Skip to main content Accessibility help

Ten-year Follow-up of Adolescent-onset Anorexia Nervosa: Psychiatric Disorders and Overall Functioning Scales

  • Elisabet Wentz (a1), Christopher Gillberg (a1), I. Carina Gillberg (a1) and Maria Råstam (a1)

The aim of this study was to assess prospectively the long-term outcome in a representative sample of teenage-onset anorexia nervosa (AN) in respect of psychiatric disorders and overall outcome. Fifty-one AN cases, recruited by community screening, with a mean age of onset of 14 years, was contrasted with 51 matched comparison cases at a mean age of 24 years (10 years after AN onset). All 102 cases had been examined at ages 16 and 21 years. At 24 years all probands were interviewed regarding psychiatric disorders (SCID-I) and overall outcome (Morgan-Russell assessment schedule, the GAF). There were no deaths at 10-year follow-up. One in four in the AN group had a persisting eating disorder (ED), including three who still had anorexia nervosa. Lifetime diagnoses of affective disorders and obsessive-compulsive disorder were over-represented in the AN group. Outcome according to Morgan-Russell was poor in 27%, intermediate in 29%, and good in 43%. According to the GAF, half the AN group had a poor psychosocial functioning. These were subjects with either a persisting ED or lifelong problems with social interaction or obsessive-compulsive behaviour. Ten-year outcome of teenage-onset AN is favourable in the majority of cases; most individuals have recovered from their ED and have no other axis I disorder. However, half the AN group reported poor psychosocial outcome, in most cases explained by a persisting ED or chronic obsessive-compulsive behaviour/social interaction problems.

Corresponding author
Requests for reprints to: Elisabet Wentz, Department of Child and Adolescent Psychiatry, Göteborg University, Kungsgatan 12, S-411 19 Göteborg, Sweden (E-mail:
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

The Journal of Child Psychology and Psychiatry and Allied Disciplines
  • ISSN: 0021-9630
  • EISSN: 1469-7610
  • URL: /core/journals/journal-of-child-psychology-and-psychiatry-and-allied-disciplines
Please enter your name
Please enter a valid email address
Who would you like to send this to? *



Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed