Excess mortality, causes of death and prognostic factors in anorexia nervosa

Papadopoulos, Fotios C.; Ekbom, Anders; Brandt, Lena; Ekselius, Lisa

doi:10.1192/bjp.bp.108.054742

Cited by 374 publications

(327 citation statements)

References 48 publications

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“…Recent studies found a 75% of recovery rate in anorexia nervosa, although only less than 50% of diagnosed cases were totally asymptomatic (60% in bulimia nervosa) (Jäger et al, 2004;Wade et al, 2006). The introduction of specialized care units for these disorders in some countries seems to have improved patients' survival, particularly in anorexia nervosa (Lindblad et al, 2006;Papadopoulos et al, 2009). However, it cannot be ruled out that, due to the study method, the most severe cases of anorexia and bulimia nervosa were not included in the study sample, since they were hospitalized or unwilling to participate in an investigation on emotional problems.…”

Section: Course Of Eating Disordersmentioning

confidence: 99%

The epidemiology of eating disorders in six European countries: Results of the ESEMeD-WMH project

Preti¹,

Girolamo²,

Vilagut³

et al. 2009

Journal of Psychiatric Research

383

269

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a b s t r a c tFew data are available to estimate the prevalence of eating disorders (EDs) and their correlates in the community. This paper reports data on EDs obtained in the framework of the ESEMeD project, aimed at investigating the prevalence of non-psychotic mental disorders in six European countries (Belgium, France, Germany, Italy, the Netherlands and Spain), using a new version of the Composite International Diagnostic Interview. The ESEMeD study was a general population cross-sectional household survey. In total, 21,425 respondents aged 18 or older provided data for the project between January 2001 and August 2003. A subsample (N = 4139) underwent a detailed investigation on EDs. Lifetime estimated prevalence of anorexia nervosa, bulimia nervosa, binge eating disorder, sub-threshold binge eating disorder, and any binge eating were 0.48%, 0.51%, 1.12%, 0.72%, and 2.15%, respectively, and they were 3-8 times higher among women for all EDs. However, since people under 18 were excluded from this study, our prevalence should be taken as lower-bound estimate of real frequencies. Indeed, cumulative lifetime prevalence analysis showed that the majority of eating disorders had their initial onset between 10 and 20 years of age. Role impairment and comorbidity with other mental disorders were highly common, yet only small proportions of patients with a lifetime diagnosis of EDs requested medical treatment. It still has to be proven whether early diagnostic identification and access to specialized care can reduce the burden caused by these disorders.

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Section: Course Of Eating Disordersmentioning

confidence: 99%

The epidemiology of eating disorders in six European countries: Results of the ESEMeD-WMH project

Preti¹,

Girolamo²,

Vilagut³

et al. 2009

Journal of Psychiatric Research

383

269

View full text Add to dashboard Cite

show abstract

“…Unfortunately, there is no Swedish data to show whether or not young people's sleeping habits have in fact changed. However, a Finnish study has found that the percentage of 15-year-olds who go to bed after 11 pm has risen significantly, from around 20 is likely that young Swedish people are also going to bed later in the evening. In 1979-2005, the percentage of young people with sleeping problems rose from 10 to 24 per cent of women aged 16-24 and from 8 to 16 per cent of men of the same age, according to the Survey of Living Conditions (ULF).…”

Section: … and Less Sleepmentioning

confidence: 99%

Young people's health: Health in Sweden: The National Public Health Report 2012. Chapter 3

Lager

Berlin

Heimerson

et al. 2012

Scandinavian Journal of Public Health

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The present chapter discusses trends in public health among 16-24-year-olds-young people who are poised precariously between childhood and adulthood. The group includes upper-secondary school pupils and young people who have gone on to higher education or work. Along with the rest of the population, young people have benefited from the development of postwar health and welfare policies and programs. Since the 1990s, however, the health of young people-particularly their mental health-has not shown the same general improvement as that of other age groups. Since health status surveys began at the end of the 1980s, the proportion of young people aged 16-24 who suffer from anxiousness, nervousness and anxiety (angst) has increased. In 1988-1989, 9 per cent of women and 4 per cent of men reported experiencing feelings of anxiousness, nervousness or anxiety. In 2004-2005, the percentage had risen to 30 per cent among women and 14 per cent among men. This increase not only subsumes self-reported complaints such as anxiousness, nervousness and anxiety; it has also become more common for young people to be hospitalised with depression and states of anxiety. The percentage of 20-24-year-old men and women who were hospitalised with depression more than doubled between 1990 and 2010, and in the 16-19 age group, hospitalisation have become eight times as frequent among women and four times among men. Hospitalisation as a result of suicide attempts or other self-destructive behaviour rose

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“…In addition, comorbid diseases such as depression, suicidal behavior, and alcohol addiction are also associated with mortality. A previous study has shown that a younger age at first diagnosis and longer duration of first hospital stay are associated with a better prognosis [5]. Even so, findings are contradictory.…”

Section: Introductionmentioning

confidence: 98%

A psychological autopsy of a patient who was deceased due to medical complications associated with anorexia nervosa: A case report

Şimşek

Yüksel²,

Aktaş³

et al. 2016

J Clin Exp Invest

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ÖZETAnoreksiya nervoza (AN), kişinin fiziksel bütünlüğünü tehdit edecek şekilde yememe ve kilo vermeye çalışma ile karakterize olan bir yeme bozukluğudur. Anoreksiya nervozada, mortalite riskinin arttığı iyi bilinmektedir. Anoreksiya nervozada ölümler medikal komplikasyonlar ve/ veya intihar neticesinde olmaktadır. Bununla beraber, hastalığın seyri boyunca ölüm riskinin zamanlaması belirsizdir. Anoreksiya nervozada mortalite için bazı prediktörler tanımlanmıştır. Bu çalışmada, AN'ya bağlı medikal komplikasyonlar nedeniyle ölen 15 yaşında kız olgunun sunulması planlanmıştır. Anahtar kelimeler: Anoreksiya nervoza, mortalite, ölüm, öngörücüler ABSTRACTAnorexia nervosa (AN) is an eating disorder, which is characterized by the avoidance of eating in a way that threatens the physical integrity of an individual, and trying to lose weight. It is known that the risk of mortality is high in AN. Death occurs as a results of medical complications and/or suicide. On the other hand, the exact time point of mortality becoming a risk during the progression of the disease progression is not defined. Certain predictors have been defined for mortality in AN. In this study, our aim was to present a case of a 15-year old female patient, who had died due to medical complications related to AN.

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Excess mortality, causes of death and prognostic factors in anorexia nervosa

Abstract: Anorexia nervosa is characterised by high lifetime mortality from both natural and unnatural causes. Assessment and treatment of psychiatric comorbidity, especially alcohol misuse, may be a pathway to better long-term outcome.

Cited by 374 publications

References 48 publications

The epidemiology of eating disorders in six European countries: Results of the ESEMeD-WMH project

The epidemiology of eating disorders in six European countries: Results of the ESEMeD-WMH project

Young people's health: Health in Sweden: The National Public Health Report 2012. Chapter 3

A psychological autopsy of a patient who was deceased due to medical complications associated with anorexia nervosa: A case report

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