Anorexia nervosa : 30-year outcome
Dobrescu, Sandra Rydberg ; DInkler, Lisa ; Gillberg, Carina I ; Råstam, Maria LU
; Gillberg, Christopher
and Wentz, Elisabet
(2020)
In British Journal of Psychiatry
216(2).
p.97-104
- Abstract
Background Little is known about the long-term outcome of anorexia nervosa.Aims To study the 30-year outcome of adolescent-onset anorexia nervosa.Method 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.Results At the 30-year... (More)
Background Little is known about the long-term outcome of anorexia nervosa.Aims To study the 30-year outcome of adolescent-onset anorexia nervosa.Method 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.Results 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.Conclusions 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.
(Less)
- author
- Dobrescu, Sandra Rydberg
; DInkler, Lisa
; Gillberg, Carina I
; Råstam, Maria
LU
; Gillberg, Christopher
and Wentz, Elisabet
- organization
- publishing date
- 2020
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Anorexia nervosa, case-control, outcome, population based
- in
- British Journal of Psychiatry
- volume
- 216
- issue
- 2
- pages
- 97 - 104
- publisher
- Cambridge University Press
- external identifiers
-
- scopus:85078724589
- pmid:31113504
- ISSN
- 0007-1250
- DOI
- 10.1192/bjp.2019.113
- language
- English
- LU publication?
- yes
- id
- 2ef04ead-85cc-4c55-9b41-f3f6d72e09da
- date added to LUP
- 2020-02-14 16:10:23
- date last changed
- 2024-06-13 11:47:11
@article{2ef04ead-85cc-4c55-9b41-f3f6d72e09da,
abstract = {{<p>Background Little is known about the long-term outcome of anorexia nervosa.Aims To study the 30-year outcome of adolescent-onset anorexia nervosa.Method 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.Results 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.Conclusions 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.</p>}},
author = {{Dobrescu, Sandra Rydberg and DInkler, Lisa and Gillberg, Carina I and Råstam, Maria and Gillberg, Christopher and Wentz, Elisabet}},
issn = {{0007-1250}},
keywords = {{Anorexia nervosa; case-control; outcome; population based}},
language = {{eng}},
number = {{2}},
pages = {{97--104}},
publisher = {{Cambridge University Press}},
series = {{British Journal of Psychiatry}},
title = {{Anorexia nervosa : 30-year outcome}},
url = {{http://dx.doi.org/10.1192/bjp.2019.113}},
doi = {{10.1192/bjp.2019.113}},
volume = {{216}},
year = {{2020}},
}