A Prospective Follow-up Study in Early-Onset Eating Disorders

Steinhausen, Hans‐Christoph; Seidel, R.

doi:10.1007/978-3-642-76634-3_8

The Course of Eating Disorders 1992

DOI: 10.1007/978-3-642-76634-3_8

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A Prospective Follow-up Study in Early-Onset Eating Disorders

Hans‐Christoph Steinhausen¹,

R. Seidel²

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1993

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Cited by 6 publications

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“…So far, few prospective studies of eating-disordered adolescent patients, with a follow-up period of at least 4 years (6), have been published. Most of them focus on clinically treated youngsters (7)(8)(9)(10)(11)(12)(13)(14)(15)(16).…”

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A four‐year prospective follow‐up study of 49 eating‐disordered adolescents: differences in course of illness

Ham

Strien

Engeland

1994

Acta Psychiatr Scand

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In a 4-year prospective follow-up study of 25 anorectic and 24 bulimic adolescents (DSM-III-R criteria), we studied fluctuations and differences in the course of illness, using repeated measurement. Morgan & Russell general outcome categories on the Outcome Schedule were more favourable than in adult studies. Of all patients, 47% had good, 43% intermediate and 10% poor outcome scores after 4 years. The groups differed significantly as to the kind and severity of disturbed eating behaviour and its consequences, but were rather similar in mental, psychosocial and psychosexual symptoms during the course of the illness. Eight percent of the anorectic patients became bulimic. We conclude that anorexia nervosa and bulimia nervosa can be considered as different symptom patterns of one basic eating disorder, in which preoccupation with food and a disturbed body image are core symptoms.

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mentioning

confidence: 99%

A four‐year prospective follow‐up study of 49 eating‐disordered adolescents: differences in course of illness

Ham

Strien

Engeland

1994

Acta Psychiatr Scand

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Correspondence between the clinical assessment of eating-disordered patients and findings derived from questionnaires at follow-up

Steinhausen¹,

Seidel²

1993

Int. J. Eat. Disord.

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Questionnaire scores were compared across three outcome groups in a follow‐up of eating‐disordered patients with onset of the disease during adolescence. Among a total of 40 patients, 7 continued to suffer from either anorexia or bulimia nervosa. Seven additional patients displayed partial syndromes and 26 had recovered. Both a semantic differential measuring body image and the Eating Attitudes Test (EAT) demonstrated limited evidence of clinical sensitivity by differentiating the three outcome groups. The Eating Disorders Inventory (EDI) did not discriminate the three outcome groups. Obviously, clinical interviews and self‐report questionnaires tackle different facets of the eating disorders and, therefore, both should be used in outcome studies. © 1993 by John Wiley & Sons, Inc.

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Outcome in adolescent eating disorders

Steinhausen¹,

Seidel²

1993

Int. J. Eat. Disord.

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A consecutive series of 60 adolescent patients with eating disorders was followed up after a mean period of 58 months. At intermediate follow-up, 4 (6.65) of the former patients were reported deceased, and 6 could either not be traced or refused to cooperate. Follow-up assessment revealed the following diagnostic pattern in 50 patients who were followed up: 5 (10%) of the patients still suffered from anorexia nervosa, 2 (4%) from anorexia nervosa with bulimia, 7 (14%) from partial syndromes of anorexia nervosa, 2 (4%) from partial syndromes of bulimia nervosa, and 34 (68%) had recovered. Questionnaire findings indicated that the improvements that occurred during inpatient treatment were intact at follow-up. No significant findings were revealed by the analysis of a large scale of potential prognostic factors.

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A Prospective Follow-up Study in Early-Onset Eating Disorders

Cited by 6 publications

References 13 publications

A four‐year prospective follow‐up study of 49 eating‐disordered adolescents: differences in course of illness

A four‐year prospective follow‐up study of 49 eating‐disordered adolescents: differences in course of illness

Correspondence between the clinical assessment of eating-disordered patients and findings derived from questionnaires at follow-up

Outcome in adolescent eating disorders

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