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The assumed absence of confounding nutritional influences in recovered eating-disordered women suggests that persistent psychobiological abnormalities and atypical behaviors might be trait related and etiopathogenetic. Investigators (Casper 1990; Kaye et al. 1998; Srinivasagam et al. 1995; Strober 1980; Wagner et al. 2006a) have found that many women who were in long-term recovery from AN and BN have persistence of anxiety, harm avoidance, perfectionism, and obsessional behaviors. Moreover, persons recovered from AN and BN often express associated eating disorder psychological symptoms, including ineffectiveness, drive for thinness, and significant psychopathology related to eating habits. Therefore, persistence of certain features after recovery raises the question of whether a disturbance of such behaviors may in fact occur premorbidly and contribute to the pathogenesis of AN and BN.

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