Rehospitalization reflects the chronic course in a sizable proportion of adolescent patients with anorexia nervosa. Family psychopathology may have an effect both in terms of genetic vulnerability and environmental stress leading to unfavorable courses. The strong effect of insufficient weight gain during first admission and lower BMI at first discharge emphasizes the importance of adequate interventions. Readmissions carry the risk for later poor psychosocial and psychiatric outcomes.
Ballet school students (n = 90) aged 11–17 years, and nondancing adolescents (n = 156) aged 13–17 completed the Eating Disorder Inventory (EDI). Significant differences between female dancers and controls were seen in five subscales, with higher scores for the dancers (‘Drive for thinness’, ‘Bulimia’, ‘Interpersonal distrust’, ‘Ineffectiveness’ and ‘Perfectionism’). Their highest scores on most subscales were for the 16-year-olds. The only difference between male dancers and controls was seen for Ineffectiveness. Our data suggest important psychological inconsistency in the course of the adolescence of female ballet dancers, whilst the psychological profile of male ballet dancers appeared quite similar to that of nondancing adolescents.
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