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Cited by 296Eating Disorders and BehaviorsNutrition, Health and Food BehaviorChild Nutrition and Feeding Issues

Long-term course of anorexia nervosa

Open access
Pike, Kathleen M.·1998·Clinical Psychology Review
DOI 10.1016/s0272-7358(98)00014-2
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Abstract

There is no predictable or normative long-term course associated with anorexia nervosa. Some Individuals achieve complete recovery; others are ravaged by a chronic disorder; and some die from it. Predicting course and outcome of anorexia nervosa is complicated by the intrinsic complexity of the disorder; a lack of shared terminology in studying the disorder; and a paucity of controlled clinical treatment studies. This manuscript provides a review of the current state of knowledge based on the long-term studies and discusses ways in which methodological issues limit our ability to generalize more confidently regarding the course and outcome of anorexia nervosa. In order to advance the field, we need to bridge the gap between treatment outcome studies and naturalistic follow-up studies. Further we need to devine more carefully and consistently the milestones of initial treatment response, relapse, remission, and recovery. Building on previous works, criteria for each of these terms are proposed. Based on existing studies, a discussion of treatment outcome and prognostic factors is provided. Finally, clinical recommendations are provided for the clinician who is responsible for the long-term care of an individual with anorexia nervosa.

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  • No consensus definition of anorexia nervosa recovery exists.

    “Because no consensus definition of AN recovery exists (Bardone-Cone et al., 2010, Hoek, 2006, Pike, 1998)”

    From Factors associated with recovery from anorexia nervosa (2013) · cites this paper as Pike, 1998

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Research works printed but not linked: 15

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Authors
Pike, K. M.
Affiliations
Columbia University (US)
Corresponding author
Pike, Kathleen M.
ORCID
Pike, Kathleen M.
Venue
Clinical Psychology Review
Publisher
Elsevier BV
Published
1998-06
Volume
18
Issue
4
Pages
447-475
ISSN
0272-7358 (ISSN-L)
DOI
10.1016/s0272-7358(98)00014-2
OpenAlex
W104273825
Cited by
296
References
86
Citations by year
2026: 5 · 2025: 3 · 2024: 8 · 2023: 2 · 2022: 5 · 2021: 5 · 2020: 10 · 2019: 13 · 2018: 6 · 2017: 8 · 2016: 10 · 2015: 7 · 2014: 21 · 2013: 12 · 2012: 10
FWCI
1.93
Type
journal article
Language
en
Open access
Licence
Locations
  • Clinical Psychology Review (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (5k21mh001185-05)
  • National Institute of Mental Health (5K21MH001185)
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 course, treatment outcomes, prognostic factors, recovery, relapse, remission, treatment response, naturalistic follow-up, long-term care
MeSH terms
Anorexia Nervosa, Chronic Disease, Follow-Up Studies, Humans, Terminology as Topic, Psychotherapy, Psychotropic Drugs, Remission Induction, Research Design, Treatment Outcome, Outcome Assessment, Health Care, Practice Guidelines as Topic, Disease Progression, Case Management, Secondary Prevention

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