Long-term follow-up study of low-weight avoidant restrictive food intake disorder compared with childhood-onset anorexia nervosa : Psychiatric and occupational outcome in 56 patients
(2019) In International Journal of Eating Disorders 52(4). p.435-438- Abstract
Objective: To compare long term outcome between childhood-onset Anorexia Nervosa (AN) and low-weight Avoidant/Restrictive Food Intake Disorder (ARFID) in regard to psychiatric diagnoses, social and occupational functioning. Method: A consecutive series of 56 children originally treated for low-weight restrictive eating disorder (ED) were followed up after a mean of 15.9 years. ARFID-diagnoses were assigned retrospectively. Results: Thirty-seven patients originally had AN and 19 patients were diagnosed retrospectively with ARFID. At follow-up, in the AN-group 21.6% had a current ED, 24.3% had another psychiatric diagnosis, and 54.1% did not have any psychiatric diagnosis. In the ARFID-group, 26.3% had a current ED, 26.3% had another... (More)
Objective: To compare long term outcome between childhood-onset Anorexia Nervosa (AN) and low-weight Avoidant/Restrictive Food Intake Disorder (ARFID) in regard to psychiatric diagnoses, social and occupational functioning. Method: A consecutive series of 56 children originally treated for low-weight restrictive eating disorder (ED) were followed up after a mean of 15.9 years. ARFID-diagnoses were assigned retrospectively. Results: Thirty-seven patients originally had AN and 19 patients were diagnosed retrospectively with ARFID. At follow-up, in the AN-group 21.6% had a current ED, 24.3% had another psychiatric diagnosis, and 54.1% did not have any psychiatric diagnosis. In the ARFID-group, 26.3% had a current ED, 26.3% had another psychiatric diagnosis, and 47.4% had no psychiatric diagnosis. In the ARFID-group ED diagnoses at follow-up were all ARFID, whereas the AN-group showed heterogeneity. Morgan Russell Outcome Assessment Schedule indicated similar outcome in the AN- and ARFID-group. Occupational functioning did not differ significantly between the AN- and ARFID-group. Discussion: The AN-group showed high rate of ED at follow up. The ARFID-group had a similar outcome to AN. In the ARFID-group, all ED-cases at follow up had ARFID, possibly indicating symptomatic stability. Low-weight ARFID should be treated as seriously as childhood onset AN.
(Less)
- author
- Lange, C. R.André LU ; Ekedahl Fjertorp, Hanna ; Holmer, Riitta ; Wijk, Elin and Wallin, Ulf LU
- organization
- publishing date
- 2019-02-14
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- anorexia nervosa, avoidant/restrictive food intake disorder, course, feeding and eating disorders of childhood, follow-up studies, restrictive eating
- in
- International Journal of Eating Disorders
- volume
- 52
- issue
- 4
- pages
- 435 - 438
- publisher
- John Wiley & Sons Inc.
- external identifiers
-
- pmid:30741442
- scopus:85061435423
- ISSN
- 0276-3478
- DOI
- 10.1002/eat.23038
- language
- English
- LU publication?
- yes
- id
- 7ae1e940-c0bc-4cce-aedf-38c5990fa58e
- date added to LUP
- 2019-02-21 14:16:39
- date last changed
- 2024-10-15 19:16:47
@article{7ae1e940-c0bc-4cce-aedf-38c5990fa58e, abstract = {{<p>Objective: To compare long term outcome between childhood-onset Anorexia Nervosa (AN) and low-weight Avoidant/Restrictive Food Intake Disorder (ARFID) in regard to psychiatric diagnoses, social and occupational functioning. Method: A consecutive series of 56 children originally treated for low-weight restrictive eating disorder (ED) were followed up after a mean of 15.9 years. ARFID-diagnoses were assigned retrospectively. Results: Thirty-seven patients originally had AN and 19 patients were diagnosed retrospectively with ARFID. At follow-up, in the AN-group 21.6% had a current ED, 24.3% had another psychiatric diagnosis, and 54.1% did not have any psychiatric diagnosis. In the ARFID-group, 26.3% had a current ED, 26.3% had another psychiatric diagnosis, and 47.4% had no psychiatric diagnosis. In the ARFID-group ED diagnoses at follow-up were all ARFID, whereas the AN-group showed heterogeneity. Morgan Russell Outcome Assessment Schedule indicated similar outcome in the AN- and ARFID-group. Occupational functioning did not differ significantly between the AN- and ARFID-group. Discussion: The AN-group showed high rate of ED at follow up. The ARFID-group had a similar outcome to AN. In the ARFID-group, all ED-cases at follow up had ARFID, possibly indicating symptomatic stability. Low-weight ARFID should be treated as seriously as childhood onset AN.</p>}}, author = {{Lange, C. R.André and Ekedahl Fjertorp, Hanna and Holmer, Riitta and Wijk, Elin and Wallin, Ulf}}, issn = {{0276-3478}}, keywords = {{anorexia nervosa; avoidant/restrictive food intake disorder; course; feeding and eating disorders of childhood; follow-up studies; restrictive eating}}, language = {{eng}}, month = {{02}}, number = {{4}}, pages = {{435--438}}, publisher = {{John Wiley & Sons Inc.}}, series = {{International Journal of Eating Disorders}}, title = {{Long-term follow-up study of low-weight avoidant restrictive food intake disorder compared with childhood-onset anorexia nervosa : Psychiatric and occupational outcome in 56 patients}}, url = {{http://dx.doi.org/10.1002/eat.23038}}, doi = {{10.1002/eat.23038}}, volume = {{52}}, year = {{2019}}, }