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Titolo:
Prospective 10-year follow-up in adolescent anorexia nervosa - Course, outcome, psychiatric comorbidity, and psychosocial adaptation
Autore:
Herpertz-Dahlmann, B; Muller, B; Herpertz, S; Heussen, N; Hebebrand, J; Remschmidt, H;
Indirizzi:
Aachen Tech Univ, Dept Child & Adolescent Psychiat, D-52074 Aachen, Germany Aachen Tech Univ Aachen Germany D-52074 sychiat, D-52074 Aachen, Germany Univ Marburg, Marburg, Germany Univ Marburg Marburg GermanyUniv Marburg, Marburg, Germany
Titolo Testata:
JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY AND ALLIED DISCIPLINES
fascicolo: 5, volume: 42, anno: 2001,
pagine: 603 - 612
SICI:
0021-9630(200107)42:5<603:P1FIAA>2.0.ZU;2-C
Fonte:
ISI
Lingua:
ENG
Soggetto:
DIAGNOSTIC INTERVIEW CIDI; PERSONALITY-DISORDERS; PROGNOSTIC FACTORS; EATING DISORDERS; MENTAL-DISORDERS; BULIMIA-NERVOSA; 6-YEAR COURSE; EARLY-ONSET; RELIABILITY; DEPRESSION;
Keywords:
adolescent anorexia nervosa; longitudinal study; outcome; psychiatric comorbidity; psychosocial functioning;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
52
Recensione:
Indirizzi per estratti:
Indirizzo: Herpertz-Dahlmann, B Aachen Tech Univ, Dept Child & Adolescent Psychiat, Neuenhofer Weg 21, D-52074 Aachen, Germany Aachen Tech Univ Neuenhofer Weg 21 Aachen Germany D-52074
Citazione:
B. Herpertz-Dahlmann et al., "Prospective 10-year follow-up in adolescent anorexia nervosa - Course, outcome, psychiatric comorbidity, and psychosocial adaptation", J CHILD PSY, 42(5), 2001, pp. 603-612

Abstract

The aim of the present study was to follow up the long-term course of adolescent-onset anorexia nervosa by repeated assessment. to analyze the association between the course of the eating disorder and psychiatric comorbidity. and to evaluate psychosocial outcome. The sample consisted of 39 inpatients who were reinvestigated 3. 7, and 10 years after discharge. The patientsand 39 controls matched for age, gender. and occupational status were assessed with structured interviews on DSM-III-R eating disorders, additional axis I and axis II psychiatric disorders, and psychosocial functioning. Results showed that 69 % of the original subjects met the criteria for full recovery at the 10-year follow-up. One patient (3 %) still exhibited the full syndrome of restrictive anorexia nervosa, two patients (5 %) the full syndrome of bulimia nervosa. None of the patients had died. Of the subjects, 51 % currently had an axis I psychiatric disorder and 23 % met the full criteria for a personality disorder. Apart from the eating disorder. anxiety disorders and avoidant-dependent and obsessive-compulsive personality disorderswere the most common psychiatric diagnoses. There was a significant association between psychiatric comorbidity and the outcome of the eating disorder and between outcome and psychosocial adaptation. With regard to psychiatric morbidity and psychosocial functioning, long-term recovered patients didnot differ significantly from normal controls. It is concluded that in most patients adolescent anorexia nervosa takes a prolonged course, although it seems to be more favorable than in adult-onset forms. Those who achieve complete recovery from the eating disorder have a good chance of overcoming other psychiatric disorders and to adapt to social requirements.

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Documento generato il 02/04/20 alle ore 00:13:50