Outcome and prognostic factors for adolescent female in-patients with anorexia nervosa: 9- to 14-year follow-up

Outcome and prognostic factors for adolescent female in-patients with anorexia nervosa : 9- to 14-year follow-up

Hjern, Anders (author): Uppsala universitet,Institutionen för kvinnors och barns hälsa,Allmänpediatrisk forskning/Nordvall

(creator_code:org_t)

2018-01-02
2006
English.
In: British Journal of Psychiatry. - : Royal College of Psychiatrists. - 0007-1250 .- 1472-1465. ; 189:Nov, s. 428-432

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Abstract Subject headings

Background: Earlier studies have indicated poor long-term outcomes for patients with anorexia nervosa. Aims: To study health and social outcomes of adolescent in-patients with anorexia nervosa in relation to prognostic factors. Method: A register study based on socio-economic and health data was conducted for a national cohort of female residents in Sweden born between 1968 and 1977, including 748 in-patients with anorexia nervosa. Results: At follow-up 9-14 years after hospital admission, 8.7% of patients with anorexia nervosa had persistent psychiatric health problems demanding hospital care and 21.4% were dependent on society for their main income; the stratified relative risks were 5.8 (95% CI 4.7-7.6) and 2.6 (2.3-3.0) respectively, compared with the general female population. The mortality rate for patients with anorexia nervosa was 1.2% and the stratified risk ratio for maternity was 0.6 (95% CI 0.5-0.7). Long duration of hospital care and psychiatric comorbidity were predictors of persistent psychiatric problems and financial dependency on society. Conclusions: The outcome in this cohort of adolescent in-patients with anorexia nervosa was considerably better than that reported in previous studies.

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