10-YEAR FOLLOW-UP OF ANOREXIA-NERVOSA - CLINICAL COURSE AND OUTCOME

被引:255
作者
ECKERT, ED
HALMI, KA
MARCHI, P
GROVE, W
CROSBY, R
机构
[1] UNIV MINNESOTA, DEPT PSYCHIAT, MINNEAPOLIS, MN USA
[2] UNIV MINNESOTA, DEPT PSYCHOL, MINNEAPOLIS, MN USA
[3] CORNELL UNIV, NEW YORK HOSP, DEPT PSYCHIAT, WESTCHESTER DIV, NEW YORK, NY USA
[4] NYU, DEPT PSYCHOL, NEW YORK, NY 10003 USA
关键词
D O I
10.1017/S0033291700028166
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
The clinical course and outcome of anorexia nervosa are presented in a 10-year followup 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.
引用
收藏
页码:143 / 156
页数:14
相关论文
共 43 条
[1]  
American Psychiatric Association, 1987, DIAGNOSTIC STAT MANU, V3rd
[2]   A PROSPECTIVE-STUDY OF 133 PATIENTS WITH ANOREXIA-NERVOSA - TREATMENT AND OUTCOME [J].
BASSOE, HH ;
ESKELAND, I .
ACTA PSYCHIATRICA SCANDINAVICA, 1982, 65 (02) :127-133
[3]  
Dally P., 1979, ANOREXIA NERVOSA
[4]   BEHAVIOR-THERAPY IN ANOREXIA-NERVOSA [J].
ECKERT, ED ;
GOLDBERG, SC ;
HALMI, KA ;
CASPER, RC ;
DAVIS, JM .
BRITISH JOURNAL OF PSYCHIATRY, 1979, 134 (JAN) :55-59
[5]  
ECKERT ED, 1982, PSYCHOL MED, V12, P155
[6]   DIAGNOSTIC CRITERIA FOR USE IN PSYCHIATRIC RESEARCH [J].
FEIGHNER, JP ;
WOODRUFF, RA ;
WINOKUR, G ;
MUNOZ, R ;
ROBINS, E ;
GUZE, SB .
ARCHIVES OF GENERAL PSYCHIATRY, 1972, 26 (01) :57-&
[7]  
Garfinkel PE, 1977, ANOREXIA NERV, P315
[8]   CYPROHEPTADINE IN ANOREXIA-NERVOSA [J].
GOLDBERG, SC ;
HALMI, KA ;
ECKERT, ED ;
CASPER, RC ;
DAVIS, JM .
BRITISH JOURNAL OF PSYCHIATRY, 1979, 134 (JAN) :67-70
[9]   ANOREXIA-NERVOSA - LONG-TERM OUTCOME IN 50 FEMALE PATIENTS [J].
HALL, A ;
SLIM, E ;
HAWKER, F ;
SALMOND, C .
BRITISH JOURNAL OF PSYCHIATRY, 1984, 145 (OCT) :407-413
[10]  
HALMI KA, 1991, ARCH GEN PSYCHIAT, V48, P712