Skip to main content
×
Home
    • Aa
    • Aa
  • Get access
    Check if you have access via personal or institutional login
  • Cited by 126
  • Cited by
    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Aardoom, Jiska J. Dingemans, Alexandra E. and Van Furth, Eric F. 2016. E-Health Interventions for Eating Disorders: Emerging Findings, Issues, and Opportunities. Current Psychiatry Reports, Vol. 18, Issue. 4,


    Achamrah, Najate Coëffier, Moïse and Déchelotte, Pierre 2016. Physical activity in patients with anorexia nervosa. Nutrition Reviews, Vol. 74, Issue. 5, p. 301.


    Achamrah, Najate Nobis, Séverine Breton, Jonathan Jésus, Pierre Belmonte, Liliana Maurer, Brigitte Legrand, Romain Bôle-Feysot, Christine Rego, Jean Luc do Goichon, Alexis Rego, Jean Claude do Déchelotte, Pierre Fetissov, Sergueï O Claeyssens, Sophie and Coëffier, Moïse 2016. Maintaining physical activity during refeeding improves body composition, intestinal hyperpermeability and behavior in anorectic mice. Scientific Reports, Vol. 6, p. 21887.


    Boepple, Leah Ata, Rheanna N. Rum, Ruba and Thompson, J. Kevin 2016. Strong is the new skinny: A content analysis of fitspiration websites. Body Image, Vol. 17, p. 132.


    Cornelissen, Katri K. Cornelissen, Piers L. Hancock, Peter J. B. and Tovée, Martin J. 2016. Fixation patterns, not clinical diagnosis, predict body size over-estimation in eating disordered women and healthy controls. International Journal of Eating Disorders, Vol. 49, Issue. 5, p. 507.


    Dalle Grave, Riccardo El Ghoch, Marwan Sartirana, Massimiliano and Calugi, Simona 2016. Cognitive Behavioral Therapy for Anorexia Nervosa: An Update. Current Psychiatry Reports, Vol. 18, Issue. 1,


    Danielsen, Marit Rø, Øyvind Romild, Ulla and Bjørnelv, Sigrid 2016. Impact of female adult eating disorder inpatients’ attitudes to compulsive exercise on outcome at discharge and follow-up. Journal of Eating Disorders, Vol. 4, Issue. 1,


    El Ghoch, M Calugi, S Chignola, E Bazzani, P V and Dalle Grave, R 2016. Body mass index, body fat and risk factor of relapse in anorexia nervosa. European Journal of Clinical Nutrition, Vol. 70, Issue. 2, p. 194.


    Friedman, Keren Ramirez, Ana L. Murray, Stuart B. Anderson, Leslie K. Cusack, Anne Boutelle, Kerri N. and Kaye, Walter H. 2016. A Narrative Review of Outcome Studies for Residential and Partial Hospital-based Treatment of Eating Disorders. European Eating Disorders Review, Vol. 24, Issue. 4, p. 263.


    Kolnes, Liv-Jorunn 2016. ‘Feelings stronger than reason’: conflicting experiences of exercise in women with anorexia nervosa. Journal of Eating Disorders, Vol. 4, Issue. 1,


    Kolnes, Liv-Jorunn and Rodriguez-Morales, Lymarie 2016. The meaning of compulsive exercise in women with anorexia nervosa: An interpretative phenomenological analysis. Mental Health and Physical Activity, Vol. 10, p. 48.


    Noetel, Melissa Miskovic-Wheatley, Jane Crosby, Ross D. Hay, Phillipa Madden, Sloane and Touyz, Stephen 2016. A clinical profile of compulsive exercise in adolescent inpatients with anorexia nervosa. Journal of Eating Disorders, Vol. 4, Issue. 1,


    Phillipou, Andrea Abel, Larry Allen Castle, David Jonathan Hughes, Matthew Edward Nibbs, Richard Grant Gurvich, Caroline and Rossell, Susan Lee 2016. Resting state functional connectivity in anorexia nervosa. Psychiatry Research: Neuroimaging, Vol. 251, p. 45.


