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. 1993 Jul;32(4):835-42.
doi: 10.1097/00004583-199307000-00020.

Patterns and predictors of recovery in anorexia nervosa and bulimia nervosa

D B Herzog  1 , N R Sacks, M B Keller, P W Lavori, K B von Ranson, H M Gray
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Free article

Patterns and predictors of recovery in anorexia nervosa and bulimia nervosa

D B Herzog et al. J Am Acad Child Adolesc Psychiatry. 1993 Jul.
Free article

Abstract

Objective: The purpose of this study was to assess the course and outcome of anorexia nervosa and bulimia nervosa at 1 year in a large cohort of women with eating disorders.

Method: A prospective, naturalistic, longitudinal design was used to map the course of 225 women with anorexia nervosa, bulimia nervosa, and mixed anorexia and bulimia nervosa. Structured interviews were conducted quarterly. Follow-up data are presented in terms of patterns of recovery, clinical features predictive of time to recovery, and the role of comorbid disorders as fixed predictors.

Results: The recovery rate of bulimics was significantly better than that of anorexic or mixed subjects, yet nearly half the anorexic and mixed subjects no longer met full DSM-III-R criteria for at least 8 consecutive weeks during the first year of follow-up. Percent ideal body weight and type of eating disorder were significantly associated with outcome.

Conclusions: Our findings suggest that the diagnosis of anorexia nervosa has severe implications.

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