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. |
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| 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] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| 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] |
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| ISSN: | 02763478 |
| DOI: | 10.1002/eat.24299 |
