Journal of Youth and Adolescence

, Volume 25, Issue 4, pp 533–544 | Cite as

Ten-Year outcome in adolescent onset anorexia nervosa

  • Suzanne R. Sunday
  • Ilene M. Reeman
  • Elke Eckert
  • Katherine A. Halmi
Article

Abstract

The purpose of the present study was to characterize the psychopathology measured ten years posttreatment in 51 women who had an adolescent onset of anorexia nervosa. Outcome status was determined using the modified categories of Ratnasuriya et al.[1991]. “Anorexia Nervosa: Outcome and Prognostic Factors After 20 Years,” British Journal of Psychiatry, Vol. 158, pp. 495–502). Psychopathology was assessed using a number of self-report questionnaires: Beck Depression Inventory, Hamilton Depression Inventory, Leyton Obsessionality Inventory, Social Adjustment Scale, and Minnesota Multiphasic Personality Inventory. Within this adolescent age of onset sample of anorexia nervosa, age of onset was not, in and of itself, associated with increased psychopathology at follow-up. Rather, severity of eating disorder outcome was associated with general psychopathology, with patients in the poor outcome group displaying elevations on several of the measures of psychopathology.

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References

  1. Beck, A. T., Steer, R. A., and Garbin, M. G. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation.Clin. Psychol. Rev. 8: 77–100.Google Scholar
  2. Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., and Erbaugh, J. (1961). An inventory for measuring depression.Arch. Gen. Psychiat. 4: 561–570PubMedGoogle Scholar
  3. Bryant-Waugh, R., Knibbs, J., Fosson, A., Kaminski, Z., and Lask, B. (1988). Long term follow up of patients with early onset anorexia nervosa.Arch. Dis. Child. 63: 5–9.PubMedGoogle Scholar
  4. Cooper, J. (1970). The Leyton Obsessional Inventory.Psychol. Med. 1: 48–64.PubMedGoogle Scholar
  5. Dahlstrom, W. G., Welsh, G. S., and Dahlstrom, L. E. (1982).An MMPI Handbook, Vol. 1, Clinical Interpretation. University of Minnesota Press, Minneapolis.Google Scholar
  6. Derogatis, L. R., Lipman, R. S., Rickels, K., Uhlenhuth, E. H., and Covi, L. (1974). The Hopkins Symptom Checklist (HSCL): A self-report symptom inventory.Behav. Sci. 19: 1–15.PubMedGoogle Scholar
  7. Eckert, E. D., Halmi, K. A., Marchi, P., Grove, W., and Crosby, R. (1995). Ten-year follow-up of anorexia nervosa: clinical course and outcome.Psycholog. Med. 25: 143–156.Google Scholar
  8. Halmi, K., Brodland, G., and Loney, J. (1973). Prognosis in anorexia nervosa.Ann. Int. Med. 78: 907–909.PubMedGoogle Scholar
  9. Halmi, K. A., Eckert, E., Marchi, P., Sampugnaro, V., Apple, R., and Cohen, J. (1991). Comorbidity of psychiatric diagnoses in anorexia nervosa.Arch. Gen. Psychiat. 48: 712–718.PubMedGoogle Scholar
  10. Halmi, K. A., Goldberg, S. C., Casper, R. C., Eckert, E. D., and Davis, J. M. (1979). Pretreatment predictors of outcome in anorexia nervosa.Br. J. Psychiat. 134: 71–78.Google Scholar
  11. Hamilton, M. (1960). A rating scale for depression.J. Neurol. Neurosurg. Psychiat. 23: 56–62.PubMedGoogle Scholar
  12. Herzog, D. B., Keller, M. B., and Lavori, P. W. (1988). Outcome in anorexia nervosa and bulimia nervosa: A review of the literature.J. Nerv. Ment. Disease. 176: 131–143.Google Scholar
