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Medientyp:
E-Artikel
Titel:
Long‐term outcome of inpatients with bulimia nervosa—Results from the Christina Barz Study
Beteiligte:
Quadflieg, Norbert;
Fichter, Manfred M.
Erschienen:
Wiley, 2019
Erschienen in:
International Journal of Eating Disorders, 52 (2019) 7, Seite 834-845
Sprache:
Englisch
DOI:
10.1002/eat.23084
ISSN:
1098-108X;
0276-3478
Entstehung:
Anmerkungen:
Beschreibung:
AbstractObjectiveTo assess the long‐term outcome and identify outcome predictors in a very large sample of inpatients treated for bulimia nervosa (BN).MethodOut 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.ResultsFor 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.DiscussionBased 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.