This procedure is subject to memory bias. In addition, differing abilities of communication and recording of memories should be pointed out. However, reducing researcher bias involved the system of analysis and the search for the maintenance of methodological rigor and field supervision as well as the consensual preparation of analytical categories. We did not ask participants about outcome parameters like BMI, diet and menstruation. However there is evidence that it is important to consider not only eating behavior and weight, but also psychological, emotional, and social elements as criteria for recovery. Participants may have had contact with other sources of help and it is conceivable that this procedure might have, in part, contributed to remission. We had no control on that. The sample size was small but number of participants was determined by saturation. Finally information must be analyzed with caution, given the fact that the sample mostly consisted of women with a high level of education and income and a low rate of hospitalization. Although we did not interview the family members or the partners of patients, their points of view were constantly present in several interviews. If asked directly, they may have provided different and richer contributions. Further research is needed to fill this gap. A detailed assessment of alternative treatments is called for to determine to what extent these approaches are used and what impact, if any, they have on the women��s AN. More work is needed to fully determine the role of media �C such as the internet, television, conferences �C on patients�� AN. Further research could also give some insight into the clinicians�� perspective on delivering tailored treatment approaches to women with AN and test the impact on outcome. The wide diversity of patients with AN, including the non-complete eating disorder not otherwise specified, calls for a more proactive coordination of care and of consistent strategies to address unmet needs. While there is a large volume of literature examining the lasting consequences of early maternal separation and stress on newborn offspring, there are some studies suggesting the importance of somatosensory contact during infant development. For example, institutionalized infants show improvement on developmental assessment scores following 20 minutes of additional tactile stimulation per day for 10 weeks. Other studies report dramatic developmental improvement of premature infants receiving additional tactile stimulation while in neonatal intensive care units. These studies illustrate the importance of additional infant contact during development, but less is known about the lasting consequences of infant touch. Indeed, some studies suggest that maternal contact may be particularly important in programming juvenile behavior, such as social play. Rodent studies that have examined whether maternal care shapes social play have primarily focused on differences in the amount of anogenital licking and grooming given by the mother. That is, mother rats preferentially lick and groom male offspring more than female offspring, and this tactile stimuli seems to be important for programming differences in juvenile social play behavior. Past studies have given dams peripheral zinc sulfate or dietary saline to specifically reduce maternal anogenital grooming. It was found that male rats from dams that gave more LG during the neonatal period engaged in lower juvenile social play.
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