The Outcome of Anorexia Nervosa in the 20th Century

Steinhausen, Hans‐Christoph

doi:10.1176/appi.ajp.159.8.1284

Cited by 1,477 publications

(1,161 citation statements)

References 99 publications

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“…14 The remission rate for AN in our sample was similar to that given in the overview by Steinhausen. 15 Presently there is a discussion on the validity of the BED diagnostic category. Our data suggest that BED is not a partially remitted form of BN.…”

Section: Resultsmentioning

confidence: 99%

Long-term stability of eating disorder diagnoses

Fichter

Quadflieg²

2007

Int. J. Eat. Disord.

118

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Objective: Data on the stability of eating disorder (ED) diagnoses (DSM-IV) over 12 years are presented for a large sample (N 5 311) of female eating disordered patients with anorexia nervosa (AN), bulimia nervosa (BN), and binge eating disorder (BED).Method: Assessments were made at the beginning of therapy and 2-, 6-, and 12-year follow-ups. Diagnoses were derived from the Structured Inventory for Anorexic and Bulimic Eating Disorders. Possible diagnostic outcome categories were AN, BN, BED, NOS, no ED, and deceased.Results: At all follow-ups, more patients changed from AN or BED to BN than vice versa. No diagnostic crossover from AN to BED or vice versa occurred. BED showed the greatest variability and AN had the greatest stability over time.While the long-term outcome of BN and BED is similar, AN had a considerably worse long-term outcome than either BN or BED. Conclusion

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Section: Resultsmentioning

confidence: 99%

Long-term stability of eating disorder diagnoses

Fichter

Quadflieg²

2007

Int. J. Eat. Disord.

118

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“…The total score is utilized to determine the overall level and stage of RFC (Pre-Contemplation, Contemplation, Preparation, Action, or Maintenance). The total score ranges from 20-100 and the individual stage of change score ranges are: Pre-contemplation (20)(21)(22)(23)(24)(25)(26)(27)(28)(29), Contemplation (30-49), Preparation (50-69), Action (70-89), and Maintenance (90-100). The instrument has demonstrated good internal consistency (0.90) and test-retest reliability (0.89).…”

Section: Methodsmentioning

confidence: 99%

“…[21][22][23] This variability presents a challenge as outcomes researchers aim to ascertain clinical characteristics, such as RFC, that are sensitive to intervention. Many of the difficulties plaguing research on the course of illness and recovery from AN are due to the immature qualifications and definitions of outcomes.…”

Section: Outcomes Of Anorexia Nervosamentioning

confidence: 99%

Readiness for change and short‐term outcomes of female adolescents in residential treatment for anorexia nervosa

McHugh

2007

Intl J Eating Disorders

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Objective: To determine if readiness for change (RFC) at admission predicted length of stay (LOS) and short-term outcomes among female adolescents in residential treatment for anorexia nervosa (AN).Method: Using a prospective cohort design to collect data from participants (N 5 65) at admission and discharge, KaplanMeier survival analysis and Cox regression tested whether RFC on admission predicted time in LOS to a favorable short-term outcome-a composite endpoint based on minimum criteria for weight gain, drive for thinness, depression, anxiety, and healthrelated quality of life (HRQOL).Results: Participants with low RFC had a mean survival time to a favorable short-term outcome of 59.4 days compared to 34.1 days for those with high RFC (log rank 5 8.44, df 5 1, p 5 .003). The probability of a favorable short-term outcome was 5.30 times greater for participants with high RFC. Conclusion:Readiness for change is a useful predictor of a favorable short-term outcome and should be considered in the assessment profile of patients with AN. V V C 2007 by Wiley Periodicals, Inc.

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“…Premorbid weights of individuals with AN span the BMI spectrum, although very high BMIs may be underrepresented. 19 Even after recovery, BMIs are lower than expected [20][21][22][23] ; in part due to reduced body fat. 24 Although few adequately designed studies have been conducted, the BMIs of family members of individuals with AN do not appear to be lower than relatives of those without AN.…”

Section: Anorexia Nervosamentioning

confidence: 96%

Genetic epidemiology, endophenotypes, and eating disorder classification

Bulik

Keski‐Rahkonen

Klump

et al. 2007

Int. J. Eat. Disord.

118

111

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Objective: To explore how genetic epidemiology has informed the identification of endophenotypes and how endophenotypes may inform future classification of eating disorders.Method: Literature review and synthesis.Results: Although a number of endoand subphenotypes have been suggested for eating disorders, few reach the rigorous definitions developed for candidate endophenotypes. Conclusion:Further study of endophenotypes and subphenotypes for eating disorders may assist with developing a more homogenous classification system that more closely reflects underlying biological mechanisms, and provides a clearer focus for the development of coherent models and treatments. V V C 2007 by Wiley Periodicals, Inc.

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The Outcome of Anorexia Nervosa in the 20th Century

Abstract: Anorexia nervosa did not lose its relatively poor prognosis in the 20th century. Advances in etiology and treatment may improve the course of patients with anorexia nervosa in the future.

Cited by 1,477 publications

References 99 publications

Long-term stability of eating disorder diagnoses

Long-term stability of eating disorder diagnoses

Readiness for change and short‐term outcomes of female adolescents in residential treatment for anorexia nervosa

Genetic epidemiology, endophenotypes, and eating disorder classification

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