Adolescent-onset anorexia nervosa: 18-year outcome

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Adolescent-onset anorexia nervosa: 18-year outcome. / Wentz, Elisabet; Gillberg, I. Carina; Anckarsäter, Henrik; Gillberg, Christopher; Råstam, Maria.

In: British Journal of Psychiatry, Vol. 194, No. 2, 2009, p. 168-174.

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Wentz, E, Gillberg, IC, Anckarsäter, H, Gillberg, C & Råstam, M 2009, 'Adolescent-onset anorexia nervosa: 18-year outcome', British Journal of Psychiatry, vol. 194, no. 2, pp. 168-174. https://doi.org/10.1192/bjp.bp.107.048686

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Wentz, Elisabet ; Gillberg, I. Carina ; Anckarsäter, Henrik ; Gillberg, Christopher ; Råstam, Maria. / Adolescent-onset anorexia nervosa: 18-year outcome. In: British Journal of Psychiatry. 2009 ; Vol. 194, No. 2. pp. 168-174.

RIS

TY - JOUR

T1 - Adolescent-onset anorexia nervosa: 18-year outcome

AU - Wentz, Elisabet

AU - Gillberg, I. Carina

AU - Anckarsäter, Henrik

AU - Gillberg, Christopher

AU - Råstam, Maria

N1 - 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

PY - 2009

Y1 - 2009

N2 - 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.

AB - 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.

U2 - 10.1192/bjp.bp.107.048686

DO - 10.1192/bjp.bp.107.048686

M3 - Article

VL - 194

SP - 168

EP - 174

JO - British Journal of Psychiatry

JF - British Journal of Psychiatry

SN - 0007-1250

IS - 2

ER -