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Long‐term follow‐up of adolescent onset anorexia nervosa in northern Sweden
Author(s) -
Nilsson Karin,
Hägglöf Bruno
Publication year - 2005
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.631
Subject(s) - anorexia nervosa , eating disorders , bulimia nervosa , anxiety , psychiatry , depression (economics) , psychology , not otherwise specified , pediatrics , medicine , clinical psychology , economics , macroeconomics
Objective This study examines the long‐term outcome of adolescent onset anorexia nervosa, 8 and 16 years after first admission to child and adolescent psychiatric (CAP) treatment in northern Sweden. Method Two follow‐ups (1991 and 1999) were made of 68 women who were first admitted to CAP between 1980 and 1985. The follow‐ups included interviews and self‐report inventories. Eating disorders and GAF were evaluated according to DSM‐III‐R. Results Recovery increased from 46 (68%) to 58 (85%). EDNOS (eating disorder not otherwise specified) decreased from 16 (24%) to seven (10%). The numbers for anorexia nervosa (AN) were the same, two (3%) in both follow‐ups. Bulimia nervosa (BN) decreased from four (6%) in the first follow‐up to one (1.5%) in the second follow‐up. The mortality rate was one (1%). Self‐evaluation of mental health indicated that 15% had problems with depression, anxiety or compulsive symptoms. Somatic problems and paediatric inpatient care during the first treatment period could predict long‐term outcome. Most former patients had a satisfactory family and work situation. Conclusion Recovery from eating disorders continued during the follow‐ups. Copyright © 2005 John Wiley & Sons, Ltd and Eating Disorders Association.