Atypical anorexia nervosa: separation from typical cases in course and outcome in a long-term prospective study.
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| Title: | Atypical anorexia nervosa: separation from typical cases in course and outcome in a long-term prospective study. |
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| Authors: | Strober M (AUTHOR), Freeman R (AUTHOR), Morrell W (AUTHOR) |
| Source: | International Journal of Eating Disorders. Mar1999, Vol. 25 Issue 2, p135-142. 8p. |
| Abstract: | OBJECTIVE: To assess differences in long-term course and outcome between typical and atypical cases of anorexia nervosa. METHOD: A naturalistic, longitudinal prospective design was used to assess recovery, relapse, and onset of binge eating over 10 to 15 years in patients ascertained through a university-based specialty treatment program. Atypical anorexia nervosa was distinguished from the diagnostically prototypic form of the disorder based on the continuous absence of morbid fear of weight gain and body size distortion during the inpatient phase of treatment. Patients were assessed semiannually for 5 years then annually thereafter until the final visit. RESULTS: Compared to pure cases of anorexia nervosa, atypical cases were less likely to drop weight after discharge, recovered more rapidly, and had lower cumulative risk for developing binge eating. CONCLUSION: It has been argued recently that weight phobia and body image disturbance should not be viewed as critical to the diagnosis of anorexia nervosa. This study shows that the absence of these particular symptoms in patients presenting with malnutrition secondary to extreme dietary restriction predicts a less malignant course and outcome compared to typical cases of anorexia nervosa. These course differences suggest that the division of patients into typical versus atypical diagnostic subtypes may be nosologically valid and clinically useful. [ABSTRACT FROM AUTHOR] |
| Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 107198106 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Atypical anorexia nervosa: separation from typical cases in course and outcome in a long-term prospective study. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Strober+M%22">Strober M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Freeman+R%22">Freeman R</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Morrell+W%22">Morrell W</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Eating+Disorders%22">International Journal of Eating Disorders</searchLink>. Mar1999, Vol. 25 Issue 2, p135-142. 8p. – Name: Abstract Label: Abstract Group: Ab Data: OBJECTIVE: To assess differences in long-term course and outcome between typical and atypical cases of anorexia nervosa. METHOD: A naturalistic, longitudinal prospective design was used to assess recovery, relapse, and onset of binge eating over 10 to 15 years in patients ascertained through a university-based specialty treatment program. Atypical anorexia nervosa was distinguished from the diagnostically prototypic form of the disorder based on the continuous absence of morbid fear of weight gain and body size distortion during the inpatient phase of treatment. Patients were assessed semiannually for 5 years then annually thereafter until the final visit. RESULTS: Compared to pure cases of anorexia nervosa, atypical cases were less likely to drop weight after discharge, recovered more rapidly, and had lower cumulative risk for developing binge eating. CONCLUSION: It has been argued recently that weight phobia and body image disturbance should not be viewed as critical to the diagnosis of anorexia nervosa. This study shows that the absence of these particular symptoms in patients presenting with malnutrition secondary to extreme dietary restriction predicts a less malignant course and outcome compared to typical cases of anorexia nervosa. These course differences suggest that the division of patients into typical versus atypical diagnostic subtypes may be nosologically valid and clinically useful. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=107198106 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1002/(sici)1098-108x(199903)25:2<135::aid-eat2>3.0.co;2-1 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 8 StartPage: 135 Titles: – TitleFull: Atypical anorexia nervosa: separation from typical cases in course and outcome in a long-term prospective study. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Strober M – PersonEntity: Name: NameFull: Freeman R – PersonEntity: Name: NameFull: Morrell W IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 03 Text: Mar1999 Type: published Y: 1999 Identifiers: – Type: issn-print Value: 02763478 Numbering: – Type: volume Value: 25 – Type: issue Value: 2 Titles: – TitleFull: International Journal of Eating Disorders Type: main |
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