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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

Lange, C. R.André LU ; Ekedahl Fjertorp, Hanna ; Holmer, Riitta ; Wijk, Elin and Wallin, Ulf LU (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.

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author
; ; ; and
organization
publishing date
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
  • scopus:85061435423
  • pmid:30741442
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
2024-03-02 20:46:42
@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}},
}