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Trans‐diagnostic outcome of eating disorders: A 30‐month follow‐up study of 629 patients
Author(s) -
Helverskov J.L.,
Clausen L.,
Mors O.,
Frydenberg M.,
Thomsen P.H.,
Rokkedal K.
Publication year - 2010
Publication title -
european eating disorders review
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.511
H-Index - 67
eISSN - 1099-0968
pISSN - 1072-4133
DOI - 10.1002/erv.1025
Subject(s) - eating disorders , medicine , psychology , psychiatry , clinical psychology
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.