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How Well are ‘Cured’ Anorexia Nervosa Patients?

An Investigation of 16 Weight-Recovered Anorexic Patients

Published online by Cambridge University Press:  02 January 2018

Ulricke Windauer ,
Pierre J. V. Beumont ,
W. Lennerts ,
Peter Talbot  and
Stephen W. Touyz
Ulricke Windauer
Affiliation:
University of Sydney
Pierre J. V. Beumont*
Affiliation:
Department of Psychiatry, University of Sydney, New South Wales 2006, Australia
W. Lennerts
Affiliation:
University of Sydney
Peter Talbot
Affiliation:
Department of Psychiatry, University of Sydney
Stephen W. Touyz
Affiliation:
Westmead Hospital, and Department of Psychiatry, University of Sydney
*
∗Correspondence
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Abstract

Eating behaviour, nutritional intake and psychopathology were examined in 16 weight-recovered anorexia nervosa patients. The Eating Disorders Examination (EDE) and a food diary were the main outcome measures, but body fat content and psychosocial adjustment were also assessed. Although body fat and overall psychosocial adjustment had returned to normal in most patients, 12 still had a restricted eating pattern with nutritional intake below 90% of their energy requirements. These results suggest that weight, menstruation, and psychosocial criteria are not sufficient to determine full recovery from anorexia nervosa, and that attention should be given also to measures of the specific behavioural and attitudinal disturbance.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 163 , Issue 2 , August 1993 , pp. 195 - 200
Copyright
Copyright © Royal College of Psychiatrists, 1993 

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References

American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edn, revised) (DSM-III-R). Washington, DC: APA.Google Scholar
Beumont, P. J. V., Chambers, T. L., Rouse, L., et al (1981) The diet composition and nutritional knowledge of patients with anorexia nervosa. Journal of Human Nutrition, 35, 265–273.Google Scholar
Beumont, P. J. V., Kopec-Schrader, E. M., Talbot, P., et al (1993) Measuring the specific psychopathology of eating disorder patients. Australian and New Zealand Journal of Psychiatry (in press).Google Scholar
Commonwealth Department of Health (1987) National Dietary Survey of Adults: 1983, No. 2: Nutrient Intakes. Canberra: Australian Government Publishing Service.Google Scholar
Cooper, Z. & Fairburn, C. G. (1989) Eating Disorder Examination (EDE; diagnostic version, edition 11.3 D). Oxford: Oxford University Department of Psychiatry.Google Scholar
Cooper, Z., Cooper, P. J. & Fairburn, C. G. (1989) The validity of the Eating Disorder Examination and its subscales. British Journal of Psychiatry, 154, 807–812.CrossRefGoogle ScholarPubMed
Fohlin, L. (1978) Exercise performance and body dimensions in anorexia nervosa before and after rehabilitation. Acta Medica Scandinavica, 204, 61–65.Google Scholar
Hsu, L. K. G. (1980) Outcome of anorexia nervosa: a review of the literature (1954 to 1978). Archives of General Psychiatry, 7, 1041–1046.CrossRefGoogle Scholar
Hsu, L. K. G. (1987) Outcome and treatment effects. In Handbook of Eating Disorders, Part 1, Anorexia and Bulimia (eds Beumont, P. J. V., Burrows, G. D. & Casper, R. C.). Amsterdam: Elsevier.Google Scholar
Hsu, L. K. G. (1988) The outcome of anorexia nervosa: a reappraisal. Psychological Medicine, 18, 807–812.Google Scholar
Morgan, H. G. & Russell, G. F. M. (1975) Value of family background and clinical features as predictors of long-term outcome in anorexia nervosa: four year follow-up study of 41 patients. Psychological Medicine, 5, 355–371.Google Scholar
Nutrition Taskforce of Better Health Commission (1987) Towards Better Nutrition for Australians. Canberra: Australian Government Publishing Service.Google Scholar
O'Connor, M., Touyz, S. W., Dunn, S. M., et al (1987) Vegetarianism in anorexia nervosa? A review of 116 consecutive cases. Medical Journal of Australia, 147, 540–542.Google Scholar
Pirke, K. M., Pahl, J., Schweiger, U., et al (1986) Total body water potassium and body composition in patients with anorexia nervosa during refeeding. International Journal of Eating Disorders, 5, 347–354.3.0.CO;2-L>CrossRefGoogle Scholar
Pirke, K. M., Muenzing, W., Moser, E. A., et al (1989) Assessment of body composition by measurement of electrical conductivity in patients with anorexia nervosa and bulimia. International Journal of Eating Disorders, 8, 479–482.Google Scholar
Ratnasuriya, R. H., Eisler, I., Szmukler, G. I., et al (1991) Anorexia nervosa: outcome and prognostic factors after 20 years. British Journal of Psychiatry, 158, 495–502.CrossRefGoogle Scholar
Rosenvinge, J. H. & Mouland, S. O. (1990) Outcome and prognosis of anorexia nervosa: a retrospective study of 41 subjects. British Journal of Psychiatry, 156, 92–97.Google Scholar
Shils, M. E. & Young, V. R. (1988) Modem Nutrition in Health and Disease. Philadelphia: Lea & Febiger.Google Scholar
Spielberger, C. D., Gorsuch, R. L. & Lushene, R. D. (1970) Manual for the State-Trait Anxiety Inventory (STAI). Palo Alto, California: Consulting Psychologists Press.Google Scholar
Steinhausen, H.-CH., Rauss-Mason, C. & Seidel, R. (1991) Follow-up studies of anorexia nervosa: a review of four decades of outcome research. Psychological Medicine, 21, 447–454.CrossRefGoogle ScholarPubMed
Theander, S. (1985) Outcome and prognosis in anorexia nervosa and bulimia: some results of previous investigations, compared with those of a Swedish long-term study. Journal of Psychiatric Research, 19, 493–508.CrossRefGoogle ScholarPubMed
Touyz, S. W. & Beumont, P. J. V. (1984) Anorexia nervosa: a follow-up investigation. Medical Journal of Australia, 141, 219–222.Google Scholar
Twyman, D. L. & Liedtke, R. J. (1987) Bioelectrical Impedance Analysis of Body Composition - With A Review of Body Composition and Assessment Techniques in Man. Detroit: Manual of the Body Composition Analyser BIA 101, RJL Systems.Google Scholar
Warwick, P. M. (1989) Predicting food energy requirements from estimates of energy expenditure. Australian Journal of Nutrition and Dietetics, 46 (suppl.).Google Scholar
Zung, W. W. K. (1965) A self-rating depression scale. Archives of General Psychiatry, 12, 63–70.Google Scholar
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