Long-term outcome in anorexia nervosa in the community

Linda Mustelin*, Anu Raevuori, Cynthia M. Bulik, Aila Rissanen, Hans W. Hoek, Jaakko Kaprio, Anna Keski-Rahkonen

*Bijbehorende auteur voor dit werk

    OnderzoeksoutputAcademicpeer review

    21 Citaten (Scopus)

    Samenvatting

    ObjectiveFew studies have assessed outcomes of anorexia nervosa (AN) outside clinical settings. We aimed to assess mortality, recovery, and socio-demographic outcomes of AN in a community sample.

    MethodWomen in the nationwide FinnTwin16 cohort (born 1975-1979) were followed for 10 years after baseline diagnostic assessment (mean age at follow-up 34 years, N=2188). We compared women with lifetime DSM-IV AN (N=40) with unaffected women from the same cohort.

    ResultsNone of the women with AN had died and 88% were weight-recovered (BMI18.5 kg/m(2)), but their mean BMI (22.0 kg/m(2)) was lower than among unaffected women (24.0 kg/m(2), p=0.008). University degrees (38 vs. 29%, p=0.26), sickness absence during the past year (median 5 vs. 3 days, p=0.21), or unemployment or disability pension (5 vs. 4%, p=0.62) did not significantly differ between AN probands and their unaffected peers. More women with AN were still studying (15 vs. 4%, p=0.003), and half of them had children, as compared to 66% of unaffected women (p=0.05).

    DiscussionThe long-term prognosis of AN in the community appears promising. Weight-restoration is common and socio-demographic outcomes are generally favorable. However, women with a history of AN may be less likely to have children. (c) 2015 Wiley Periodicals, Inc. (Int J Eat Disord 2015; 48:851-859).

    Originele taal-2English
    Pagina's (van-tot)851-859
    Aantal pagina's9
    TijdschriftInternational journal of eating disorders
    Volume48
    Nummer van het tijdschrift7
    DOI's
    StatusPublished - nov-2015

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