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Bulimia nervosa: a 5-year follow-up study

  • E. Johnson-Sabine (a1), D. Reiss (a1) and D. Dayson (a1)
Abstract
Synopsis

Fifty patients with bulimia nervosa were followed up for a minimum length of 5 years. Standardized interviews, observer-rated instruments and self-rated questionnaires were employed both at entry and at completion of the follow-up period. After tracing, the positive response rate was 72%; one patient had died. At the time of follow-up 31% of those traced had made a complete recovery and 25% still fulfilled diagnostic criteria for bulimia nervosa. Judged on behavioural symptoms 47·2% of responders had a ‘good’ outcome. Good outcome was associated with fewer social problems, higher social class, and a significant improvement in eating attitudes at follow-up. All outcome groups reported a reduction of interference by symptoms in other areas of life, and an improvement in mood state. No factors, including those described in previous studies, were identified which predicted outcome.

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Corresponding author
1 Address for correspondence: Dr. E. Johnson-Sabine, Academic Department of Psychiatry, Royal Free Hospital, Pond Street, London NW3 2QG.
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S. F. Abraham , M. Mira & D. Llewellyn-Jones (1983). Bulimia: a study of outcome. International Journal of Eating Disorders 2, 175180.

C. G. Fairburn , J. Kirk , M. O'Connor , P. Anastasiades & P. J. Cooper (1987). Prognostic factors in bulimia nervosa. British Journal of Clinical Psychology 26, 223224.

M. Hamilton (1959). A rating scale for anxiety. British Journal of Medical Psychology 32, 5055.

M. Hamilton (1960). A rating scale for depression. Journal of Neurology, Neurosurgery and Psychiatry 23, 5662.

E. C. Johnson-Sabine , K. H. Wood & A. Wakeling (1984). Mood changes in bulimia nervosa. British Journal of Psychiatry 145, 512516.

J. H. Lacey (1983). Bulimia nervosa, binge eating, and psychogenic vomiting: a controlled treatment, study and long-term outcome. British Medical Journal 286, 16091613.

J. H. Lacey & C. D. H. Evans (1986). The impulsivist: a multi-impulsive personality disorder. British Journal of Addiction 81, 641649.

J. H. Lacey & E. Moureli (1986). Bulimic alcoholics: some features of a clinical sub-group. British Journal of Addiction 81, 389393.

W. J. Swift , M. Ritholz , N. H. Kalin & N. Kaslow (1987). A follow-up study of thirty hospitalized bulimics. Psychosomatic Medicine 49, 4555.

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Psychological Medicine
  • ISSN: 0033-2917
  • EISSN: 1469-8978
  • URL: /core/journals/psychological-medicine
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