within six weeks on either side of this one. This one has scored higher than 7 of them.