Hostname: page-component-669899f699-swprf Total loading time: 0 Render date: 2025-04-25T02:48:41.307Z Has data issue: false hasContentIssue false
  • English
  • Français

Outcome in adolescent anorexia nervosa

Published online by Cambridge University Press:  24 June 2014

B. Herpertz-Dahlmann
B. Herpertz-Dahlmann*
Affiliation:
Department of Psychiatry and Psychotherapy, Aachen Technical University (RWTH), Germany
*
Klinik fur Kinder und Jugendpsychiatrie und Psychotherapie, Universitatsklinikum, Technische Hochschule Aachen, D-52074 Aachen, Germany. Tel: (+) 49 241 8088737; Fax: (+) 49 241 8888544.
Get access Rights & Permissions [Opens in a new window]

Abstract

The present paper compares course and outcome of adolescent anorexia nervosa to that of adult onset forms. In recent studies earlier onset of anorexia nervosa was associated with higher recovery rates and a lower mortality, although even in adolescent patients anorexia nervosa takes a prolonged course. A chronic eating disorder bears a high risk of other comorbid psychiatric or personality disorders. The most prevalent disturbances were anxiety and affective disorders and anxious–fearful–obsessive personality disorders, respectively. Patients who substantially overcame their eating disorder did not differ from normal controls in respect to psychosocial functioning, e.g. family relationships, partnership and occupational status. These results should encourage us to treat the eating disorder vigorously.

Keywords

adolescentanorexia nervosaanxietydepressioneating disorder
Type
Research Article
Information
Acta Neuropsychiatrica , Volume 14 , Issue 2 , April 2002 , pp. 90 - 92
Copyright
Copyright © Acta Neuropsychiatrica 2002

