Adolescent-onset anorexia nervosa: 18-year outcome
(2009) In British Journal of Psychiatry 194(2). p.168-174- Abstract
- Background The long-term outcome of anorexia nervosa is insufficiently researched. Aims To study prospectively the long-term outcome and prognostic factors in a representative sample of people with teenage-onset anorexia nervosa. Method Fifty-one people with anorexia nervosa, recruited by community screening and with a mean age at onset of 14 years were compared with 51 matched comparison individuals at a mean age of 32 years (18 years after disorder onset). All participants had been examined at ages 16 years, 21 years and 24 years. They were interviewed for Axis I psychiatric disorders and overall outcome (Morgan-Russell assessment schedule and the Global Assessment of Functioning). Results There were no deaths. Twelve per cent (n=6) had... (More)
- Background The long-term outcome of anorexia nervosa is insufficiently researched. Aims To study prospectively the long-term outcome and prognostic factors in a representative sample of people with teenage-onset anorexia nervosa. Method Fifty-one people with anorexia nervosa, recruited by community screening and with a mean age at onset of 14 years were compared with 51 matched comparison individuals at a mean age of 32 years (18 years after disorder onset). All participants had been examined at ages 16 years, 21 years and 24 years. They were interviewed for Axis I psychiatric disorders and overall outcome (Morgan-Russell assessment schedule and the Global Assessment of Functioning). Results There were no deaths. Twelve per cent (n=6) had a persisting eating disorder, including three with anorexia nervosa. Thirty-nine per cent of the anorexia nervosa group met the criteria for at least one psychiatric disorder. The general outcome was poor in 12%. one in four did not have paid employment owing to psychiatric problems. Poor outcome was predicted by premorbid obsessive-compulsive personality disorder, age at onset of anorexia nervosa and autistic traits. Conclusions The 18-year outcome of teenage-onset anorexia nervosa is favourable in respect of mortality and persisting eating disorder. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1375056
- author
- Wentz, Elisabet ; Gillberg, I. Carina ; Anckarsäter, Henrik LU ; Gillberg, Christopher and Råstam, Maria LU
- organization
- publishing date
- 2009
- type
- Contribution to journal
- publication status
- published
- subject
- in
- British Journal of Psychiatry
- volume
- 194
- issue
- 2
- pages
- 168 - 174
- publisher
- Cambridge University Press
- external identifiers
-
- wos:000263338300013
- scopus:60149090579
- ISSN
- 0007-1250
- DOI
- 10.1192/bjp.bp.107.048686
- language
- English
- LU publication?
- yes
- additional info
- Comment by Sekari MK on this article in Br J Psychiatry 2009;194(6):564 doi 10.1192/bjp.194.6.564a Authors reply in Br J Psychiatry 2009;194(6):565 doi 10.1192/bjp.194.6.564
- id
- 68555887-9ec5-48f7-ae25-67d6e925aa5c (old id 1375056)
- date added to LUP
- 2016-04-01 11:48:06
- date last changed
- 2022-03-05 06:41:20
@article{68555887-9ec5-48f7-ae25-67d6e925aa5c, abstract = {{Background The long-term outcome of anorexia nervosa is insufficiently researched. Aims To study prospectively the long-term outcome and prognostic factors in a representative sample of people with teenage-onset anorexia nervosa. Method Fifty-one people with anorexia nervosa, recruited by community screening and with a mean age at onset of 14 years were compared with 51 matched comparison individuals at a mean age of 32 years (18 years after disorder onset). All participants had been examined at ages 16 years, 21 years and 24 years. They were interviewed for Axis I psychiatric disorders and overall outcome (Morgan-Russell assessment schedule and the Global Assessment of Functioning). Results There were no deaths. Twelve per cent (n=6) had a persisting eating disorder, including three with anorexia nervosa. Thirty-nine per cent of the anorexia nervosa group met the criteria for at least one psychiatric disorder. The general outcome was poor in 12%. one in four did not have paid employment owing to psychiatric problems. Poor outcome was predicted by premorbid obsessive-compulsive personality disorder, age at onset of anorexia nervosa and autistic traits. Conclusions The 18-year outcome of teenage-onset anorexia nervosa is favourable in respect of mortality and persisting eating disorder.}}, author = {{Wentz, Elisabet and Gillberg, I. Carina and Anckarsäter, Henrik and Gillberg, Christopher and Råstam, Maria}}, issn = {{0007-1250}}, language = {{eng}}, number = {{2}}, pages = {{168--174}}, publisher = {{Cambridge University Press}}, series = {{British Journal of Psychiatry}}, title = {{Adolescent-onset anorexia nervosa: 18-year outcome}}, url = {{http://dx.doi.org/10.1192/bjp.bp.107.048686}}, doi = {{10.1192/bjp.bp.107.048686}}, volume = {{194}}, year = {{2009}}, }