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Anorexia nervosa: 30-year outcome

The British Journal of Psychiatry Feb 01, 2020

Dobrescu SR, et al. - The 30-year outcome of adolescent-onset anorexia nervosa was determined. Screening for anorexia nervosa was done in all 4,291 individuals born in 1970 and attending eighth grade in 1985 in Gothenburg, Sweden. Researchers pooled a total of 24 individuals (age cohort for anorexia nervosa) with 27 individuals with anorexia nervosa (identified through community screening) who were born in 1969 and 1971–1974. Prospective follow up of 51 individuals with anorexia nervosa and 51 school- and gender-matched controls was made at mean ages of 16, 21, 24, 32 and 44. At the 30-year follow-up, no mortality was reported. Of the participants, 19% were diagnosed with an eating disorder (6% anorexia nervosa, 2% binge-eating disorder, 11% other specified feeding or eating disorder); 38% with other psychiatric diagnoses; and 64% exhibited full recovery from eating disorder symptom, ie free of all eating disorder criteria for 6 consecutive months. Results thereby revealed a favorable outcome regarding mortality and full symptom recovery. However, there was one in five with a chronic eating disorder.
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