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The prognostic value of initial EDI scores in anorexia nervosa patients: a prospective follow-up study of 5–10 years

Published online by Cambridge University Press:  16 April 2020

C. Bizeul ,
N. Sadowsky  and
D. Rigaud
C. Bizeul
Affiliation:
Laboratoire de Nutrition Humaine, Faculté Xavier Bichat, 16, rue Henri Huchard, B.P. 416, 75018Paris, France
N. Sadowsky
Affiliation:
Department of Hepato-Gastroenterology and Nutrition, Bichat-Claude Bernard Hospital, 46, rue Henri Huchard, 75877Paris Cedex 18, France
D. Rigaud*
Affiliation:
Service d*Endocrinologie (Pr J.M. Brun), CHU Le Bocage, 21034Dijon cedex, France
*
*Correspondence and reprints. E-mail address: daniel.rigaud@chu-dijon.fr (D. Rigaud).
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Summary

Aim

To study in a prospective manner the long-term prognostic value of the initially recorded Eating Disorder Inventory (EDI) scores in anorexia nervosa (AN) patients.

Methods

The 5–10-year outcome of 26 consecutive malnourished AN patients was prospectively recorded according to the initial EDI score. We selected only patients with full 6-month assessments for more than 5 years (mean 8.5 years). Eating behavior, quality of life, autonomy and insight capacity were prospectively assessed by the Morgan-Russell scale and a semi-structured interview. At the end of follow-up, 13 patients recovered and the 13 others had a poor outcome.

Results

In monovariate analyses, high initial EDI total score (P < .0007) and high initial scores for perfectionism (P < .001), ineffectiveness (P < .002), interpersonal distrust (P < .004), interoceptive awareness (P < .03) and drive for thinness (P < .05) were significantly associated with a poor prognosis 5–10 years afterward. In a multivariate analysis, only high initial scores for perfectionism (F = 8.43; P = 0.008) and interpersonal distrust (F = 7.46; P = 0.012) were significantly associated with illness severity.

Discussion

High EDI total score and subscales for perfectionism and interpersonal distrust could predict a long-term severe outcome in AN.

Keywords

anorexia nervosaeating disorder inventorylong-term outcomemalnutrition
Type
Original article
Information
European Psychiatry , Volume 16 , Issue 4 , June 2001 , pp. 232 - 238
Copyright
Copyright © Éditions scientifiques et médicales Elsevier SAS 2001

