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Cited by 41Eating Disorders and BehaviorsNutrition, Health and Food BehaviorChild Nutrition and Feeding Issues

Predictability of a favorable outcome in anorexia nervosa

Deter, HC, Schellberg, D., Köpp, W., Friederich, HC, Herzog, W.·2005·European Psychiatry
DOI 10.1016/j.eurpsy.2004.09.006
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Abstract

Objective: In a long-term follow-up of anorexia nervosa (AN) patients, somatic, psychological and social variables at clinical presentation should be investigated using a multilevel approach. Methods: This study isolated predictors known from the literature over longer time periods and carried out a separate investigation of predictors in a sample of 81 AN patients of the Heidelberg–Mannheim study over a mean period of 12 years (range 9–19 years). Separate hierarchic regression analyses on the basis of the course of the Morgan–Russell categories were calculated for four individually recorded areas: anamnestic, psychological, somatic and social data sets. Results: Age at the onset of the disease, purging behavior, low serum albumin, high glutamic-oxalo acetic transaminase (GOT) psychopathology (ANSS) and social pathology had the highest predictive value qualities. In survival analysis overall assessment of all six main predictors at clinical presentation could differentiate all patients who recovered from those who remained ill (log-rank test P = 0.019). Conclusions: A small number of variables were important for detecting a good or poor long-term course of AN. At onset of the disease, it seems necessary to evaluate these psychological, somatic and social predictors.

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Authors
Deter, H., Schellberg, D., Köpp, W., Friederich, H., & Herzog, W.
Affiliations
  • University Hospital Heidelberg (DE)
  • Freie Universität Berlin (DE)
ORCID
Herzog, W.
Venue
European Psychiatry
Publisher
Cambridge University Press (CUP)
Published
2005-03
Volume
20
Issue
2
Pages
165-172
ISSN
  • 0924-9338 (ISSN-L)
  • 1778-3585
DOI
10.1016/j.eurpsy.2004.09.006
OpenAlex
W2036841631
Cited by
41
References
39
Citations by year
2025: 1 · 2020: 2 · 2019: 1 · 2016: 2 · 2014: 1 · 2013: 5 · 2012: 6
FWCI
2.40
Type
journal article
Language
en
Open access
closed
Licence
www.cambridge.org/core/terms (unspecified, 5525 d)
Locations
  • European Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
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
anorexia nervosa, long-term outcome prediction, prognostic factors, age of onset, purging behavior, serum albumin, aspartate aminotransferase, psychopathology, social pathology, recovery
MeSH terms
Adaptation, Psychological, Adolescent, Adult, Albumins, Anorexia Nervosa, Aspartate Aminotransferases, Mental Disorders, Child, Female, Follow-Up Studies, Health Status, Humans, Male, Prospective Studies, Regression Analysis, Retrospective Studies, Social Behavior, Survival Analysis, Treatment Outcome, Disease Progression

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