    Reel, Justine J. Lee, Jacquelyn J. and Bellows, Abby 2016. Integrating exercise and mindfulness for an emerging conceptual framework: The intuitive approach to prevention and health promotion (IAPHP). Eating Disorders, Vol. 24, Issue. 1, p. 90.


    Schlegl, Sandra Diedrich, Alice Neumayr, Christina Fumi, Markus Naab, Silke and Voderholzer, Ulrich 2016. Inpatient Treatment for Adolescents with Anorexia Nervosa: Clinical Significance and Predictors of Treatment Outcome. European Eating Disorders Review, Vol. 24, Issue. 3, p. 214.


    Swenne, Ingemar 2016. Evaluation of the Compulsive Exercise Test (CET) in Adolescents with Eating Disorders: Factor Structure and Relation to Eating Disordered Psychopathology. European Eating Disorders Review, Vol. 24, Issue. 4, p. 334.


    Andries, Alin Gram, Bibi and Støving, René Klinkby 2015. Effect of dronabinol therapy on physical activity in anorexia nervosa: a randomised, controlled trial. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, Vol. 20, Issue. 1, p. 13.


    B. DeWeese, Jessie Machado, Andre and Ford, Paul J. 2015. Ethics of Preventive Timing and Robust Outcomes in Surgical Interventions for Anorexia Nervosa. AJOB Neuroscience, Vol. 6, Issue. 4, p. 75.


    Colton, Patricia Anne Olmsted, Marion Patricia Wong, Harmonie and Rodin, Gary Michael 2015. Eating Disorders in Individuals with Type 1 Diabetes: Case Series and day Hospital Treatment Outcome. European Eating Disorders Review, Vol. 23, Issue. 4, p. 312.


    Guarda, Angela S. Schreyer, Colleen C. Boersma, Gretha J. Tamashiro, Kellie L. and Moran, Timothy H. 2015. Anorexia nervosa as a motivated behavior: Relevance of anxiety, stress, fear and learning. Physiology & Behavior, Vol. 152, p. 466.


    ×

Relapse in anorexia nervosa: a survival analysis

  • J. C. CARTER (a1), E. BLACKMORE (a1), K. SUTANDAR-PINNOCK (a1) and D. B. WOODSIDE (a1)
  • DOI: http://dx.doi.org/10.1017/S0033291703001168
  • Published online: 01 May 2004
Abstract

Background. Knowledge about factors that predict relapse in anorexia nervosa (AN) is needed for the development of effective relapse prevention treatments and may also advance understanding of the psychopathology of AN. The aim of the present study was to examine the rate, timing and prediction of relapse in AN following weight restoration in a specialized in-patient treatment programme.

Method. Fifty-one consecutive first-admission AN patients who were weight-restored following in-patient treatment participated in the study. Follow-up assessments were conducted a median of 15 months post-discharge. Relapse of AN was defined as a body mass index <17·5 for 3 consecutive months. Data were analysed using Kaplan–Meier survival analysis and Cox regression.

Results. The overall rate of relapse was 35% and the mean survival time was 18 months. The highest risk period was from 6 to 17 months after discharge. Several significant predictors of relapse were identified: a history of suicide attempt; previous specialized treatment for an eating disorder; severity of obsessive–compulsive symptoms at presentation; excessive exercise immediately after discharge; and residual concern about shape and weight at discharge.

Conclusions. There continues to be a significant risk of relapse among AN patients who remain well for the first year post-discharge. Several variables were shown to be associated with an elevated risk of relapse. These findings have implications for the development of initial treatments and relapse prevention strategies for AN.

Copyright
Corresponding author
Dr Jacqueline C. Carter, Department of Psychiatry, Toronto General Hospital, 200 Elizabeth Street, Eaton Wing North 8-231, Toronto, Ontario M5G 2C4, Canada. (Email: jacqueline.carter@uhn.on.ca)
Recommend this journal

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

Psychological Medicine
  • ISSN: 0033-2917
  • EISSN: 1469-8978
  • URL: /core/journals/psychological-medicine
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×