One-year outcome and incidence of anorexia nervosa and restrictive eating disorders among adolescent girls treated as out-patients in a family-based setting

Agneta  Rosling; Helena  Salonen Ros; Ingemar  Swenne

doi:10.3109/03009734.2016.1141810

One-year outcome and incidence of anorexia nervosa and restrictive eating disorders among adolescent girls treated as out-patients in a family-based setting

Agneta Rosling Department of Neuroscience, Child and Adolescent Psychiatry, Uppsala University Hospital, Uppsala, Sweden
Helena Salonen Ros Department of Neuroscience, Child and Adolescent Psychiatry, Uppsala University Hospital, Uppsala, Sweden
Ingemar Swenne Department of Women’s and Children’s Health, Uppsala University, Uppsala, Sweden

DOI: https://doi.org/10.3109/03009734.2016.1141810

Keywords: Adolescent, anorexia nervosa, day care, family-based treatment, incidence, out-patient

Abstract

Aims To study the 1-year outcome and to analyse predictors of outcome of a cohort of adolescent girls with anorexia nervosa (AN) or restrictive eating disorders not otherwise specified (EDNOSr) treated as out-patients in a family-based programme at a specialized eating disorder service. To calculate the incidence of anorexia nervosa among treatment-seeking girls younger than 18 in Uppsala County from 2004 to 2006.

Methods A total of 168 female patients were offered treatment, and 141 were followed-up 1 year after starting treatment, 29 with AN and 112 with EDNOSr.

Results Of the 29 girls who initially had AN, 6 (20%) had a good outcome and were free of any form of eating disorder at follow-up; only 1 (3%) had AN. Of the patients with EDNOSr, 54 (48%) had a good outcome and were free of eating disorders. Three (3%) had a poor outcome and had developed AN. The incidence of AN was 18/100,000 person-years in girls younger than 12 and 63/100,000 in girls younger than 18.

Conclusion Restrictive eating disorders, including AN, in children and adolescents can be successfully treated in a family-based specialized out-patient service without in-patient care.

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Published

2016-02-26

How to Cite

Rosling A., Salonen Ros H., & Swenne I. (2016). One-year outcome and incidence of anorexia nervosa and restrictive eating disorders among adolescent girls treated as out-patients in a family-based setting. Upsala Journal of Medical Sciences, 121(1), 50–59. https://doi.org/10.3109/03009734.2016.1141810

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Issue

Vol. 121 No. 1 (2016): Upsala J Med Sci

Section

Original Articles

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