Course and Outcome of Eating Disorders in a Primary Care-Based Cohort

Gabrielle E. van Son*, Daphne van Hoeken, Eric F. van Furth, Ge A. Donker, Hans W. Hoek

*Corresponding author for this work

    Research output: Contribution to journalArticleAcademicpeer-review

    47 Citations (Scopus)

    Abstract

    Objective: To Study the Course and outcome of patients with eating disorder detected in primary care

    Method: General practitioners (G P's) provided information on the course and outcome of eating disorders in patients (n = 147) diagnosed with anorexia nervosa (AN) or bulimia nervosa (BN) identified during a Dutch nationwide primary care-based incidence study The research team determined the outcome based on the data provided by the GP's The mean duration of the follow-up was 4 8 years

    Results: About 57% of the patients initially diagnosed with AN and 61% of those diagnosed with BN were fully recovered AN binge/purge subtype (ANBP) demonstrated the most extended median Survival time of all diagnostic Subgroups (the point at which half of the group has reached full recovery) Diagnostic crossover was low A younger age at detection predicted recovery at outcome for AN and BN One patient (AN) died

    Discussion: The results of this study on differences in outcome and low crossover support the diagnostic distinction between AN and BIN in the DSM-IV Early detection is of major importance for a favorable outcome (C) 2009 by Wiley Periodicals, Inc

    Original languageEnglish
    Pages (from-to)130-138
    Number of pages9
    JournalInternational journal of eating disorders
    Volume43
    Issue number2
    Publication statusPublished - Mar-2010

    Keywords

    • epidemiology
    • follow-up
    • primary care
    • outcome
    • ANOREXIA-NERVOSA
    • BULIMIA-NERVOSA
    • FOLLOW-UP
    • DIAGNOSTIC CROSSOVER
    • PERCEIVED NEED
    • 12-YEAR COURSE
    • AMENORRHEA
    • PREVALENCE
    • COMMUNITY
    • REMISSION

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