The DOI matches its Crossref record; 38 of the 39 references it cites were found in a registry or an index.
Epidemiology and Course of Anorexia Nervosa in the Community
Abstract
OBJECTIVE: Most previous studies of the prevalence, incidence, and outcome of anorexia nervosa have been limited to cases detected through the health care system, which may bias our understanding of the disorder's incidence and natural course. The authors sought to describe the onset and outcomes of anorexia nervosa in the general population. METHOD: Lifetime prevalences, incidence rates, and 5-year recovery rates of anorexia nervosa were calculated on the basis of data from 2,881 women from the 1975-1979 birth cohorts of Finnish twins. Women who screened positive for eating disorder symptoms (N=292), their screen-negative female co-twins (N=134), and 210 randomly selected screen-negative women were assessed for lifetime eating disorders by telephone by experienced clinicians. To assess outcomes after clinical recovery and to detect residua of illness, women who had recovered were compared with their unaffected co-twins and healthy unrelated women on multiple outcome measures. RESULTS: The lifetime prevalence of DSM-IV anorexia nervosa was 2.2%, and half of the cases had not been detected in the health care system. The incidence of anorexia nervosa in women between 15 and 19 years of age was 270 per 100,000 person-years. The 5-year clinical recovery rate was 66.8%. Outcomes did not differ between detected and undetected cases. After clinical recovery, the residua of illness steadily receded. By 5 years after clinical recovery, most probands had reached complete or nearly complete psychological recovery and closely resembled their unaffected co-twins and healthy women in weight and most psychological and social measures. CONCLUSIONS: The authors found a substantially higher lifetime prevalence and incidence of anorexia nervosa than reported in previous studies, most of which were based on treated cases. Most women recovered clinically within 5 years, and thereafter usually progressed toward full recovery.
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“Women recovered from AN also score higher than co-twin controls and healthy control women on trait anxiety measures (Keski-Rahkonen et al., 2007, Lilenfeld et al., 2000).”
From Factors associated with recovery from anorexia nervosa (2013) · cites this paper as Keski-Rahkonen et al., 2007
Citations
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Epidemiology of Eating Disorders: Incidence, Prevalence and Mortality Rates
Smink, F. R. E., van Hoeken, D., & Hoek, H. W. (2012) · Current Psychiatry Reports · doi:10.1007/s11920-012-0282-y · Cited by 1,978
Self-citationPrevalence of eating disorders over the 2000–2018 period: a systematic literature review
Galmiche, M., Déchelotte, P., Lambert, G., & Tavolacci, M. P. (2019) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/nqy342 · Cited by 1,712
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Zipfel, S., Giel, K. E., Bulik, C. M., Hay, P., & Schmidt, U. H. (2015) · The Lancet Psychiatry · doi:10.1016/s2215-0366(15)00356-9 · Cited by 907
Self-citationIncidence, prevalence and mortality of anorexia nervosa and bulimia nervosa
van Eeden, A. E., van Hoeken, D., & Hoek, H. W. (2021) · Current Opinion in Psychiatry · doi:10.1097/yco.0000000000000739 · Cited by 698
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Metadata
- Authors
- Keski-Rahkonen, A., Hoek, H. W., Susser, E. S., Linna, M. S., Sihvola, E., Raevuori, A., Bulik, C. M., Kaprio, J., & Rissanen, A.
- Venue
- American Journal of Psychiatry
- Published
- 2007-08
- Volume
- 164
- Issue
- 8
- Pages
- 1259-1265
- ISSN
- 0002-953X (ISSN-L)
- 1535-7228
- OpenAlex
- W2119131488
- Cited by
- 504
- References
- 39
- Citations by year
- 2026: 6 · 2025: 11 · 2024: 18 · 2023: 21 · 2022: 31 · 2021: 35 · 2020: 17 · 2019: 28 · 2018: 25 · 2017: 31 · 2016: 34 · 2015: 47 · 2014: 37 · 2013: 39 · 2012: 31
- FWCI
- 25.73
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (AA12502, R01AA008315, AA08315)
- National Institute of Mental Health (MH013043, T32MH013043)
- 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, lifetime prevalence, incidence, clinical recovery, undetected cases, eating disorders, women, Finnish Twin Cohort, residual symptoms, psychological recovery
- MeSH terms
- Adaptation, Psychological, Adult, Anorexia Nervosa, Data Collection, Delivery of Health Care, Diseases in Twins, Female, Finland, Follow-Up Studies, Humans, Prognosis, Surveys and Questionnaires, Social Adjustment, Cohort Studies, Incidence, Prevalence, Women's Health, Outcome Assessment, Health Care, Cost of Illness, Age of Onset, Diagnostic and Statistical Manual of Mental Disorders, Kaplan-Meier Estimate
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