Outcome and prognostic factors of anorexia nervosa: Follow-up study of 41 patients

Author(s): Haffner, J., MullerKuppers, M.

Journal/Book: Prax Kinderpsychol Kinderpsyc. 1998; 47: Theaterstrasse 13, Postfach 77, W-37070 Gottingen, Germany. Vandenhoeck & Ruprecht. 302-313.

Abstract: The purpose of the following study was a multidimensional assessment of the course of anorexia nervosa. In our follow-up-study we were able to examine 41 out of 51 patients meeting DSM-111 R criteria for anorexia nervosa in our department at a mean Follow-up of 5;3 years. At the first evaluation the patients were characterized by an early age of onset (mean 14;2 years), no or very little previous psychiatric treatment, and restrictive eating habits (72,5%); the mean age was 15;2 years.at the time of follow-up, the physical outcome was unfavourable for 50% of the patients; one patient had died. The psychosocial outcome was less favourable for 60%. Against the background of a neurotic structure, social and sexual disturbances were found although the patient's weight was often normal. Depressive symptoms and a ''slimness ideal'' were found among a large number of patients,just as much as the fear of gaining weight - which prove to be a reliable indicator for the continuation of an eating disorder. A multidimensional evaluation facilitates an assessment of the determinants of prognosis. Previous psychiatric treatment and Tow body weight were associated with an unfavourable, mention of problems/disturbances in the family environment with a good somatic outcome. Outpatient treatment indicates a favourable psychosocial outcome.

Note: Article Finzer P, Univ Heidelberg, Psychiat Klin, ABT Kinder & Jugendpsychiat, Blumenstr 8, D-69115 Heidelberg, GERMANY

Keyword(s): CLINICAL FEATURES; EATING DISORDERS

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