Outcome of severe anorexia nervosa patients receiving inpatient treatment in Japan: An 8‐year follow‐up study

Abstract

Sixty-one subjects with anorexia nervosa (AN) were followed for a minimum of 4 years after discharge (mean 8.3 years). They were evaluated using the Morgan-Russell Outcome Assessment Scale. Thirty-one (51%) were categorized as having good outcome, eight (13%) as intermediate, 15 (25%) as poor, and seven (11%) had died. As predictors of outcome, later onset (after 20 years of age) and low minimum body mass index were associated with poor prognosis. The outcome of AN in Japan is relatively similar to those in Western countries, irrespective of different sociocultural backgrounds and health systems.

Cognitive-Behavioral Therapy for Threshold and Subthreshold Anorexia Nervosa: A Three-Year Follow-Up Study

“…The multivariate model for recovery and treatment resistance confirms this point, according to the observation of McIntosh et al [24]. The analysis of predictors of outcome at baseline did not show any association with age at admission or age at onset, consistent with Herzog et al [6], Strober et al [7], Bulik et al [12] and Ben-Tovim et al [13] but in contrast with others [8,11,15]. Moreover, according to previous findings [12,13], BMI at baseline was not associated with different outcome, unlike in other reports [65].…”

“…In order to explain this heterogeneity, different outcome studies that considered various possible prognostic factors have been conducted so far [4,5,6,7,8,9,10]. In particular, age at onset, age at index treatment, history of an eating disorder (ED), duration of the disease and BMI at onset have been considered, often with conflicting results [3,8,9,11,12,13,14,15,16]. Contrasting findings may be due to methodological differences related to the lengths of follow-up, psychopathological and clinical assessment, retrospective data collection, varying subgroup criteria and different kinds of treatment taken into account [12,17,18].…”

Long-term mortality in anorexia nervosa: a report after an 8-year follow-up and a review of the most recent literature

“…are not yet definitely identified (Ratnasuriya et al, 1991;Zipfel et al, 2000;Ben Tovin et al, 2001;Tanaka et al, 2001;Keel et al, 2003;Lee et al, 2003), an early diagnosis and an integrated clinical-nutritional and psychiatric approach may be suggested as the basic therapeutic strategy for the Long-term mortality in anorexia nervosa A Signorini et al treatment of such a severe eating disorder and nutritional disease.…”

Outcomes of eating disorders: A systematic review of the literature

“…30,46 For inpatients, a good (vs. poor) M-R General score was associated with better mental state and psychosocial measures. 34 Poorer average M-R outcome scores in one UK study were associated with greater family hostility toward the patient, a disturbed relationship between the patient and family, and personality difficulties. 38 In one study, which did not control for length of followup, patients who no longer had an eating disorder were significantly less likely to be depressed or suffer from an anxiety disorder (except for obsessive compulsive disorder [OCD], which did not differ between groups).…”

“…In four studies measuring M-R General scores at 6-12 years following treatment, 57 27-58% of participants had a good outcome, 13-25% had an intermediate outcome, 11-42% had a poor outcome, and 1-11% were deceased. 22,34,38,57 Another team used the MorganRussell-Hayward (M-R-H) scale, a modification of the M-R scales after adding items related to binge eating and vomiting to a subscale concerning dietary and eating patterns, body concern, and body weight. 50 After 5 years, outcomes were as follows: 34%, good; 54%, intermediate, and 13%, poor.…”