Long-term outcome of inpatients with bulimia nervosa-Results from the Christina Barz Study.

Authors:
Norbert Quadflieg
Norbert Quadflieg
Ludwig-Maximilians-University (LMU)
Manfred M Fichter
Manfred M Fichter
University of Munich
Germany

Int J Eat Disord 2019 Apr 19. Epub 2019 Apr 19.

Department of Psychiatry and Psychotherapy, University of Munich (LMU), Munich, Germany.

Objective: To assess the long-term outcome and identify outcome predictors in a very large sample of inpatients treated for bulimia nervosa (BN).

Method: Out of a total of 2,033 patients admitted consecutively to specialized treatment, 1,351 patients (mean age at treatment 25.94) were assessed for follow-up on average 11 (SD 6) years after admission. Also a very long-term (21 years) subsample (N = 147; mean age 25.92) was defined. Bivariate and logistic regression analyses identified predictors of poor outcome.

Results: For more than 70% of the patients follow-up information could be gathered. Severity of eating disorder (ED) and other symptoms decreased over time but remained higher than in healthy controls, using published normative data. Remission rate was 38% after 11 years and 42% in the subsample after 21 years. Out of the total sample of N = 2,033 patients, 49 had died (2.4%). Persistent BN was found in 14.2% and the most frequent crossover was to ED not otherwise specified. Predictors of poor outcome were fewer follow-up years, higher drive for thinness, higher age at treatment, and less global functioning.

Discussion: Based on clinical indicators, patients presented with a high level of ED and psychiatric symptomatology. With less than half of the patients remitted after 22 years, efforts are needed to improve treatment outcome.

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Source
https://onlinelibrary.wiley.com/doi/abs/10.1002/eat.23084
Publisher Site
http://dx.doi.org/10.1002/eat.23084DOI Listing
April 2019
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References

(Supplied by CrossRef)
Sexuality and reproduction in bulimia nervosa patients over 10 years
Abraham S. et al.
Journal of Psychosomatic Research 1998

American Psychiatric Association et al.
1994
An inventory for measuring depression
Beck A. T. et al.
Archives of General Psychiatry 1961
Predictors of 1‐year treatment outcome in bulimia nervosa
Bulik C. M. et al.
Comprehensive Psychiatry 1998
Assessment of bulimia nervosa: A comparison of interview and self‐report questionnaire methods
Carter J. C. et al.
International Journal of Eating Disorders 2001

Cohen J. et al.
1988
Ten‐year follow‐up of 50 patients with bulimia nervosa
Collings S. et al.
British Journal of Psychiatry 1994

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