Ten-Year Follow-Up of Anorexia Nervosa: Clinical Course and Outcome

Elke D Eckert, K. A. Halmi, P. Marchi, William M Grove, R. Crosby

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Up study of 76 severely ill females with anorexia nervosa who met specific diagnostic criteria and had participated in a well-documented hospital treatment study. Information was obtained on 100% of the subjects. A comprehensive assessment was made in 93% of the living subjects in specific categories of weight, eating and weight control behaviours, menstrual function, anorexic attitudes, and psychological, sexual, social and vocational adjustment. Five subjects had died, which gives a crude mortality rate of 6.6%. Standardized mortality rates demonstrated an almost 13-fold increase in mortality in the anorexia nervosa subjects. Only eighteen (23.7%) were fully recovered. Sixty-four per cent developed binge-eating at some time during their illness, 57% at least weekly. Twenty-nine (41 %) were still bulimic at follow-up. The high frequency and chronicity of the bulimic symptoms plus the high rate of weight relapse (42% during the first year after hospital treatment) suggest that intensive intervention is needed to help anorexics restore and maintain their weight within a normal range and to decrease abnormal eating and weight control behaviours. The clinical course and outcome of anorexia nervosa are nresented in a 10-vear follow.

Original languageEnglish (US)
Pages (from-to)143-156
Number of pages14
JournalPsychological medicine
Issue number1
StatePublished - Jan 1995

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    Eckert, E. D., Halmi, K. A., Marchi, P., Grove, W. M., & Crosby, R. (1995). Ten-Year Follow-Up of Anorexia Nervosa: Clinical Course and Outcome. Psychological medicine, 25(1), 143-156. https://doi.org/10.1017/S0033291700028166