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Cited by 389Eating Disorders and BehaviorsNutrition, Health and Food BehaviorChild Nutrition and Feeding Issues

Relapse in anorexia nervosa: a survival analysis

CARTER, J. C., BLACKMORE, E., SUTANDAR-PINNOCK, K., WOODSIDE, D. B.·2004·Psychological Medicine
DOI 10.1017/s0033291703001168
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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.

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Crossref · 10.1017/s0033291703001168

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  • The highest risk for relapse in clinical samples occurs within the first year after discharge.

    “because the highest risk for relapse in clinical samples occurs within the first year after discharge (Carter et al., 2004, Herzog et al., 1999a).”

    From Factors associated with recovery from anorexia nervosa (2013) · cites this paper as Carter et al., 2004

  • The highest risk for relapse from anorexia nervosa occurs within the first year after symptoms remit.

    “We believe the likelihood of an earlier recovery event is low given evidence that the highest risk for relapse from AN occurs within the first year after symptoms remit (Carter et al., 2004, Herzog et al., 1999a).”

    From Factors associated with recovery from anorexia nervosa (2013) · cites this paper as Carter et al., 2004

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Authors
CARTER, J. C., BLACKMORE, E., SUTANDAR-PINNOCK, K., & WOODSIDE, D. B.
Affiliations
University of Toronto (CA)
ORCID
WOODSIDE, D. B.
Venue
Psychological Medicine
Publisher
Cambridge University Press (CUP)
Published
2004-04-21
Volume
34
Issue
4
Pages
671-679
ISSN
  • 0033-2917 (ISSN-L)
  • 1469-8978
DOI
10.1017/s0033291703001168
OpenAlex
W1995412283
Cited by
389
References
33
Citations by year
2026: 11 · 2025: 17 · 2024: 19 · 2023: 15 · 2022: 29 · 2021: 16 · 2020: 25 · 2019: 15 · 2018: 35 · 2017: 18 · 2016: 27 · 2015: 17 · 2014: 27 · 2013: 28 · 2012: 18
FWCI
8.39
Type
journal article
Language
en
Open access
closed
Licence
www.cambridge.org/core/terms (unspecified)
Locations
  • Psychological Medicine (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, relapse, recurrence prediction, weight restoration, in-patient treatment, relapse prevention, suicide attempts, obsessive-compulsive symptoms, excessive exercise, body image concern, eating disorder psychopathology
MeSH terms
Adaptation, Psychological, Adult, Anorexia Nervosa, Body Weight, Female, Follow-Up Studies, Humans, Patient Acceptance of Health Care, Recurrence, Risk Factors, Body Mass Index, Survival Analysis

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