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Anorexia nervosa: 30-year outcome

British journal of psychiatry, 2020-02, Vol.216 (2), p.97-104 [Peer Reviewed Journal]

Copyright Cambridge University Press Feb 2020 ;The Royal College of Psychiatrists 2019 2019 The Royal College of Psychiatrists ;ISSN: 0007-1250 ;ISSN: 1472-1465 ;EISSN: 1472-1465 ;DOI: 10.1192/bjp.2019.113 ;PMID: 31113504

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Title:
Anorexia nervosa: 30-year outcome
Author: Dobrescu, Sandra Rydberg ; Dinkler, Lisa ; Gillberg, Carina ; Råstam, Maria ; Gillberg, Christopher ; Wentz, Elisabet
Subjects: Adolescent ; Adolescents ; Adult ; Age ; Age of onset ; Anorexia ; Anorexia nervosa ; Anorexia Nervosa - epidemiology ; Anorexia Nervosa - psychology ; Anorexia Nervosa - therapy ; Attributions ; Binge eating ; Boys ; Bulimia ; case-control ; Children & youth ; Chronic Disease - epidemiology ; Chronic Disease - psychology ; Chronic Disease - therapy ; Chronic mental disorders ; Clinical Medicine ; Comorbidity ; Eating disorders ; Female ; Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi ; Follow-Up Studies ; Gender ; Girls ; Health Sciences ; Health status ; Humans ; Hälsovetenskap ; Interviews ; Klinisk medicin ; Licenses ; Long term effects ; Male ; Medical and Health Sciences ; Medical diagnosis ; Medical screening ; Medicin och hälsovetenskap ; Mental disorders ; Mortality ; outcome ; Patients ; Perfectionism ; Personality traits ; Population ; population based ; Premorbid ; Psychiatrists ; Psychiatry ; Psykiatri ; Public Health, Global Health, Social Medicine and Epidemiology ; Quality of Life ; Questionnaires ; Recovery ; Reproduction ; Sweden - epidemiology ; Time Factors ; Treatment Outcome ; Women ; Young Adult
Is Part Of: British journal of psychiatry, 2020-02, Vol.216 (2), p.97-104
Description: Little is known about the long-term outcome of anorexia nervosa. To study the 30-year outcome of adolescent-onset anorexia nervosa. All 4291 individuals born in 1970 and attending eighth grade in 1985 in Gothenburg, Sweden were screened for anorexia nervosa. A total of 24 individuals (age cohort for anorexia nervosa) were pooled with 27 individuals with anorexia nervosa (identified through community screening) who were born in 1969 and 1971-1974. The 51 individuals with anorexia nervosa and 51 school- and gender-matched controls were followed prospectively and examined at mean ages of 16, 21, 24, 32 and 44. Psychiatric disorders, health-related quality of life and general outcome were assessed. At the 30-year follow-up 96% of participants agreed to participate. There was no mortality. Of the participants, 19% had an eating disorder diagnosis (6% anorexia nervosa, 2% binge-eating disorder, 11% other specified feeding or eating disorder); 38% had other psychiatric diagnoses; and 64% had full eating disorder symptom recovery, i.e. free of all eating disorder criteria for 6 consecutive months. During the elapsed 30 years, participants had an eating disorder for 10 years, on average, and 23% did not receive psychiatric treatment. Good outcome was predicted by later age at onset among individuals with adolescent-onset anorexia nervosa and premorbid perfectionism. This long-term follow-up study reflects the course of adolescent-onset anorexia nervosa and has shown a favourable outcome regarding mortality and full symptom recovery. However, one in five had a chronic eating disorder.
Publisher: England: Cambridge University Press
Language: English
Identifier: ISSN: 0007-1250
ISSN: 1472-1465
EISSN: 1472-1465
DOI: 10.1192/bjp.2019.113
PMID: 31113504
Source: ProQuest One Psychology
GFMER Free Medical Journals
MEDLINE
SWEPUB Freely available online
ProQuest Central

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Anorexia nervosa: 30-year outcome

Copyright Cambridge University Press Feb 2020 ;The Royal College of Psychiatrists 2019 2019 The Royal College of Psychiatrists ;ISSN: 0007-1250 ;ISSN: 1472-1465 ;EISSN: 1472-1465 ;DOI: 10.1192/bjp.2019.113 ;PMID: 31113504

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