Anorexia nervosa: 30-year outcome

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title = "Anorexia nervosa: 30-year outcome",
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 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.",
keywords = "Anorexia nervosa, case-control, outcome, population based",
author = "Dobrescu, {Sandra Rydberg} and Lisa DInkler and Gillberg, {Carina I} and Maria R{\aa}stam and Christopher Gillberg and Elisabet Wentz",
year = "2020",
doi = "10.1192/bjp.2019.113",
language = "English",
volume = "216",
pages = "97--104",
journal = "British Journal of Psychiatry",
issn = "0007-1250",
publisher = "Royal College of Psychiatrists",
number = "2",