Cited by 369Eating Disorders and BehaviorsNutrition, Health and Food BehaviorPsychological Treatments and Disorders

Anorexia nervosa: outcome and prognostic factors after 20 years

Ratnasuriya, R. H., Eisler, I., Szmukler, G. I., Russell, G. F. M.·1991·British Journal of Psychiatry

Abstract

Forty-one patients with anorexia nervosa, admitted to the Maudsley Hospital between 1959 and 1966, were followed up after a mean of 20 years. An assessment of general outcome (based on the Morgan-Russell scales) yielded three outcome categories: ‘good’ (n = 12), ‘intermediate’ (n = 13) and ‘poor’ (n = 15). Six patients (15%) had died from causes related to anorexia nervosa; at least 15% had developed bulimia nervosa. There was a general consistency between the follow-up at 20 years and that previously conducted five years after admission, although with a few individual patients there were serious prognostic errors at the earlier follow-up. A poorer outcome was associated with a later age of onset, a history of neurotic and personality disturbances, disturbed relationships in the family and a longer duration of illness.

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Crossref · 10.1192/bjp.158.4.495

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23 of 23 references verified0 citation errors · 0 not checkable

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Authors
Ratnasuriya, R. H., Eisler, I., Szmukler, G. I., & Russell, G. F. M.
Affiliations
  • The Acre (GB)
  • Bethlem Royal Hospital (GB)
  • The Royal Melbourne Hospital (AU)
  • Maudsley Hospital (GB)
Corresponding author
Russell, G. F. M.
Venue
British Journal of Psychiatry
Published
1991-04
Volume
158
Issue
4
Pages
495-502
ISSN
  • 0007-1250 (ISSN-L)
  • 1472-1465
OpenAlex
W2105700452
Cited by
369
References
23
Citations by year
2025: 2 · 2024: 2 · 2023: 4 · 2022: 6 · 2021: 2 · 2020: 8 · 2019: 8 · 2018: 5 · 2017: 3 · 2016: 5 · 2015: 8 · 2014: 9 · 2013: 9 · 2012: 8
FWCI
18.29
Type
journal article
Language
en
Open access
closed
Locations
  • The British Journal of 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
  • Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Disorders
Keywords
anorexia nervosa, long-term outcomes, prognostic factors, bulimia nervosa, mortality, age of onset, personality disorders, family relationships, disease duration, Maudsley Hospital
MeSH terms
Adult, Anorexia Nervosa, Body Image, Body Weight, Feeding Behavior, Female, Follow-Up Studies, Hospitalization, Humans, London, Male, Social Adjustment, Survival Rate

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