Long-term outcome of children and adolescents with anorexia nervosa: Study of comorbidity

L. Saccomani, M. Savoini, M. Cirrincione, F. Vercellino, G. Ravera

Research output: Contribution to journalArticlepeer-review

Abstract

Eighty-seven children and adolescents with anorexia nervosa, admitted to the Gaslini Department of Child Neurology and Psychiatry between 1976 and 1990, were followed up after a mean of 9.6 years. Outcome measures included the Morgan-Russell Outcome Schedule as modified by Jeammet. Outcome was good in 43 (53%) cases, intermediate in 27 (34%) cases, and negative in 11 (14%) cases. No deaths occurred. Based on the Jeammet assessment schedule, the most significant items predicting outcome were insight: sexual, familial, and social relationships; and mental state. Gender of patients and early disease onset did not seem to be predictive measures. Poor outcome was associated with a severe initial clinical picture and length of in-patient treatment. In regard to comorbidity, mood and personality disorders seemed to be negative prognostic indicators, whereas anxiety disorders did not show prognostic value.

Original languageEnglish
Pages (from-to)565-571
Number of pages7
JournalJournal of Psychosomatic Research
Volume44
Issue number5
DOIs
Publication statusPublished - May 1998

Keywords

  • Adolescent
  • Anorexia nervosa
  • Children
  • Comorbidity
  • Follow-up
  • Prognostic factors

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Biological Psychiatry
  • Psychology(all)

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