Diagnostic Crossover and Outcome Predictors in Eating Disorders According to DSM-IV and DSM-V Proposed Criteria: A 6-Year Follow-Up Study

Castellini, Giovanni; Sauro, Carolina Lo; Mannucci, Edoardo; Ravaldi, Claudia; Rotella, Carlo Maria; Faravelli, Carlo; Ricca, Valdo

doi:10.1097/psy.0b013e31820a1838

Cited by 235 publications

(253 citation statements)

References 52 publications

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“…The persistent nature of DEB was apparent even at early stages in this longitudinal study: 92% of girls who reported DEB early in the study continued to report it at the 5-year follow-up (18). Consistent with both naturalistic and posttreatment studies of the general population showing persistence but fluctuating severity of eating problems over time (32,(34)(35)(36)(37)(38), substantial rates of remission and recurrent onset were observed across the study period. The course of EDs among the general population, as well as the high prevalence and persistence thus far in this cohort, suggest that clinicians should anticipate that eating disturbances in this population may often be persistent and recurring, rather than mild and transient.…”

Section: Discussionsupporting

confidence: 64%

Eating Disorders in Girls and Women With Type 1 Diabetes: A Longitudinal Study of Prevalence, Onset, Remission, and Recurrence

et al. 2015

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OBJECTIVEGirls and women with type 1 diabetes are at increased risk for developing eating disorders (EDs), and these disorders are associated with serious diabetes-related medical complications. This study describes the longitudinal course of disturbed eating behavior (DEB) and EDs in a cohort with type 1 diabetes. RESEARCH DESIGN AND METHODSA total of 126 girls with type 1 diabetes receiving care for diabetes at The Hospital for Sick Children in Toronto participated in a series of seven interview-based assessments of ED behavior and psychopathology over a 14-year period, beginning in late childhood. Survival analysis was used. RESULTSMean age was 11.8 6 1.5 years at time 1 and 23.7 6 2.1 years at time 7. At time 7, 32.4% (23/71) met the criteria for a current ED, and an additional 8.5% (6/71) had a subthreshold ED. Mean age at ED onset (full syndrome or below the threshold) was 22.6 years (95% CI 21.6-23.5), and the cumulative probability of onset was 60% by age 25 years. The average time between onset of ED and subsequent ED remission was 4.3 years (95% CI 3.1-5.5), and the cumulative probability of remission was 79% by 6 years after onset. The average time between remission of ED and subsequent recurrence was 6.5 years (95% CI 4.4-8.6), and the cumulative probability of recurrence was 53% by 6 years after remission. CONCLUSIONSIn this longitudinal study, EDs were common and persistent, and new onset of ED was documented well into adulthood. Further research regarding prevention and treatment for this vulnerable group is urgently needed.The prevalence, clinical characteristics, and medical consequences of disturbed eating behavior (DEB) and eating disorders (EDs) in individuals with type 1 diabetes has received increasing attention since case reports of this dangerous combination were first published in the 1980s (1,2). Although the specificity of this association was initially unclear, systematic research has demonstrated that teenage girls and women with type 1 diabetes are at significantly increased risk of DEB compared with their nondiabetic peers (3). Such DEB includes dieting, fasting, binge-eating, and a range of compensatory and purging behaviors that can directly interfere with optimal diabetes management. A slide set summarizing this article is available online.

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Section: Discussionsupporting

confidence: 64%

Eating Disorders in Girls and Women With Type 1 Diabetes: A Longitudinal Study of Prevalence, Onset, Remission, and Recurrence

et al. 2015

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“…La mayoría (70,8%) había completado el tratamiento exitosamente y a los 3 años el 41,67% de toda la muestra mostró indicadores de TCA, porcentaje menor que el reportado por otras investigaciones (Castellini et al, 2011;Helverskov et al, 2010;La Mela et al, 2013). El porcentaje de recaída fue del 47,06%, mayor que el encontrado en el estudio de Castellini et al (2011), pero similar al 41% obtenido por Carter et al (2012) en pacientes con AN que siguieron tratamiento de HD.…”

Section: Discussionunclassified

“…Los pacientes con un curso desfavorable de la enfermedad tendieron a mostrar mayor severidad del TCA en la primera evaluación, específicamente puntuaron más alto en el EAT-40 y en la escala DT del EDI-2, lo que concuerda con lo encontrado en otros estudios (Castellini et al, 2011;Helverskov et al, 2010;La Mela et al, 2013). Sin embargo, los sín-tomas psicológicos, según nuestros resultados, no afectan el curso del TCA, confirmando lo señalado por Helverskov et al, (2010), aunque sería importante, en el futuro, evaluar la sintomatología general de modo más amplio que solo con el GSI.…”

Section: Discussionunclassified

“…Las tasas de recuperación son variadas, desde el 39% hasta el 64% (Castellini, Sauro, Mannucci, Ravaldi, Rotella, et al, 2011;Helverskov, Clausen, Mors, Frydenberg, Thomsen, et al, 2010;Hilbert, Bishop, Stein, Tanofsky-Kraff, Swenson, et al, 2012), al igual que las tasas de recaídas que van desde 11% a 41% (Carter, Mercer-Lynn, Norwood, Bewell-Weiss, Crosby, et al, 2012;Castellini et al, 2011).…”

Section: Introductionunclassified

“…Por otro lado, respecto a la gravedad del TCA, las publicaciones coinciden en que mientras menos síntomas, más probabilidades existen de mejorar (Castellini et al, 2011;Helverskov et al, 2010;Vall y Wade, 2015).…”

Section: Introductionunclassified

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