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Anorexia nervosa, psychopathology, and outcome
Author(s) -
North Clive,
Gowers Simon
Publication year - 1999
Publication title -
international journal of eating disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.785
H-Index - 138
eISSN - 1098-108X
pISSN - 0276-3478
DOI - 10.1002/(sici)1098-108x(199912)26:4<386::aid-eat3>3.0.co;2-a
Subject(s) - anorexia nervosa , psychopathology , depression (economics) , eating disorders , psychology , psychiatry , comorbidity , eating disorder inventory , clinical psychology , cognition , affect (linguistics) , bulimia nervosa , communication , economics , macroeconomics
Objective To examine for specificity of Eating Disorders Inventory (EDI) ratings and differences in self‐reported cognitions and clinical outcome between adolescent cases of anorexia nervosa (AN) with and without comorbid depression. Method Thirty‐five subjects with AN and matched psychiatric and community controls received the EDI and a structured diagnostic interview. AN subjects were followed up at 1 and 2 years using the EDI and a semistructured interview to assess outcome. Results Subjects with AN and those with other psychiatric disorders scored similarly on the EDI. Differences between AN cases and community controls were marked for comorbid cases but rare for noncomorbid cases. Comorbid AN cases had an equally good outcome compared to those with AN alone. Discussion Abnormal cognitions reported in the EDI are much greater in those cases with comorbid depression, but neither the presence of depression nor high EDI scores appears to adversely affect prognosis. © 1999 by John Wiley & Sons, Inc. Int J Eat Disord 26: 386–391, 1999.