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Outcome and prognostic factors for adolescent female in-patients with anorexia nervosa: 9- to 4-year follow-up

  • Anders Hjern (a1), Lene Lindberg (a2) and Frank Lindblad (a3)
Abstract
Background

Earlier studies have indicated poor long-term outcomes for patients with anorexia nervosa.

Aims

To study health and social outcomes of adolescent in-patients with anorexia nervosa in relation to prognostic factors.

Method

A register study based on socio-economic and health data was conducted for a national cohort of female residents in Sweden born between 1968 and 1977, including 748 in-patients with anorexia nervosa.

Results

At follow-up 9–14 years after hospital admission, 8.7% of patients with anorexia nervosa had persistent psychiatric health problems demanding hospital care and 21.4% were dependent on society for their main income; the stratified relative risks were 5.8 (95% CI 4.7–7.6) and 2.6 (2.3–3.0) respectively compared with the general female population. The mortality rate for patients with anorexia nervosa was 1.2% and the stratified risk ratio for maternity was 0.6 (95% CI 0.5–0.7). Long duration of hospital care and psychiatric comorbidity were predictors of persistent psychiatric problems and financial dependency on society.

Conclusions

The outcome in this cohort of adolescent in-patients with anorexia nervosa was considerably better than that reported in previous studies.

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Copyright
Corresponding author
Dr Anders Hjern, Centre for Epidemiology, National Board of Health and Welfare, 106 30 Stockholm, Sweden. Email: anders.hjern@socialstyrelsen.se
Footnotes
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Declaration of interest

None.

Footnotes
References
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The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
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Outcome and prognostic factors for adolescent female in-patients with anorexia nervosa: 9- to 4-year follow-up

  • Anders Hjern (a1), Lene Lindberg (a2) and Frank Lindblad (a3)
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