[Male anorexia nervosa patients in long-term follow-up].
Despite an increasing number of studies on the long-term course of anorexia nervosa, male patients only play a subordinate role in the majority of investigations. Thus, one section of a more comprehensive study aimed at describing possible differences in the disease course of male and female patients. Total assessment after a mean of 12 years revealed a clearly increased mortality rate of more than 20% in 10 of the male patients examined (as well as 2 male anorexia nervosa patients with an additional physical condition). The male survivors had a better prognosis than the females patients. Male anorectics were in better physical condition than their female counterparts at the time of follow-up. On the Morgan Russell scale, food intake, psychosexual and social state showed a more favorable development in male than in female patients. Male patients had a more favorable course regarding psychosocial integration but a similar course as female patients regarding eating disorder symptoms. The results are discussed theoretically and clinically. Further studies with a larger random selection of patients should be carried out.
Deter
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HC
Abteilung für Psychosomatik und Psychotherapie, Universitätsklinikums Benjamin Franklin, Freien Universität Berlin.
Köpp
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W
Zipfel
S
S
Herzog
W
W
D000293:Adolescent; D000328:Adult; D000856:Anorexia Nervosa / