Health  Vol.6 No.14 , July 2014
The Outcome of Adolescent-Onset Anorexia Nervosa: A Study of 144 Cases
Abstract: Objectives: To evaluate the long-term outcome of adolescents with anorexia nervosa and attempt to define prognostic factors for outcome. Methods: Transversal, descriptive epidemiological study with a strict methodology: minimum interval of 4 years since first admission, evaluation using clearly defined diagnostic criteria (EAT-40 self-evaluation, HSCL, global patient-driven self-evaluation and hetero evaluation: clinical interview and LECE). The 198 subjects are former adolescent anorexics treated at the H&ocirc;pital d’Enfants (Children’s Hospital) in Nancy (France). Results: Clinical evaluation of the 144 subjects traced showed positive outcome for 68.1%, intermediate outcome for 23.2% and poor outcome for 8.7%. 5 factors for a good prognosis were found (middle socioeconomic class of parents, no prior treatment, hospitalization > 1 month, follow-up < 12 months, no re-admission to hospital). Discussion: This study, which is one of the largest studies on the outcome of adolescent-onset anorexia nervosa in France, shows the value of integrated treatment within a children’s hospital.
Cite this paper: Kermarrec, S. , Kabuth, B. , Rat, A. , Vidailhet, M. and Vidailhet, C. (2014) The Outcome of Adolescent-Onset Anorexia Nervosa: A Study of 144 Cases. Health, 6, 1883-1893. doi: 10.4236/health.2014.614221.

[1]   Steinhausen, H.C. (2002) The Outcome of Anorexia Nervosa in the 20th Century. American Journal of Psychiatry, 159, 1284-1293.

[2]   Hsu, L.K. (1996) Epidemiology of the Eating Disorders. The Psychiatric Clinics of North America, 19, 681-700.

[3]   Van der Ham, T., Van Strien, D. and Van Engeland, H. (1994) A Four-Year Prospective Follow-Up Study of 49 Eating-Disordered Adolescents: Differences in Course of Illness. Acta Psychiatrica Scandinavica, 90, 229-235.

[4]   Jeammet, P., Brechon, G., Payan, C., Gorge, A. and Fermanian, J. (1991) [The Outcome of Anorexia Nervosa: A Prospective Study of 129 Patients Evaluated at Least 4 Years after Their First Admission]. La Psychiatrie de l’Enfant, 34, 381-442.

[5]   World Health Organisation (2001) Multiaxial Classification of Child and Adolescent Psychiatric Disorders. Masson, Paris.

[6]   Guelfi, J.D., Barthelet, G., Lancrenon, S. and Fermanian, J. (1984) Factor Structure of the HSCL in a Sample of French Anxious-Depressed Patients. Annales Médico-Psychologiques, 142, 889-896.

[7]   Garrot, G., Lang, F., Estour, B., Pellet, J., Gauthey, C. and Wagon, C. (1987) Study of the E. A. T., a Self-Evaluation Case in Anorexia in a Control Population and in a Sample of Anorectics. Annales Médico-Psychologiques (Paris), 145, 258-264.

[8]   SAS Institute Inc. (1999) SAS: STAT User’s Guide, Release 8.2. SAS Institute Inc., Cary.

[9]   Gowers, S.G., Weetman, J., Shore, A., Hossain, F. and Elvins, R. (2000) Impact of Hospitalisation on the Outcome of Adolescent Anorexia Nervosa. British Journal of Psychiatry, 176, 138-141.

[10]   Keel, P.K., Dorer, D.J., Eddy, K.T., Franko, D., Charatan, D.L. and Herzog, D.B. (2003) Predictors of Mortality in Eating Disorders. Archives of General Psychiatry, 60, 179-183.

[11]   Ratnasuriya, R.H., Eisler, I., Szmukler, G.I. and Russell, G.F. (1991) Anorexia Nervosa: Outcome and Prognostic Factors after 20 Years. British Journal of Psychiatry, 158, 495-502.

[12]   Wentz, E., Gillberg, C., Gillberg, I.C. and Rastam, M. (2001) Ten-Year Follow-Up of Adolescent-Onset Anorexia Nervosa: Psychiatric Disorders and Overall Functioning Scales. Journal of Child Psychology and Psychiatry, 42, 613-622.

[13]   Gowers, S.G., North, C.D., Byram, V. and Weaver, A.B. (1996) Life Event Precipitants of Adolescent Anorexia Nervosa. Journal of Child Psychology and Psychiatry, 37, 469-477.

[14]   Steinhausen, H.C. and Glanville, K. (1983) A Long-Term Follow-Up of Adolescent Anorexia Nervosa. Acta Psychiatrica Scandinavica, 68, 1-10.

[15]   Crisp, A.H., Callender, J.S., Halek, C. and Hsu, L.K. (1992) Long-Term Mortality in Anorexia Nervosa. A 20-Year Follow-Up of the St George’s and Aberdeen Cohorts. British Journal of Psychiatry, 161, 104-107.

[16]   Crisp, A.H., Burns, T. and Bhat, A.V. (1986) Primary Anorexia Nervosa in the Male and Female: A Comparison of Clinical Features and Prognosis. British Journal of Psychiatry, 59, 123-132.

[17]   Lock, J., Le Grange, D., Agras, W.S. and Dare, C. (2001) Treatment Manual for Anorexia Nervosav—A Family-Based Approach. The Guilford Press, New York.

[18]   Fichter, M.M., Quadflieg, N. and Hedlung, S. (2006) Twelve-Year Course and Outcome Predictors of Anrexia Nervosa. International Journal of Eating Disorders, 39, 87-100.