What is remission in adolescent anorexia nervosa? A review of various conceptualizations and quantitative analysis

Jennifer L. Couturier · James Lock

149 citations0/0 files storedInternational Journal of Eating Disorders

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

Abstract

OBJECTIVE: The current article evaluated models of remission in anorexia nervosa (AN). METHOD: A dataset from 86 adolescents with AN was used to model definitions of remission by using (a) Morgan-Russell categories, (b) criteria proposed by Pike, (c) criteria proposed by Kordy, et al. (d) DSM-IV-text revision criteria, (e) other weight thresholds, (f) psychological symptoms (Eating Disorder Examination [EDE] scores), and (g) combinations of these. RESULTS: The mean age was 15.2 +/- 1.6 years. Remission rates varied from 3% to 96% depending on the method used. Combining percent ideal body weight and EDE scores appeared to reduce the variability in rates, capture the most meaningful aspects of remission, and avoid the pitfalls of other methods. CONCLUSION: These methods of defining remission produce a wide range of outcomes, demonstrating the importance of defining remission consistently. Weight and psychological variables combined appear most important in defining remission.

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References

1988Diagnostic and Statistical Manual of Mental Disorders 2000Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR)2008Diagnostic and Statistical Manual of Mental Disorders 1991Clinical significance: A statistical approach to defining meaningful change in psychotherapy research.1991Clinical significance: A statistical approach to defining meaningful change in psychotherapy research.2003Eating disorders 1994Binge Eating: Nature, Assessment and Treatment 1997The long-term course of severe anorexia nervosa in adolescents: Survival analysis of recovery, relapse, and outcome predictors over 10-15 years in a prospective study

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2012Calculation of Expected Body Weight in Adolescents With Eating Disorders 2007Classification of child and adolescent eating disturbances 2014“Doing the Impossible”2010Gender differences in outcome of eating disorders: A retrospective cohort study 2014Relapse From Remission at Two- to Four-Year Follow-Up in Two Treatments for Adolescent Anorexia Nervosa

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