Trans-diagnostic outcome of eating disorders: A 30-month follow-up study of 629 patients.

Autor: Helverskov JL; Eating Disorder Centre, Regional Centre of Child- and Adolescent Psychiatry, Aarhus University Hospital, Risskov, Denmark. jannhelv@rm.dk, Clausen L, Mors O, Frydenberg M, Thomsen PH, Rokkedal K
Jazyk: angličtina
Zdroj: European eating disorders review : the journal of the Eating Disorders Association [Eur Eat Disord Rev] 2010 Nov-Dec; Vol. 18 (6), pp. 453-63.
DOI: 10.1002/erv.1025
Abstrakt: Objective: To assess the 30-month outcome and predictors of outcome in a cohort of patients with any eating disorder (ED).
Method: A naturalistic design was used to determine time to remission, predictors of remission, relapse, diagnostic cross-over and mortality of 629 patients.
Results: At follow-up (FU) 312 patients attended, 42% obtained full remission and 72% partial remission. No differences were found between diagnostic groups for adolescents. Adult patients with anorexia-like eating disorder not otherwise specified-anorexia nervosa (EDNOS-AN) had the poorest outcome. Bulimia-like EDNOS was the most frequent relapse diagnosis. Bingeing/purging behaviour predicted a poorer outcome for individuals with bulimic disorders. Desired low BMI predicted a poorer outcome for individuals with anorexia. Comorbid personality disorder was a common predictor of a worse outcome.
Conclusion: Adults with EDNOS-AN had the poorest prognosis. Bulimic symptoms emerged frequently during FU regardless of diagnosis. Remission rates and outcome predictors were similar to previous findings.
(Copyright © 2010 John Wiley & Sons, Ltd and Eating Disorders Association.)
Databáze: MEDLINE
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