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References

Bastiani, A.M., Rao, R., Weltzin, T., Kaye, W.M.Perfectionism in anorexia nervosa. Int J Eat Dis 1995; 17: 147-152.3.0.CO;2-X>CrossRefGoogle ScholarPubMed
CIM10 /ICD-10. Classification Internationale des troubles mentaux et des troubles du comportement Organisation Mondiale de la Santé Paris: Masson; 1994.Google Scholar
Claes, E., Norring, A.The Eating Disorder Inventory: its relation to diagnosis and follow-up status. Int J Eat Dis 1990; 9: 685-694.Google Scholar
Criquillion-Doublet, S., Divac, S., Dardennes, R., Guelfi, J.D.Le Eating Disorder Inventory (EDI)Guelfi, J.D., Gaillac, V., Dardennes, R.Psychopathologie quantitative Paris: Masson; 1995. p. 249-260.Google Scholar
Garfinkel, P.E., Garner, D.M., Moldofsky, H.Prognosis in anorexia nervosa as influenced by clinical features, treatment and self perception. Can Assess J 1977; 177: 1041-1045.Google Scholar
Garner, D.M.Eating Disorder Inventory 2. Professional manual Odessa, Florida: Psychol Assess Res; 1991. p. 48–48.Google Scholar
Garner, D.M., Olmsted, M.P., Polivy, J.Development and validation of a multidimensional Eating Disorder Inventory for anorexia and bulimia. Int J Eat Dis 1983; 2: 15-34.3.0.CO;2-6>CrossRefGoogle Scholar
Garner, D.M., Olmsted, M.P.The Eating Disorder Inventory manual. Odessa, Florida: Psychol Assess Res; 1984.Google Scholar
Gross, J., Rosen, J., Leitenberg, H., Willmuth, M.Validity of the Eating Attitudes Test and the Eating Disorder Inventory in bulimia nervosa. J Cons Clin Psychol 1986; 54: 875-876.CrossRefGoogle Scholar
van der Ham, T., van Strien, D.C., van Engeland, H.Personality characteristics predict outcome of eating disorders in adolescents: a 4-year prospective study. Eur Child Adol Psychiatry 1998; 7: 79-84.CrossRefGoogle ScholarPubMed
Jeammet, P., Jayle, D., Brechon, G., Gorge, A.Le devenir de l'anorexie mentale. Neuropsych Enf Ado 1984; 32: 97-113.Google Scholar
Jeammet, P., Brechon, G., Payan, A., Gorge, A., Fermanian, J.Le devenir de l'anorexie mentale: une étude prospective de 129 patients évalués au moins 4 ans après leur première admission. Psychiatry Enf 1991; 34: 381-442.Google Scholar
Maddocks, S.E., Kaplan, A.S.The prediction of treatment response in bulimia nervosa: a study of patient variables. J Psychiatry 1991; 159: 846-849.CrossRefGoogle ScholarPubMed
Morgan, H.G., Hayward, A.E.Clinical assessment of anorexia nervosa: the Morgan Russell assessment schedule. Br J Psychiatry 1988; 152: 367-371.CrossRefGoogle Scholar
Pellet, J.Eating Disorder Inventory (EDI)Guelfi, J.D.L’évaluation clinique standardisée en psychiatrie Boulogne: Med Pierre Fabre; 1994. p. 731-736.Google Scholar
Raciti, M., Norcross, J.The EAT and EDI: screening, interrelationships and psychometrics. Int J Eat Dis 1987; 6: 579-586.3.0.CO;2-C>CrossRefGoogle Scholar
Ratnasuriya, R.H., Eisler, I., Szmukler, G.I., Russell, G.F.M.Anorexia nervosa: outcome and prognostic factors after 20 years. Br J Psychiatry 1991; 158: 495-502.CrossRefGoogle ScholarPubMed
Slade, P.A review of body-image studies in anorexia nervosa and bulimia nervosa. J Psychiatr Res 1985; 19: 255-265.CrossRefGoogle ScholarPubMed
Smith, C., Feldman, S.S., Nasserbakht, A., Steiner, H.Psychological characteristics and DSMIII-R diagnoses at 6-year follow-up of adolescent anorexia nervosa. J Acad Child Adol Psych 1993; 32: 1237-1244.CrossRefGoogle Scholar
Sohlberg, S.S., Norring, C.E.A., Rosmark, B.E.Prediction of the course of anorexia nervosa/bulimia nervosa over three years. Int J Eat Dis 1992; 12: 121-131.3.0.CO;2-Y>CrossRefGoogle Scholar
Srinivasagam, N.M., Kaye, W.H., Plotnicov, K.H., Greeno, C., Weltzin, T.E., Rao, R.Persistent perfectionism, symmetry and exactness after long-term recovery from anorexia nervosa. Am J Psychiatry 1995; 152: 1630-1634.Google ScholarPubMed
Steinhausen, H.C., Seidel, R.Correspondence between the clinical assessment of eating disordered patients and findings derived from questionnaires at follow-up. Int J Eat Dis 1993; 14: 367-374.3.0.CO;2-C>CrossRefGoogle ScholarPubMed
Toner, B.B., Garfinkel, P.E., Garner, D.M.Measurement of psychometric features and their relationship to clinical outcome in the long-term course of anorexia nervosa. Int J Eat Dis 1987; 8: 179-193.Google Scholar
Wear, R., Pratz, O.Test-retest reliability for the Eating Disorder Inventory. Int J Eat Dis 1987; 6: 767-769.3.0.CO;2-V>CrossRefGoogle Scholar
Welch, G., Hall, A., Norring, C.The factor structure of the Eating Disorder Inventory in a patient setting. Int J Eat Dis 1990; 9: 79-85.3.0.CO;2-E>CrossRefGoogle Scholar
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