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Cited by 87Eating Disorders and BehaviorsNutrition, Health and Food BehaviorChild Nutrition and Feeding Issues

Course and outcome of eating disorders in a primary care-based cohort

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van Son, Gabriëlle E., van Hoeken, Daphne, van Furth, Eric F., Donker, Gé A., Hoek, Hans W.·2010·International Journal of Eating Disorders
DOI 10.1002/eat.20676
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Abstract

Objective: To study the course and outcome of patients with eating disorder detected in primary care. Method: General practitioners (GP's) provided information on the course and outcome of eating disorders in patients ( n = 147) diagnosed with anorexia nervosa (AN) or bulimia nervosa (BN) identified during a Dutch nationwide primary care‐based incidence study. The research team determined the outcome based on the data provided by the GP's. The mean duration of the follow‐up was 4.8 years. Results: About 57% of the patients initially diagnosed with AN and 61% of those diagnosed with BN were fully recovered. AN binge/purge subtype (ANBP) demonstrated the most extended median survival time of all diagnostic subgroups (the point at which half of the group has reached full recovery). Diagnostic crossover was low. A younger age at detection predicted recovery at outcome for AN and BN. One patient (AN) died. Discussion: The results of this study on differences in outcome and low crossover support the diagnostic distinction between AN and BN in the DSM‐IV. Early detection is of major importance for a favorable outcome. © 2009 by Wiley Periodicals, Inc. Int J Eat Disord, 2010

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  • Vomiting is a particularly negative prognostic factor for recovery from anorexia nervosa.

    “These results indicate that vomiting is a particularly negative prognostic factor for recovery from AN and are in line with previous reports (van Son et al., 2010).”

    From Factors associated with recovery from anorexia nervosa (2013) · cites this paper as van Son et al., 2010

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  1. [2]2. the diagnoses of eating disorder patients. J Psychosom Obstet Gynaecol 2005;26:211215. nivel

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Authors
van Son, G. E., van Hoeken, D., van Furth, E. F., Donker, G. A., & Hoek, H. W.
Affiliations
  • Netherlands Institute for Health Services Research (NL)
  • University Medical Center Groningen (NL)
ORCID
Venue
International Journal of Eating Disorders
Publisher
Wiley
Published
2009-03-23
Volume
43
Issue
2
Pages
130-138
ISSN
  • 0276-3478 (ISSN-L)
  • 1098-108X
DOI
10.1002/eat.20676
OpenAlex
W2099033024
Cited by
87
References
36
Citations by year
2026: 1 · 2025: 6 · 2024: 6 · 2023: 9 · 2022: 5 · 2021: 4 · 2020: 3 · 2019: 5 · 2018: 4 · 2017: 6 · 2016: 7 · 2015: 7 · 2014: 4 · 2013: 6 · 2012: 5
FWCI
4.24
Type
journal article
Language
en
Open access
Licence
Locations
  • International Journal of Eating Disorders (publishedVersion)
  • PubMed (publishedVersion)
  • University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
  • University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
  • Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
Keywords
eating disorders, anorexia nervosa, bulimia nervosa, recovery, clinical course, early detection, primary care, general practitioners
MeSH terms
Adolescent, Adult, Anorexia Nervosa, Feeding and Eating Disorders, Data Collection, Female, Follow-Up Studies, Humans, Male, Netherlands, Prognosis, Surveys and Questionnaires, Time Factors, Body Mass Index, Incidence, Diagnostic and Statistical Manual of Mental Disorders, Bulimia Nervosa, Young Adult

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