Outcome, recovery, relapse and mortality across six years in patients with clinical eating disorders

Claes E. A. Norring · Staffan Sohlberg

93 citations0/0 files storedActa Psychiatrica Scandinavica

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Eating Disorders and Behaviors Nutrition, Health and Food Behavior Child Nutrition and Feeding Issues

Abstract

The study describes course and outcome over 6 years for adults with eating disorders. Special interest is paid to clinically critical events such as relapse and premature death. Seventy-seven per cent of the 30 prospectively studied patients had no eating disorder diagnosis after 6 years. Among the recovered patients, the total risk of relapse was 48%. The mortality was 17.8 times higher than expected. The overall pattern of results confirm earlier ones for anorexia nervosa and extend the limited database for bulimia nervosa. Of particular importance may be 1) that no patient in this sample suffered more than one major relapse and 2) that the risk for premature death may be twice as high among bulimic as among restricting patients.

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References

1979Bulimia nervosa: an ominous variant of anorexia nervosa 1975Value of family background and clinical features as predictors of long-term outcome in anorexia nervosa: four-year follow-up study of 41 patients 1970Anorexia nervosa. A psychiatric investigation of 94 female patients.1985Outcome and prognosis in anorexia nervosa and bulimia: Some results of previous investigations, compared with those of a Swedish long-term study 1991Follow-up studies of anorexia nervosa: a review of four decades of outcome research 1988Mortality in eating disorders 1988Outcome in Anorexia Nervosa and Bulimia Nervosa 1990Differences in treatment outcome between borderline and nonborderline bulimics at one-year follow-up

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2019Eating disorder core symptoms and symptom pathways across developmental stages: A network analysis.2012The Impact of Level of Personality Organization on Treatment Response: A Systematic Review 1999Evaluating recovery from anorexia nervosa and bulimia nervosa Integrating lessons learned from research and clinical practice

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