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Adolescent-onset anorexia nervosa: 18-year outcome

Wentz, Elisabet; Gillberg, I. Carina; Anckarsäter, Henrik LU ; Gillberg, Christopher and Råstam, Maria LU (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)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
British Journal of Psychiatry
volume
194
issue
2
pages
168 - 174
publisher
Royal College of Psychiatrists
external identifiers
  • wos:000263338300013
  • scopus:60149090579
ISSN
0007-1250
DOI
10.1192/bjp.bp.107.048686
language
English
LU publication?
yes
id
68555887-9ec5-48f7-ae25-67d6e925aa5c (old id 1375056)
date added to LUP
2009-05-04 15:46:41
date last changed
2017-12-10 03:42:31
@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    = {Royal College of Psychiatrists},
  series       = {British Journal of Psychiatry},
  title        = {Adolescent-onset anorexia nervosa: 18-year outcome},
  url          = {http://dx.doi.org/10.1192/bjp.bp.107.048686},
  volume       = {194},
  year         = {2009},
}