Incidence of severe anorexia nervosa in Switzerland: 40 years of development

Milos, Gabriella; Spindler, Anja; Schnyder, Ulrich; Martz, Jan; Hoek, Hans W.; Willi, Jürg

doi:10.1002/eat.10244

Cited by 47 publications

(36 citation statements)

References 17 publications

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“…A study covering four decades was published by Milos et al (2004) describing a significant increase in the admitted incidence of severe AN during the 1960s and 1970s in a Swiss region. Hsu's review (1996) of literature published in the period 1985-1995, including case register studies, two stage studies, population studies and longitudinal studies, covering a 1935-1991 time span, concluded an increasing trend.…”

Section: Introductionmentioning

confidence: 99%

Incidence of eating disorders in Danish psychiatric secondary healthcare 1970–2008

Gammelmark

Jensen

Plessen

et al. 2015

Aust N Z J Psychiatry

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Objective: Is an increased focus on eating disorders during the past few decades reflected by increasing occurrence in the psychiatric health service system. Method:All first-time diagnoses of eating disorders identified in the Danish Central Psychiatric Research Register 1970-2008 constitute the present research database. Age-standardized rates per 100,000 inhabitants were calculated and autoregressive models were fitted for males and females separately as well as for in-and outpatients.Results: The incidence of eating disorders diagnosed in Danish psychiatric secondary healthcare has increased considerably during a nearly 40-year period of observation both within the general category of eating disorders and also specifically for anorexia nervosa. The steepest increase is seen within females aged 15-19 years, where the highest incidences are also found. Anorexia nervosa constitutes the vast majority of all eating disorders. Throughout the time interval investigated, the number of males, however, is negligible compared to females. Most patients are seen in outpatient services, increasing towards recent years. However, the number of patients being treated as inpatients has increased linearly through the entire four decenniums investigated. Conclusions:Changes in registration principles, public awareness and higher acceptance of mental disorders in the public is the most obvious explanation for the incidence increase of anorexia nervosa and other eating disorders. This study does not answer whether there has been an increase in true incidence in the population.

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Section: Introductionmentioning

confidence: 99%

Incidence of eating disorders in Danish psychiatric secondary healthcare 1970–2008

Gammelmark

Jensen

Plessen

et al. 2015

Aust N Z J Psychiatry

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“…The answers to these questions are approached using long-term studies (Lucas et al, 1999;Milos et al, 2004) and meta-analyses (Hoek, 2006;Hoek & van Hoeken, 2003;Hsu, 1996). These authors observed that the incidence of AN increased significantly during the 1960s and 1970s in females 12-to 25-years-old, despite not registering at epidemic proportions.…”

Section: Resultsmentioning

confidence: 99%

“…Some researchers have suggested an increased prevalence of AN during the second half of the 20 th century Hoek & Van Hoeken, 2003;Preti et al, 2009). However, this increase has not been reflected in an increase in the number of cases of AN in hospital records (Milos et al, 2004). This may mean that while the majority of cases are not seeking treatment and are likely the less severe cases of AN.…”

Section: Resultsmentioning

confidence: 99%

The Epidemic of Anorexia Nervosa: Myth or Reality?

Torres¹,

Guerra²,

Vieira³

et al. 2012

Relevant Topics in Eating Disorders

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“…Die Inzidenz der Anorexia nervosa stieg bis Ende der 70er Jahre des letzten Jahrhunderts an und ist seither ungefähr konstant. Bei der Prävalenz der Bulimia nervosa konnte ein Anstieg bis in die 1990er Jahre hin beobachtet werden ( [41], Übersicht bei [42] Untersuchte Veränderungen in den Hirnstrukturen und der Hirnfunktion bei Anorexia nervosa mit Untergewicht sind Vergrösserungen der Ventrikel und Defizite sowohl in der grauen als auch der weissen Substanz sowie Änderun-gen des zerebralen Blutflusses. Diese sind gemäss der Zusammenfassung von Kerem et al [45] bei Gewichtsrestitution grösstenteils reversibel, wobei in den meisten Studien nach Genesung kleine Defizite bestehen bleiben [46].…”

Section: Epidemiologieunclassified

Anorexia nervosa, Bulimia nervosa und andere Essstörungen bei Kindern und Jugendlichen

2013

Swiss Arch Neurol Psychiatr

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Summary Anorexia nervosa, bulimia nervosa and other eating disorders in childhood and a dolescence. Review and recommendations on diagnosis and treatment.The diagnosis and treatment of eating disorders in childhood and adolescence demands specific knowledge of the particular features of symptomatology and approaches in this age group. The diagnostic criteria in the handbooks are only conditionally valid in young patients and their application must be adapted to the patient's age. Clinically relevant atypical eating disorders have a prevalence similar to the classic forms of anorexia nervosa or bulimia n ervosa. High rates of comorbidity exist, in particular with anxiety states and also depression. Monitoring of concomitant somatic symptoms is indispensable. Early detection and treatment improve prognosis. Treatment is multidisciplinary and multimodal. Transdiagnostic approaches take into account the high migration rate of eating disorder diagnoses. There is evidence for the efficacy of family-based therapy in adolescents with anorexia nervosa. In i ndividual psychotherapy motivational treatment, and in bulimia nervosa cognitive behavioural therapy, are in the forefront. Fluoxetine has proved e ffective in the treatment of binge eating in bulimia nervosa.Key words: eating disorders in children and adolescents; eating disoder; child; a dolescent; treatment; review; anorexia nervosa; bulimia nervosa Einleitung Trotz Fortschritten in der Behandlung ist die Anorexia n ervosa als bekannteste und am meisten gefürchtete Essstörung immer noch eine der Erkrankungen des Kindesund Jugendalters mit der höchsten Todesrate [1,2]. Die E rkenntnisse zur Wirksamkeit der Behandlungsmethoden bei Essstörungen wachsen, sind aber immer noch unzureichend. Die Anorexia nervosa nimmt häufig in der frühen oder mittleren Pubertät ihren Anfang, die Bulimia nervosa eher in der späteren Adoleszenz oder im jungen Erwachsenenalter. Behandelnde Fachärzte dieser Altersgruppe sollten daher über Früherkennung und Behandlung von Essstörun-gen bei jungen Menschen gut informiert sein.

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Incidence of severe anorexia nervosa in Switzerland: 40 years of development

Abstract: The incidence of severe anorexia nervosa in the canton of Zurich rose significantly during the 1960s and 1970s. Since then, the incidence appears to have reached a plateau.

Cited by 47 publications

References 17 publications

Incidence of eating disorders in Danish psychiatric secondary healthcare 1970–2008

Incidence of eating disorders in Danish psychiatric secondary healthcare 1970–2008

The Epidemic of Anorexia Nervosa: Myth or Reality?

Anorexia nervosa, Bulimia nervosa und andere Essstörungen bei Kindern und Jugendlichen

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