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Long-Term Mortality in Anorexia Nervosa

A 20–Year Follow-Up of the St George's and Aberdeen Cohorts

Published online by Cambridge University Press:  02 January 2018

Arthur H. Crisp ,
John S. Callender ,
Christine Halek  and
L. K. George Hsu
Arthur H. Crisp
Affiliation:
St George's Hospital Medical School, Department of Mental Health Sciences, London
John S. Callender
Affiliation:
University of Aberdeen, Medical School, Department of Psychiatry, Scotland
Christine Halek
Affiliation:
St George's Hospital Medical School, Department of Mental Health Sciences, London
L. K. George Hsu*
Affiliation:
University of Pittsburgh, Western Psychiatric Institute & Clinic, 3811 O'Hara Street, Pittsburgh, PA 15213, USA
*
∗Correspondence
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Abstract

Two cohorts of anorexia nervosa patients were followed up for a mean of 20 years. All except 4% of each cohort was traced. The crude mortalities were: St George's, 4%; Aberdeen, 13%. The SMRs were: St George's, 136; Aberdeen, 471. If the untraced were assumed to be dead, crude mortalities were 7.6% and 15.9% respectively, and SMRs were 276 and 592 respectively. Causes of death were complications of the illness and suicide. Medical treatment may reduce early mortality, while comprehensive medical and psychotherapeutic treatment may reduce late mortality.

Type
Brief Reports
Information
The British Journal of Psychiatry , Volume 161 , Issue 1 , July 1992 , pp. 104 - 107
Copyright
Copyright © 1992 The Royal College of Psychiatrists 

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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
Burns, T. & Crisp, A. H. (1984) Outcome of anorexia nervosa in males. British Journal of Psychiatry, 145, 319–325.Google Scholar
Crisp, A. H. (1977) Diagnosis and outcome of anorexia nervosa. Proceedings of the Royal Society of Medicine, 70, 464–470.Google Scholar
Crisp, A. H. (1980) Anorexia Nervosa: Let Me Be. London: Academic Press.Google Scholar
Crisp, A. H., Hsu, L. K. G., Harding, B., et al (1980) Clinical features of anorexia nervosa. Journal of Psychosomatic Research, 24, 179–191.Google Scholar
Hall, A., Slim, E., Hawker, F., et al (1984) Anorexia nervosa: long-term outcome in 50 female patients. British Journal of Psychiatry, 145, 407–413.Google Scholar
Hsu, L. K. G. (1991) Outcome studies in patients with eating disorders. In Psychiatric Treatment: Recent Advances in Outcome Research (eds Mirin, S. M., Gossett, J. & Grob, M. C.). Washington, DC: American Psychiatric Press.Google Scholar
Hsu, L. K. G., Crisp, A. H. & Harding, B. (1979) Outcome of anorexia nervosa. Lancet, i, 62–65.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
Nussbaum, M., Shenker, I. R., Baird, D., et al (1985) Follow-up investigation in patients with anorexia nervosa. Journal of Pediatrics, 106, 835–840.Google Scholar
Patton, G. C. (1988) Mortality in eating disorders. Psychological Medicine, 18, 947–952.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.Google Scholar
Szmukler, G. I., McCance, C., McCrone, L., et al (1986) A psychiatric case register study from Aberdeen. Psychological Medicine, 16, 49–58.Google Scholar
Theander, S. (1970) Anorexia nervosa: a psychiatric investigation of 94 female patients. Acta Psychiatrica Scandinavica (suppl. 214), 194.Google Scholar
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.Google Scholar
Tolstrup, K., Br inch, M., Isager, T., et al (1985) Long-term outcome of 151 cases of anorexia nervosa: the Copenhagen anorexia nervosa follow-up study. Acta Psychiatrica Scandinavica, 71, 380–387.Google Scholar
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