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A follow-up study on anorexia nervosa: clinical features and diagnostic outcome

Published online by Cambridge University Press:  16 April 2020

P Santonastaso ,
M Pantano ,
L Panarotto  and
A Silvestri
P Santonastaso
Affiliation:
Istituto di Clinica Psichiatrica, Universita di Padova, Via Gustiniani 2, 351280, Padua, Italy
M Pantano
Affiliation:
Istituto di Clinica Psichiatrica, Universita di Padova, Via Gustiniani 2, 351280, Padua, Italy
L Panarotto
Affiliation:
Istituto di Clinica Psichiatrica, Universita di Padova, Via Gustiniani 2, 351280, Padua, Italy
A Silvestri
Affiliation:
Istituto di Clinica Psichiatrica, Universita di Padova, Via Gustiniani 2, 351280, Padua, Italy
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Summary

Thirty-one patients, 30 girls and 1 boy, who had suffered from anorexia nervosa, were re-evaluated at a minimum of 4 years (mean 7.6 years) after onset. Follow-up information was based on a semi-structured interview and 2 self-evaluation questionnaires, EAT-26 (1979) and HSCL-90 (1976). As well as using the Garfinkel and Garner criteria (1977) for assessing outcome, 2 psychiatrists independently evaluated the psychiatric state using DSM III criteria. The results demonstrated that 54.8% of the sample had a positive and 45% (including 3 deaths) a poor outcome. Of the 25 subjects interviewed, 20% presented chronic anorexia. Seventy-two percent, on the other hand, showed an evolution in clinical diagnosis, meeting the criteria for a mental disorder other than anorexia nervosa: Affective Disorders (40%), Somatoform Disorder (16%), Anxiety Disorder (12%), and Bulimia (8%). Two variables were significant, in terms of poor long-term prognosis: a larger number of hospitalizations for anorexia and an unsatisfactory educational and/or vocational adjustment at presentation.

Type
Original article
Information
European Psychiatry , Volume 6 , Issue 4 , 1991 , pp. 177 - 185
Copyright
Copyright © Elsevier, Paris 1991

