Therapy is helpful in younger patients with an early onset and a short duration of illness

However, another useful contribution to this study is the critical opinions AN patients have over treatments they have had. People recognize the role of qualified treatments but many interviewees reported at the same time that the procedures provided partial or incomplete help. As a result treatments can and should be adjusted to each patient. Remarkably our results have shown that non-authorized treatments, such as meditation and yoga, were very useful in the remission process. We must emphasize however, that treating a difficult to treat patient may be uncomfortable for clinicians as decisions have to be made upon little empirical evidence or ethical barriers. Our findings, however, could be present in future epidemiological, clinical or experimental procedures to find alternative ethipathogenic or therapeutic factors. Many women in our sample were uninformed about remission and were unprepared for it. Even when remission was achieved some respondents recognized the presence of remnants of the disease and the risks of falling ill again. This process is identified as a threat posed to one��s life. Remission enables some habits and types of behavior to be changed, promoting participation in meaningful activities, such as social, affective and family functions. However, the analysis of interviews found that anorexia nervosa scars development, restricting previous and current activities. Due to this fact, researchers considered that, in certain cases, anorexia nervosa is characterized as a disease that can involve limitations and restrictions in the long term, enabling varying levels of adaptation despite remittance from the disorder. Our findings are consistent with the growing body of the literature that suggest that remission includes behavioral, physical, psychological, emotional, environmental and social functioning. This study AbMole Nilotinib (monohydrochloride monohydrate) However expands this field by exploring not only other treatment aspects, but life after remission and the recovery process. In addition our study sheds light on the importance of spiritual life and media factors as associated with remission. This unexpected and very interesting finding needs further investigation. This study suggests three simple points for clinicians. First, knowing some core thematic information related to remission may help find alternatives for the treatment approach. Second, although alternative treatments are not a panacea, there is room for ethical and clinical considerations in some cases. Third, women with AN usually show reluctance and ambiguity relative to treatment and therefore it may be necessary to give them the opportunity to voice their concerns. Putting into consideration the use of information through several medias can open a door for change. Some positive aspects can be emphasized as regards the performance of this study. First of all, the use of a qualitative methodology enabled us to distinguish factors, perceived as positive for the remission of AN, to be analyzed. Patients�� clinical and narrative information was recorded in detail. The long followup period, the experience of patients with the disease, and the treatment enabled aspects, relevant in the construction of factors involved in remission, to be identified. Qualitative analysis allowed a coherent understanding of the process involved in remission. Finally, data enabled the formulation of hypotheses that can be used in future studies. Various limitations can be considered when analyzing the results of the present study.