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Time to remission for eating disorder patients: a 2(1/2)-year follow-up study of outcome and predictors.
Nord J Psychiatry. 2008; 62(2):151-9.NJ

Abstract

The aim of the present study was to analyse outcome, time to remission, and predictors of time to remission in a cohort of Danish eating disorder patients. Seventy-eight patients (35 anorexic, 30 bulimic and 13 unspecified eating disorder patients) were interviewed 2(1/2) years after initial assessment. Method of assessment was Eating Disorder Examination (EDE), Longitudinal Interval Follow-up Evaluation of Eating Disorders (LIFE-EAT-II), Eating Disorder Inventory (EDI), Symptom Check List (SCL-90R), Present State Examination (PSE) and the Structured Clinical Interview for DSM-III-R Axis-II (SCID-II). Method of analysis was Kaplan-Meier estimate of survival, Log Rank test and Cox regression analysis. In total 48.7% reached remission with mean time to remission at 27 months. A trend difference between the diagnostic groups when measuring time to remission was found, i.e. patients with unspecified eating disorders remitted faster than bulimic (BN) patients who in turn remitted faster than anorexic (AN) patients. Body mass index (BMI) at baseline was the best predictor of time to remission for the total sample. Predictors differed when looking at diagnostic groups separately. Final outcome was comparable with earlier studies while relapse frequency was low. Patients with AN remitted faster than found in earlier survival analysis studies, while the remission rate for BN patients was comparable with earlier studies. Despite the prognostic value of BMI for the total sample, predictor analysis implied more disorder diversity than homogeneity.

Authors+Show Affiliations

Eating Disorder Centre, Harald Selmersvej 66, 8240 Risskov, Denmark. loa.clausen@post.tele.dk

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18569780

Citation

Clausen, Loa. "Time to Remission for Eating Disorder Patients: a 2(1/2)-year Follow-up Study of Outcome and Predictors." Nordic Journal of Psychiatry, vol. 62, no. 2, 2008, pp. 151-9.
Clausen L. Time to remission for eating disorder patients: a 2(1/2)-year follow-up study of outcome and predictors. Nord J Psychiatry. 2008;62(2):151-9.
Clausen, L. (2008). Time to remission for eating disorder patients: a 2(1/2)-year follow-up study of outcome and predictors. Nordic Journal of Psychiatry, 62(2), 151-9. https://doi.org/10.1080/08039480801984875
Clausen L. Time to Remission for Eating Disorder Patients: a 2(1/2)-year Follow-up Study of Outcome and Predictors. Nord J Psychiatry. 2008;62(2):151-9. PubMed PMID: 18569780.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Time to remission for eating disorder patients: a 2(1/2)-year follow-up study of outcome and predictors. A1 - Clausen,Loa, PY - 2008/6/24/pubmed PY - 2008/9/3/medline PY - 2008/6/24/entrez SP - 151 EP - 9 JF - Nordic journal of psychiatry JO - Nord J Psychiatry VL - 62 IS - 2 N2 - The aim of the present study was to analyse outcome, time to remission, and predictors of time to remission in a cohort of Danish eating disorder patients. Seventy-eight patients (35 anorexic, 30 bulimic and 13 unspecified eating disorder patients) were interviewed 2(1/2) years after initial assessment. Method of assessment was Eating Disorder Examination (EDE), Longitudinal Interval Follow-up Evaluation of Eating Disorders (LIFE-EAT-II), Eating Disorder Inventory (EDI), Symptom Check List (SCL-90R), Present State Examination (PSE) and the Structured Clinical Interview for DSM-III-R Axis-II (SCID-II). Method of analysis was Kaplan-Meier estimate of survival, Log Rank test and Cox regression analysis. In total 48.7% reached remission with mean time to remission at 27 months. A trend difference between the diagnostic groups when measuring time to remission was found, i.e. patients with unspecified eating disorders remitted faster than bulimic (BN) patients who in turn remitted faster than anorexic (AN) patients. Body mass index (BMI) at baseline was the best predictor of time to remission for the total sample. Predictors differed when looking at diagnostic groups separately. Final outcome was comparable with earlier studies while relapse frequency was low. Patients with AN remitted faster than found in earlier survival analysis studies, while the remission rate for BN patients was comparable with earlier studies. Despite the prognostic value of BMI for the total sample, predictor analysis implied more disorder diversity than homogeneity. SN - 1502-4725 UR - https://www.unboundmedicine.com/medline/citation/18569780/Time_to_remission_for_eating_disorder_patients:_a_2_1/2__year_follow_up_study_of_outcome_and_predictors_ L2 - https://www.tandfonline.com/doi/full/10.1080/08039480801984875 DB - PRIME DP - Unbound Medicine ER -