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Anorexia nervosa: 30-year outcome

  • Sandra Rydberg Dobrescu (a1), Lisa Dinkler (a1), Carina Gillberg (a2), Maria Råstam (a3), Christopher Gillberg (a4) and Elisabet Wentz (a5)...

Abstract

Background

Little is known about the long-term outcome of anorexia nervosa.

Aims

To study the 30-year outcome of adolescent-onset anorexia nervosa.

Method

All 4291 individuals born in 1970 and attending eighth grade in 1985 in Gothenburg, Sweden were screened for anorexia nervosa. A total of 24 individuals (age cohort for anorexia nervosa) were pooled with 27 individuals with anorexia nervosa (identified through community screening) who were born in 1969 and 1971–1974. The 51 individuals with anorexia nervosa and 51 school- and gender-matched controls were followed prospectively and examined at mean ages of 16, 21, 24, 32 and 44. Psychiatric disorders, health-related quality of life and general outcome were assessed.

Results

At the 30-year follow-up 96% of participants agreed to participate. There was no mortality. Of the participants, 19% had an eating disorder diagnosis (6% anorexia nervosa, 2% binge-eating disorder, 11% other specified feeding or eating disorder); 38% had other psychiatric diagnoses; and 64% had full eating disorder symptom recovery, i.e. free of all eating disorder criteria for 6 consecutive months. During the elapsed 30 years, participants had an eating disorder for 10 years, on average, and 23% did not receive psychiatric treatment. Good outcome was predicted by later age at onset among individuals with adolescent-onset anorexia nervosa and premorbid perfectionism.

Conclusions

This long-term follow-up study reflects the course of adolescent-onset anorexia nervosa and has shown a favourable outcome regarding mortality and full symptom recovery. However, one in five had a chronic eating disorder.

Declaration of interest

None.

Copyright

Corresponding author

Correspondence: Elisabet Wentz, Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, University of Gothenburg, Högsbo Hospital, House B4, Tunnlandsgatan 2A, SE-421 38 Västra Frölunda, Sweden. Email: elisabet.wentz@gu.se

Footnotes

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*

These authors contributed equally to this article.

Footnotes

References

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Anorexia nervosa: 30-year outcome

  • Sandra Rydberg Dobrescu (a1), Lisa Dinkler (a1), Carina Gillberg (a2), Maria Råstam (a3), Christopher Gillberg (a4) and Elisabet Wentz (a5)...

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Anorexia nervosa: 30-year outcome

  • Sandra Rydberg Dobrescu (a1), Lisa Dinkler (a1), Carina Gillberg (a2), Maria Råstam (a3), Christopher Gillberg (a4) and Elisabet Wentz (a5)...
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