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Course and outcome of eating disorders in a primary care-based cohort.
Int J Eat Disord. 2010 Mar; 43(2):130-8.IJ

Abstract

OBJECTIVE

To study the course and outcome of patients with eating disorder detected in primary care.

METHOD

General practitioners (GP's) provided information on the course and outcome of eating disorders in patients (n = 147) diagnosed with anorexia nervosa (AN) or bulimia nervosa (BN) identified during a Dutch nationwide primary care-based incidence study. The research team determined the outcome based on the data provided by the GP's. The mean duration of the follow-up was 4.8 years.

RESULTS

About 57% of the patients initially diagnosed with AN and 61% of those diagnosed with BN were fully recovered. AN binge/purge subtype (ANBP) demonstrated the most extended median survival time of all diagnostic subgroups (the point at which half of the group has reached full recovery). Diagnostic crossover was low. A younger age at detection predicted recovery at outcome for AN and BN. One patient (AN) died.

DISCUSSION

The results of this study on differences in outcome and low crossover support the diagnostic distinction between AN and BN in the DSM-IV. Early detection is of major importance for a favorable outcome.

Links

Publisher Full Text

Authors+Show Affiliations

van Son GE
Center for Eating Disorders Ursula, Leidschendam, The Netherlands. g.vanson@centrumeetstoornissen.nl
van Hoeken D
No affiliation info available
van Furth EF
No affiliation info available
Donker GA
No affiliation info available
Hoek HW
No affiliation info available

MeSH

AdolescentAdultAnorexia NervosaBody Mass IndexBulimia NervosaData CollectionDiagnostic and Statistical Manual of Mental DisordersFeeding and Eating DisordersFemaleFollow-Up StudiesHumansIncidenceMaleNetherlandsPrognosisSurveys and QuestionnairesTime FactorsYoung Adult

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19308996

Citation

van Son, Gabriëlle E., et al. "Course and Outcome of Eating Disorders in a Primary Care-based Cohort." The International Journal of Eating Disorders, vol. 43, no. 2, 2010, pp. 130-8.
van Son GE, van Hoeken D, van Furth EF, et al. Course and outcome of eating disorders in a primary care-based cohort. Int J Eat Disord. 2010;43(2):130-8.
van Son, G. E., van Hoeken, D., van Furth, E. F., Donker, G. A., & Hoek, H. W. (2010). Course and outcome of eating disorders in a primary care-based cohort. The International Journal of Eating Disorders, 43(2), 130-8. https://doi.org/10.1002/eat.20676
van Son GE, et al. Course and Outcome of Eating Disorders in a Primary Care-based Cohort. Int J Eat Disord. 2010;43(2):130-8. PubMed PMID: 19308996.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Course and outcome of eating disorders in a primary care-based cohort. AU - van Son,Gabriëlle E, AU - van Hoeken,Daphne, AU - van Furth,Eric F, AU - Donker,Gé A, AU - Hoek,Hans W, PY - 2009/3/25/entrez PY - 2009/3/25/pubmed PY - 2010/5/6/medline SP - 130 EP - 8 JF - The International journal of eating disorders JO - Int J Eat Disord VL - 43 IS - 2 N2 - OBJECTIVE: To study the course and outcome of patients with eating disorder detected in primary care. METHOD: General practitioners (GP's) provided information on the course and outcome of eating disorders in patients (n = 147) diagnosed with anorexia nervosa (AN) or bulimia nervosa (BN) identified during a Dutch nationwide primary care-based incidence study. The research team determined the outcome based on the data provided by the GP's. The mean duration of the follow-up was 4.8 years. RESULTS: About 57% of the patients initially diagnosed with AN and 61% of those diagnosed with BN were fully recovered. AN binge/purge subtype (ANBP) demonstrated the most extended median survival time of all diagnostic subgroups (the point at which half of the group has reached full recovery). Diagnostic crossover was low. A younger age at detection predicted recovery at outcome for AN and BN. One patient (AN) died. DISCUSSION: The results of this study on differences in outcome and low crossover support the diagnostic distinction between AN and BN in the DSM-IV. Early detection is of major importance for a favorable outcome. SN - 1098-108X UR - https://www.unboundmedicine.com/medline/citation/19308996/Course_and_outcome_of_eating_disorders_in_a_primary_care_based_cohort_ L2 - https://doi.org/10.1002/eat.20676 DB - PRIME DP - Unbound Medicine ER -