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Update on course and outcome in eating disorders.
Int J Eat Disord. 2010 Apr; 43(3):195-204.IJ

Abstract

OBJECTIVE

To review recent studies describing eating disorder course and outcome.

METHOD

Electronic and manual searches were conducted to identify relevant articles published since 2004.

RESULTS

Twenty-six articles were identified. For anorexia nervosa (AN), most patients ascertained through outpatient settings achieved remission by 5-year follow-up. Inpatient treatment predicted poor prognosis as inpatient samples demonstrated lower remission rates. Outcome differed between bulimia nervosa (BN) and eating disorders not otherwise specified (EDNOS), including binge eating disorder (BED), for shorter follow-up durations; however, outcomes appeared similar between BN and related EDNOS by 5-year follow-up. Greater psychiatric comorbidity emerged as a significant predictor of poor prognosis in BN, whereas few prognostic indicators were identified for BED or other EDNOS.

DISCUSSION

Results support optimism for most patients with eating disorders. However, more effective treatments are needed for adult AN inpatients and approximately 30% of patients with BN and related EDNOS who remain ill 10-20 years following presentation.

Authors+Show Affiliations

Department of Psychology, Florida State University, Tallahassee, Florida 32306, USA. keel@psy.fsu.eduNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

20186717

Citation

Keel, Pamela K., and Tiffany A. Brown. "Update On Course and Outcome in Eating Disorders." The International Journal of Eating Disorders, vol. 43, no. 3, 2010, pp. 195-204.
Keel PK, Brown TA. Update on course and outcome in eating disorders. Int J Eat Disord. 2010;43(3):195-204.
Keel, P. K., & Brown, T. A. (2010). Update on course and outcome in eating disorders. The International Journal of Eating Disorders, 43(3), 195-204. https://doi.org/10.1002/eat.20810
Keel PK, Brown TA. Update On Course and Outcome in Eating Disorders. Int J Eat Disord. 2010;43(3):195-204. PubMed PMID: 20186717.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Update on course and outcome in eating disorders. AU - Keel,Pamela K, AU - Brown,Tiffany A, PY - 2010/2/27/entrez PY - 2010/2/27/pubmed PY - 2010/6/15/medline SP - 195 EP - 204 JF - The International journal of eating disorders JO - Int J Eat Disord VL - 43 IS - 3 N2 - OBJECTIVE: To review recent studies describing eating disorder course and outcome. METHOD: Electronic and manual searches were conducted to identify relevant articles published since 2004. RESULTS: Twenty-six articles were identified. For anorexia nervosa (AN), most patients ascertained through outpatient settings achieved remission by 5-year follow-up. Inpatient treatment predicted poor prognosis as inpatient samples demonstrated lower remission rates. Outcome differed between bulimia nervosa (BN) and eating disorders not otherwise specified (EDNOS), including binge eating disorder (BED), for shorter follow-up durations; however, outcomes appeared similar between BN and related EDNOS by 5-year follow-up. Greater psychiatric comorbidity emerged as a significant predictor of poor prognosis in BN, whereas few prognostic indicators were identified for BED or other EDNOS. DISCUSSION: Results support optimism for most patients with eating disorders. However, more effective treatments are needed for adult AN inpatients and approximately 30% of patients with BN and related EDNOS who remain ill 10-20 years following presentation. SN - 1098-108X UR - https://www.unboundmedicine.com/medline/citation/20186717/Update_on_course_and_outcome_in_eating_disorders_ L2 - https://doi.org/10.1002/eat.20810 DB - PRIME DP - Unbound Medicine ER -