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Two identical twin pairs discordant for longstanding anorexia nervosa and OSFED: lived experience accounts of eating disorder and recovery processes
Journal article   Open access   Peer reviewed

Two identical twin pairs discordant for longstanding anorexia nervosa and OSFED: lived experience accounts of eating disorder and recovery processes

Rosiel Elwyn, Marie Williams, Eloise Smith and Sophie Smith
Journal of Eating Disorders, Vol.12, pp.1-26
2024
Appears in  Thompson Institute Research Collection
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Elwyn 2024. Two identical twin pairs discordant for longstanding AN and OSFED. lived experience accounts of eating disorder & recovery processes1.54 MBDownloadView
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Abstract

Psychiatry (incl. psychotherapy) Clinical and health psychology Eating disorders lived experience recovery atypical anorexia nervosa longstanding eating disorders severe enduring twins siblings identity duration Thompson Institute Special Collection UniSC Diversity Area - Disability and Inclusion
Research into the risk of anorexia nervosa (AN) has examined twin pairs to further the understanding of the contributions of genetics, trait inheritance, and environmental factors to eating disorder (ED) development. Investigations of twin experiences of EDs have been biologically-based and have not considered the qualitative, phenomenological aspects of twin experiences. A gap in the literature exists regarding understanding of discordant twins with EDs. This research was developed in response, with the aim to deepen understanding of AN in discordant twins and to create novel ideas for further research and testing. The case studies presented in this article provide lived experience insights of two identical discordant twin pairs: one twin pair discordant for longstanding AN and one twin pair discordant for ‘atypical’ AN (the twin with AN has recovered). The perspectives and experiences of each co-twin (one with AN and one without) explore a number of factors that may have contributed to twin discordance in these cases, and how each twin has responded to the impact of AN in their lives. Through use of first-person accounts in case study presentation, this article centres social justice values of lived experience leadership and involvement in research. This article aims to extend current knowledge and understanding of EDs in discordant twins, particularly regarding risk for ED development, ED duration, diagnosis and treatment, and recovery processes.

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