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

Steinhausen, HC. Annotation. Outcome of anorexia nervosa in the younger patient. J Child Psychol Psychiatry 1997;38: 271–276.CrossRefGoogle Scholar
Hsu, LKG. Outcome and early onset anorexia nervosa: what do we know? J Youth Adolesc 1996;25: 563–568. CrossRefGoogle Scholar
Fichter, M, Quadflieg, N. Comparative studies on the course of eating disorders in adolescents and adults. Is age at onset a predictor of outcome? In Steinhausen, HC, ed. Eating disorders in adolescence. Anorexia and bulimia nervosa. Berlin, New York: de Gruyter, 1995: 301–337. Google ScholarPubMed
Strober, M, Freeman, R, Morrell, W. The 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. Int J Eat Disord 1997;22: 339–360.DOI: 10.1002/(SICI)1098-108X(199712)22:4<339::AID-EAT1>3.0.CO;2-N3.0.CO;2-N>CrossRefGoogle Scholar
Herzog, DB, Dorer, DJ, Keel, PKet al. Recovery and relapse in anorexia and bulimia nervosa: a 7.5-year follow-up study. J Am Acad Child Adolesc Psychiatry 1999;38: 829–837.CrossRefGoogle ScholarPubMed
Sunday, SR, Reeman, IM, Ecker, E, Halmi, KA. Ten-year outcome in adolescent onset anorexia nervosa. J Youth Adolesc 1996;25: 533–544. CrossRefGoogle Scholar
Halmi, KA, Eckert, E, Marchi, P, Sampugnaro, V, Apple, R, Cohen, J. Comorbidity of psychiatric diagnoses in anorexia nervosa. Arch Gen Psychiatry 1991;48: 712–718.CrossRefGoogle ScholarPubMed
Ratnasuriya, RH, Eisler, I, Szmukler, GI, Russell, G. Anorexia nervosa: outcome and prognostic factors after 20 years. Br J Psychiatry 1991;158: 495–502.CrossRefGoogle ScholarPubMed
Hebebrand, J, Himmelman, GW, Herzog, Wet al. Prediction of low body weight at a long-term follow-up in acute anorexia nervosa by low body weight referral. Am J Psychiatry 1997;154: 566–569.Google Scholar
Herzog, DB, Sacks, NR, Keller, MB, Lavori, PW, Von Ranson, KB, Gray, HM. Patterns and predictors of recovery in anorexia nervosa and bulimia nervosa. J Am Acad Child Adolesc Psychiatry 1993;32: 835–842.CrossRefGoogle ScholarPubMed
Zipfel, S, Löwe, B, Reas, D, Deter, HD, Herzog, W. Long-term prognosis in anorexia nervosa: lessoms from a 21-year follow-up. Lancet 2000;355: 721–722.CrossRefGoogle ScholarPubMed
Steinhausen, HC, Rauss-Mason, C, Seidel, R. Follow-up studies of anorexia nervosa: a review of four decades of outcome research. Psychol Med 1991;21: 447–454.CrossRefGoogle ScholarPubMed
Herpertz-Dahlmann, B, Remschmidt, H. Depression in anorexia nervosa at follow-up. Int J Eat Disord 1993;14: 163–169.3.0.CO;2-Y>CrossRefGoogle ScholarPubMed
Herpertz-Dahlmann, B, Wewetzer, C, Henninghausen, K, Remschmidt, H. Outcome, psychosocial functioning, and prognostic factors in adolescent anorexia nervosa as determined by prospective follow-up assessment. J Youth Adolesc 1996;25: 455–471. CrossRefGoogle Scholar
Herpertz-Dahlmann, B, Wewetzer, C, Schulz, E, Remschmidt, H. Course and outcome in adolescent anorexia nervosa. Int J Eat Disord 1996;19: 35–345.3.0.CO;2-M>CrossRefGoogle ScholarPubMed
Herpertz-Dahlmann, B, Müller, B, Herpertz, S, Heussen, N, Hebebrand, J, Remschmidt, H. Prospective ten-year follow-up in adolescent anorexia nervosa — course, outcome, psychiatric comorbidity and psychosocial adaptation. J Child Psychol Psychiatry 2002, in press.Google Scholar
Theander, S. Anorexia nervosa with an early onset. Selection, gender, outcome, and results of a long-term follow-up study. J Youth Adolesc 1996;25: 419–430. CrossRefGoogle Scholar
Schork, EJ, Eckert, ED, Halmi, KA. The relationship between psychopathology, eating disorder diagnoses, and clinical outcome at 10-year follow-up in anorexia nervosa. Comp Psychiatry 1994;35: 113–123. CrossRefGoogle ScholarPubMed
Morgan, HG, Russell, GFM. Value of family background and clinical features as predictors of long-term outcome in anorexia nervosa. four-year follow-up study of 41 patients. Psychol Med 1975;5: 355–371.CrossRefGoogle Scholar
Rastam, M, Gillberg, G, Gillberg, IC. A six-year follow-up study of anorexia nervosa subjects with teenage onset. J Youth Adolesc 1996;25: 439–454. CrossRefGoogle Scholar
Sullivan, PF. Mortality in anorexia nervosa. Am J Psychiatry 1995;152: 1073–1076.Google Scholar
Fichter, M, Quadflieg, N. Six-year course and outcome of anorexia nervosa. Int J Eat Disord 1999;26: 359–385.DOI: 10.1002/(SICI)1098-108X(199912)26:4<359::AID-EAT2>3.0.CO;2-73.0.CO;2-7>CrossRefGoogle Scholar
Casper, RS, Jabine, LN. An eight-year follow-up: outcome from adolescent compared to adult onset anorexia nervosa. J Youth Adolesc 1996;25: 499–517. CrossRefGoogle Scholar
Smith, C, Feldmann, S, Nasserbakht, A, Steiner, H. Psychological characteristics and DSM-III-R diagnoses at 6-year follow-up of adolescent anorexia nervosa. J Am Acad Child Adolesc Psychiatry 1993;32: 1237–1245.CrossRefGoogle Scholar
Toner, BB, Garfinkel, PE, Garner, DM. Measurements of psychometric features and their relationship to clinical outcome in the long-term course of anorexia nervosa. Int J Eat Disord 1986;6: 17–27. 3.0.CO;2-A>CrossRefGoogle Scholar
Braun, DL, Sunday, SR, Halmi, KA. Psychiatry comorbidity in patients with eating disorders. Psychol Med 1994;24: 859–867.CrossRefGoogle ScholarPubMed
Gillberg, IC, Rastam, M, Gillberg, C. Anorexia nervosa 6 years after onset. Part I. personality disorders. Comp Psychiatry 1995;36: 61–69. CrossRefGoogle ScholarPubMed
Wonderlich, S. Personality and eating disorders. In: Brownell, KD, Fairburn, CG, eds. Eating disorders and obesity. New York: Guildford Press, 1995: 171–176. Google Scholar
Bulik, CM, Sullivan, PF, Fear, JL, Joyce, PR. Eating disorders and antecedent anxiety disorders: a controlled study. Acta Psychiatr Scand 1997;96: 101–107.CrossRefGoogle Scholar
Godart, NT, Flament, MF, Lecrubier, Y, Jeammet, P. Anxiety disorders in anorexia nervosa and bulimia nervosa: co-morbidity and chronology of appearance. Eur Psychiatry 2000;15: 38–45.CrossRefGoogle ScholarPubMed
Connan, F, Treasure, JL. Stress, eating and neurobiology. In: Hoek, HW, Treasure, JL, Katzman, MA, eds. Neurobiology in the treatment of eating disorders. London: John Wiley and Sons Ltd., 1998: 211–236. Google Scholar
Eisler, I, Dare, C, Russell, GF, Szmukler, G, Le Grange, D, Dodge, E. Family and individual therapy in anorexia nervosa. A 5-year follow-up. Arch Gen Psychiatry 1997;54: 1025–1030.CrossRefGoogle Scholar
Wentz Nilsson, E, Gillberg, C, Gillberg, C, Rastam, M. Ten-year follow-up of adolescent-onset anorexia nervosa: personalty disorders. J Am Acad Child Adolesc Psychiatry 1999;38: 1389–1395.CrossRefGoogle Scholar