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Long‐Term Outcome and Mortality in Adolescent Girls 8 Years After Treatment for Anorexia Nervosa.

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Title: Long‐Term Outcome and Mortality in Adolescent Girls 8 Years After Treatment for Anorexia Nervosa.
Authors: Quadflieg, Norbert, Naab, Silke, Fichter, Manfred, Voderholzer, Ulrich
Source: International Journal of Eating Disorders. Dec2024, Vol. 57 Issue 12, p2497-2503. 7p.
Subjects: Anorexia nervosa treatment, Bulimia, Research funding, Body mass index, Psychology of women, Treatment effectiveness, Descriptive statistics, Disease remission, Longitudinal method, Anorexia nervosa, Convalescence, Disease relapse, Adolescence
Abstract: Objective: Assessment of the longer‐term outcome of anorexia nervosa (AN) in female adolescent inpatients (N = 132). Method: A follow‐up (mean 8.2 years) after treatment was conducted. A subsample of 39 patients with at least 10 years of follow‐up (mean 14 years) was defined. Results: Over the 8‐year follow‐up period, the body mass index (BMI) increased from 14.33 (1.65) to 19.04 kg/m2 (2.97; t[112] = 17.33, p < 0.001, d = 1.63), and BMI percentiles increased from 0.50 (1.14) to 24.96 (26.81; t[112] = 9.83, p < 0.001, d = 0.92). Remission was found in 32.5% (8‐year total sample) and 48.6% (14‐year subsample). In the 8‐year total sample, 15.1% still had AN or had relapsed (8.1% in the 14‐year subsample). A cross‐over from AN to binge‐eating disorder was rare. The main cross‐over occurred from AN to an eating disorder not otherwise specified (37.5% and 27.0%, respectively). The standardized mortality ratio was 21.7. Discussion: In the long run, eating disorder diagnoses decreased significantly. Although a considerable proportion of patients recovered from their eating disorder, the number of recovered patients remained limited, with long‐term negative consequences in a large proportion of patients. Standardized mortality was excessive, calling for ever‐better therapies. Additional studies are needed to show if improved therapies lead to a better long‐term outcome. [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.)
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  Data: Long‐Term Outcome and Mortality in Adolescent Girls 8 Years After Treatment for Anorexia Nervosa.
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  Data: Objective: Assessment of the longer‐term outcome of anorexia nervosa (AN) in female adolescent inpatients (N = 132). Method: A follow‐up (mean 8.2 years) after treatment was conducted. A subsample of 39 patients with at least 10 years of follow‐up (mean 14 years) was defined. Results: Over the 8‐year follow‐up period, the body mass index (BMI) increased from 14.33 (1.65) to 19.04 kg/m2 (2.97; t[112] = 17.33, p &lt; 0.001, d = 1.63), and BMI percentiles increased from 0.50 (1.14) to 24.96 (26.81; t[112] = 9.83, p &lt; 0.001, d = 0.92). Remission was found in 32.5% (8‐year total sample) and 48.6% (14‐year subsample). In the 8‐year total sample, 15.1% still had AN or had relapsed (8.1% in the 14‐year subsample). A cross‐over from AN to binge‐eating disorder was rare. The main cross‐over occurred from AN to an eating disorder not otherwise specified (37.5% and 27.0%, respectively). The standardized mortality ratio was 21.7. Discussion: In the long run, eating disorder diagnoses decreased significantly. Although a considerable proportion of patients recovered from their eating disorder, the number of recovered patients remained limited, with long‐term negative consequences in a large proportion of patients. Standardized mortality was excessive, calling for ever‐better therapies. Additional studies are needed to show if improved therapies lead to a better long‐term outcome. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;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&#39;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.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=181549086
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1002/eat.24299
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 7
        StartPage: 2497
    Subjects:
      – SubjectFull: Anorexia nervosa treatment
        Type: general
      – SubjectFull: Bulimia
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Body mass index
        Type: general
      – SubjectFull: Psychology of women
        Type: general
      – SubjectFull: Treatment effectiveness
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Disease remission
        Type: general
      – SubjectFull: Longitudinal method
        Type: general
      – SubjectFull: Anorexia nervosa
        Type: general
      – SubjectFull: Convalescence
        Type: general
      – SubjectFull: Disease relapse
        Type: general
      – SubjectFull: Adolescence
        Type: general
    Titles:
      – TitleFull: Long‐Term Outcome and Mortality in Adolescent Girls 8 Years After Treatment for Anorexia Nervosa.
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            NameFull: Quadflieg, Norbert
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            NameFull: Naab, Silke
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            NameFull: Fichter, Manfred
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            NameFull: Voderholzer, Ulrich
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            – D: 01
              M: 12
              Text: Dec2024
              Type: published
              Y: 2024
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              Value: 57
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              Value: 12
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            – TitleFull: International Journal of Eating Disorders
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