The significance of subclassification in anorexia nervosa: a comparative study of clinical features in 141 patients

Vandereycken, Walter; Pierloot, Roland

doi:10.1017/s0033291700047978

Cited by 65 publications

(27 citation statements)

References 21 publications

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“…The only significant difference found was a higher average percent weight loss in the second group. Furthermore, abnormal eating habits are a negative prognostic factor with vomiting/laxative abuse being the worst, as found by others [37], A precise comparison of overall evalua tion between our study and others is not pos sible given the different makeup of the out come groups. Our group had an improve ment rate of 62.5% (including 'excellent' outcome and 'much improved'), among the highest reported, while the 5% mortality rate was among the lowest, notwithstanding the length of follow-up [33].…”

Section: Discussionsupporting

confidence: 40%

“…More recently, distinctions have been made based on symptomatology such as the 'dieters' vs. 'vomiters and purgers' of Beaumont et al [2] or the 'restricters' and 'bulimics' of Garfinkel et al [14] with an increased incidence of vomiting and laxative abuse in the 'bulimics'. Wandereycken and Pierloot [37] divide their sample into 'diet ers', 'binge eaters' and 'vomiters and purg ers', the latter having the worst prognosis.…”

Section: Discussionmentioning

confidence: 99%

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Anorexia nervosa in Italy: Clinical Features and Outcome in a Long-Term Follow-Up Study

Santonastaso¹,

Favaretto

Canton³

1987

Psychopathology

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Fifty-five patients with a diagnosis of anorexia nervosa hospitalized between 1970 and 1975 in the Departments of Psychiatry and Internal Medicine of the University of Padua were recalled between 1981 and 1983. Forty patients (73%) participated in this follow-up study. At follow-up, using the criteria of Garfinkel et al., 15 patients (37.5%) had an ‘excellent’ outcome, 10 (25 %) were ‘much improved’, 7(17.5%) were ‘symptomatic’, 6(15 %) had a ‘poor’ outcome and 2 (5%) were deceased. There was, generally, a more marked improvement in weight and menses than in eating habits and mental state. We also found that percentage weight loss, depressive symptoms, abnormal attitudes towards food and weight, the association vomiting/laxative abuse and sexual relations are all significantly associated with a poor outcome. Results are compared with a review of existing literature.

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Section: Discussionsupporting

confidence: 40%

Section: Discussionmentioning

confidence: 99%

Anorexia nervosa in Italy: Clinical Features and Outcome in a Long-Term Follow-Up Study

Santonastaso¹,

Favaretto

Canton³

1987

Psychopathology

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“…Twenty-five patients (83%) met the criteria from the Diagnostic StatisticaZ Manual of Menfal Disorders (DSM-111; American Psychiatric Association, 1980) for anorexia nervosa, and 5 patients (17%) met the criteria for bulimia. Nineteen (63%) of the anorexia nervosa patients belonged to the subgroup of "pure" dieters, or restricting anorexics, and 6 patients (20%) belonged to the subgroup of "bingeeaters/vomiters/purgers" or bulimic anorexics (Vandereycken & Pierloot, 1983). So, we subdivided the patient sample in three subgroups, according to clinical symptomatology: restricting anorexics, bulimic anorexics, and normal-weight bulimics.…”

Section: Subjectsmentioning

confidence: 99%

Family interaction in eating disorder patients and normal controls

Kog

Vandereycken

1989

Int. J. Eat. Disord.

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100

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The families of 30 eating‐disorder patients were matched with 30 normal control families on social class, family size, and age and sex of the patient. We tested if the age (adolescent or young adult) and the symptomatology of the patient (restricting anorexic, bulimic anorexic, and normal‐weight bulimic) had a significant effect on a behavioral and a self‐report measure of cohesion, adaptability, and conflict. The age of the patient proved to be nonsignificant. The eating‐disorder families showed more stability and discussed less openly disagreements between parents and children. On the remaining family measures, the anorexic (restricting and bulimic) and bulimic families revealed a completely opposite interaction pattern. The anorexic family had interpersonal boundary problems and a stable and conflictavoidant way of interacting, which was experienced as nonconflictual and cohesive by the patient too. The bulimic family showed strong interpersonal boundaries, a less stable organization, and less avoidance of disagreements. The patient herself also described her family as conflictual, uncohesive, and badly organized.

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“…Longitudinal studies evaluating the course and outcome of AN have reported that purging may be associated with more severe outcome measured by rates of recovery and mortality (Deter & Herzog, 1994;Herzog, Schellberg, 1 & Deter, 1997;Hsu, 1988;Steinhausen & Glanville, 1983;Vandereycken & Pierloot, 1983). However, no longitudinal study has been designed to compare the course and outcome of the AN subtypes.…”

Section: Introductionmentioning

confidence: 99%