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References

American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders Washington DC, 3rd ednGoogle Scholar
Bruch, H (1977) Patologia del Comportamento Alimentare Feltrinelli, MilanGoogle Scholar
Cantwell, DPSturzenberger, SBurroughs, J (1977) Anorexia nervosa: an affective disorder? Arch Gen Psychiatry 34, 1087–1093CrossRefGoogle Scholar
Casper, RDavis, J (1977) On the course of anorexia nervosa Am J Psychiatry 134, 9, 974-977Google ScholarPubMed
Casper, RCEckert, EDHalmi, KAGoldberg, SCDavis, JM (1980) Bulimia. Its incidence and clinical importance in patients with anorexia nervosa Arch Gen Psychiatry 37, 1030–1035CrossRefGoogle ScholarPubMed
Crisp, AH (1981) Therapeutic outcome of anorexia nervosa Can J Psychiatry 26, 232–235CrossRefGoogle ScholarPubMed
Derogatis, LRRickels, KRock, AF (1976) The HSCL-90 and the MMPI: a step in the validation of a new selfrating scale Br J Psychiatry 9, 280–289CrossRefGoogle Scholar
Dubois, FS (1949) Compulsion neurosis with cachexia (anorexia nervosa) Am J Psychiatry 106, 107–115CrossRefGoogle Scholar
Freud, S (1892) Un caso di guarigione ipnoticaIn: Opere Boringhieri, Turin, 1975, vol 1, 2nd ednGoogle Scholar
Freud, S (1892-1895) Studi sull’isteriaIn: Opere Boringhieri, Turin, 1975, vol 1, 2nd ednGoogle Scholar
Freud, S (1895) Manoscritto GIn: Opere Boringhieri, Turin, 1975, vol 2, 2nd ednGoogle Scholar
Freud, S (1905) Tre saggi sulla teoria sessualeIn: Opere Boringhieri, Turin, 1975, vol 4, 2nd ednGoogle Scholar
Garfinkel, PEMoldofsky, HGarner, DM (1977) The outcome of anorexia nervosa: significance of clinical features, body image and behavioral modificationsIn: Anorexia Nervosa (Vigersky, RA, ed) Raven Press, NYGoogle Scholar
Garfinkel, PEMoldofsky, HGarner, DM (1980) The heterogeneity of anorexia nervosa. Bulimia as a distinct subgroup Arch Gen Psychiatry 37, 1036–1040CrossRefGoogle ScholarPubMed
Garner, DMGarfinkel, PE (1979) The Eating Attitudes Test: an index of the symptoms of anorexia nervosa Psychol Med 9, 273–279CrossRefGoogle ScholarPubMed
Gershon, ESHamovit, JRSchreiber, JL (1984) Clinical findings in patients with anorexia nervosa and affective illness in their relatives Am J Psychiatry 141 (II) 1419–1421Google ScholarPubMed
Gull, WW (1874) Anorexia nervosa (apepsia hysterica, anorexia hysterica) Trans Clin Soc 7, 22–31Google Scholar
Hall, ASlim, EHawker, FSalmond, C (1984) Anorexia nervosa: long-term outcome in 50 female patients Br J Psychiatry 145, 407–413CrossRefGoogle ScholarPubMed
Hawley, RM (1985) The outcome of anorexia nervosa in younger subjects Br J Psychiatry 146, 657–660CrossRefGoogle ScholarPubMed
Holden, NL (1990) Is Anorexia nervosa an Obsessive- Compulsive Disorder? Br J Psychiatry 157, 6, 1–5CrossRefGoogle ScholarPubMed
Hsu, LKGCrisp, AHHarding, B (1979) Outcome of anorexia nervosa Lancet i, 61–65CrossRefGoogle Scholar
Hudson, JIPope, HGJonas, JMKurgeluntodd, D (1983) Family history study of anorexia nervosa and bulimia Br J Psychiatry 142, 133–138CrossRefGoogle ScholarPubMed
Israel, L (1986) L’Isteria, il Sesso il Medico Masson Italia, MilanGoogle Scholar
Jeammet, P (1984) L’anorexie mentale Encyl Med Chir 37350 A10–A15, 2Google Scholar
Janet, P (1903) Les Obsessions et la Psychoastheénie Alcan, ParisGoogle Scholar
Katz, JLBoyar, RMWeiner, HGorynski, GRaffwarg, HHellman, L (1976) Toward an elucidation of the Psychoendocrinology of anorexia nervosaIn: Sachar, Hormones, Behavior, Psychopathology Raven Press, NYGoogle Scholar
Kestemberg, EKestemberg, JDecobert, S (1972) La faim et le corps PUF, ParisGoogle Scholar
Lasegue, EC (1873) De l’anorexie hystérique Arch Gen Med 1, 385–394Google Scholar
Meyer, BCWeinroth, LA (1957) Observations on psychological aspects of anorexia nervosa Psychosom Med 19 (5), 389–398CrossRefGoogle ScholarPubMed
Morgan, HRussel, G (1975) Value of family background and clinical features as predictors of long-term outcome in anorexia nervosa: four-years follow-up study of 41 patients Psychol Med 5, 355–371CrossRefGoogle ScholarPubMed
Pfohl, BStangl, DZimmerman, U (1982) The Structured Interview for DSM III personality disorders (SIDP) University of Iowa, Iowa Hospital and Clinics, IAGoogle Scholar
Powers, PSFernandez, RC (1984) Current Treatment of Anorexia Nervosa and Bulimia Karger, BaselGoogle Scholar
Racamier, PC (1980) Les Schizophrènes Payot, ParisGoogle Scholar
Rivinus, JMBiederman, JHerzog, DB (1984) Anorexia nervosa and affective disorders: a controlled family history study Am J Psychiatry 141 (II) 1414–1417Google ScholarPubMed
Russel, G (1977) General management of anorexia nervosa and difficulties in assessing the efficacy of treatmentIn: Anorexia Nervosa (Vigersky, RA, ed), Raven Press, NYGoogle Scholar
Santonastaso, PFavaretto, GCanton, G (1987) Anorexia nervosa in Italy: clinical features and outcome in a long-term follow-up study Psychopathology 20, 8–17CrossRefGoogle Scholar
Santonastaso, PFavaretto, G (1988) II pianto di Eco: l’anoressia mentale tra depressione e narcisismo. In: I. Int Symp publisher Anorexia Nervosa, Bulimia, Obesity, Eating Disorders, Rome, Selvini Palazzoli M (1963) L’Anoressia Mentale. Feltrinelli, MilanGoogle Scholar
Steinhausen, HGlanville, K (1983a) A long-term followup of adolescent anorexia nervosa Acta Psychiat Scand 68, 1–10CrossRefGoogle Scholar
Spitzer, RLWilliams, JB (1983) Structured Clinical Interview for DSM III New York State Psychiatric Institute, NYGoogle Scholar
Steinhausen, HCGlanville, K (1983b) Follow-up of anorexia nervosa: a review of research findings Psychol Med 13, 231–249CrossRefGoogle Scholar
Suematsu, HIshikawa, HKuboki, TIto, T (1985a) Statistical studies on anorexia nervosa in Japan: detailed clinical data on 1011 patients Psychother Psychosom 43, 96–103CrossRefGoogle Scholar
Suematsu, HIshikawa, HKuboki, TIto, T (1985b) Statistical studies on the prognosis of anorexia nervosa Psychot Psychosom 43, 104–112CrossRefGoogle Scholar
Swift, WJAndrews, DBarklage, NE (1986) The relationship between affective disorders and eating disorders: a review of the literature Am J Psychiatry 143, 290–299Google ScholarPubMed
Theander, S (1970) Anorexia nervosa. A psychiatric investigation of 94 female patients. Acta Psychiatr Scand suppl 214Google Scholar
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