Anorexia nervosa: 30-year outcome

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Anorexia nervosa : 30-year outcome. / Dobrescu, Sandra Rydberg; DInkler, Lisa; Gillberg, Carina I; Råstam, Maria; Gillberg, Christopher; Wentz, Elisabet.

In: British Journal of Psychiatry, Vol. 216, No. 2, 2020, p. 97-104.

Research output: Contribution to journalArticle

Harvard

Dobrescu, SR, DInkler, L, Gillberg, CI, Råstam, M, Gillberg, C & Wentz, E 2020, 'Anorexia nervosa: 30-year outcome', British Journal of Psychiatry, vol. 216, no. 2, pp. 97-104. https://doi.org/10.1192/bjp.2019.113

APA

Dobrescu, S. R., DInkler, L., Gillberg, C. I., Råstam, M., Gillberg, C., & Wentz, E. (2020). Anorexia nervosa: 30-year outcome. British Journal of Psychiatry, 216(2), 97-104. https://doi.org/10.1192/bjp.2019.113

CBE

Dobrescu SR, DInkler L, Gillberg CI, Råstam M, Gillberg C, Wentz E. 2020. Anorexia nervosa: 30-year outcome. British Journal of Psychiatry. 216(2):97-104. https://doi.org/10.1192/bjp.2019.113

MLA

Vancouver

Dobrescu SR, DInkler L, Gillberg CI, Råstam M, Gillberg C, Wentz E. Anorexia nervosa: 30-year outcome. British Journal of Psychiatry. 2020;216(2):97-104. https://doi.org/10.1192/bjp.2019.113

Author

Dobrescu, Sandra Rydberg ; DInkler, Lisa ; Gillberg, Carina I ; Råstam, Maria ; Gillberg, Christopher ; Wentz, Elisabet. / Anorexia nervosa : 30-year outcome. In: British Journal of Psychiatry. 2020 ; Vol. 216, No. 2. pp. 97-104.

RIS

TY - JOUR

T1 - Anorexia nervosa

T2 - 30-year outcome

AU - Dobrescu, Sandra Rydberg

AU - DInkler, Lisa

AU - Gillberg, Carina I

AU - Råstam, Maria

AU - Gillberg, Christopher

AU - Wentz, Elisabet

PY - 2020

Y1 - 2020

N2 - 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.

AB - 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.

KW - Anorexia nervosa

KW - case-control

KW - outcome

KW - population based

U2 - 10.1192/bjp.2019.113

DO - 10.1192/bjp.2019.113

M3 - Article

VL - 216

SP - 97

EP - 104

JO - British Journal of Psychiatry

JF - British Journal of Psychiatry

SN - 0007-1250

IS - 2

ER -