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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 orcid (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
; ; ; and
organization
publishing date
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}},
}