  13. Herzog, D. B., Sacks, N. R., Keller, M. B., Lavori, P. W., von Ranson, K. B., and Gray, H. M. (1993). Patterns and predictors of recovery in anorexia nervosa and bulimia nervosa.J. Am. Acad. Child Adolesc. Psychiat. 32: 835–842.Google Scholar
  14. Morgan, H. G., Purgold, J., and Welbourne, J. (1983). Management and outcome in anorexia nervosa: A standardized prognostic study.Br. J. Psychiat. 143: 282–287.Google Scholar
  15. Morgan, H. G., and Russell, G. F. M. (1975). Value of family background and clinical features as predictors of long-term outcome in anorexia nervosa: Four-year follow-up study of 41 patients.Psychol. Med. 5: 355–371.PubMedGoogle Scholar
  16. Murray, R. M., Cooper, J. E., and Smith, A. (1979). The Leyton Obsessional Inventory: An analysis of the responses of 73 obsessional patients.Psychol. Med. 9: 305–311.PubMedGoogle Scholar
  17. Pierloot, R. A., Wellens, W., and Houben, M. E. (1975). Elements of resistance to a combined medical and psychotherapeutic program in anorexia nervosa.Psychother. Psychosom. 26: 101–117.PubMedGoogle Scholar
  18. Ratnasuriya, R. H., Eisler, I., Szmukler, G. I., and Russell, G. F. M. (1991). Anorexia nervosa: Outcome and prognostic factors after 20 years.Br. J. Psychiat. 158: 495–502.Google Scholar
  19. Rollins, N., andPiazza, E. (1981). Anorexia nervosa: A quantitative approach to follow-up.J. Am. Acad. Child Psychiat. 20: 167–183.Google Scholar
  20. Schork, E. J., Eckert, E. D., and Halmi, K. A. (1994). The relationship between psychopathology, eating disorder diagnosis, and clinical outcome at 10-year follow-up in anorexia nervosa.Comp. Psychiat. 35: 113–123.Google Scholar
  21. Seidensticker, J. F., and Tzagournis, M. (1968). Anorexia nervosa—clinical features and long term follow-up.J. Chron. Dis. 21: 361–367.Google Scholar
  22. Steinhausen, H-C. and Seidel, R. (1993). Outcome in adolescent eating disorders.Int. J. Eat. Disord. 14: 487–496.PubMedGoogle Scholar
  23. Strober, M. (1980). Personality and symptomatological features in young, nonchronic anorexia nervosa patients.J. Psychosom. Res. 24, 353–359.PubMedGoogle Scholar
  24. Suematsu, H., Kuboki, T., and Itoh, T. (1985). Statistical studies on the prognosis of anorexia nervosa.Psychother. Psychosom. 43: 104–112.PubMedGoogle Scholar
  25. Swift, W. J. (1982). The long-term outcome of early onset anorexia nervosa.J. Am. Acad. Child Psychiat. 21: 38–46.Google Scholar
  26. Walford, G., and McCune, N. (1991). Long-term outcome in early-onset anorexia nervosa.Br. J. Psychiat. 159: 383–389.Google Scholar
  27. Weissman, M. M., and Bothwell, S. (1976). Assessment of social adjustment by patient self-report.Arch. Gen. Psychiat. 33: 1111–1115.PubMedGoogle Scholar
  28. Weissman, M. M., Prusoff, B. A., Thompson, W. D., Harding, P. S., and Myers, J. K. (1978).J. Nerv. Ment. Dis. 166: 317–326.PubMedGoogle Scholar

Copyright information

© Plenum Publishing Corporation 1996

Authors and Affiliations

  • Suzanne R. Sunday
    • 1
  • Ilene M. Reeman
    • 1
  • Elke Eckert
    • 2
  • Katherine A. Halmi
    • 1
  1. 1.Westchester DivisionThe New York Hospital/Cornell, University Medical CenterWhite Plains
  2. 2.Partial Hospital Program for Eating Disorders at the University of MinnesotaUSA

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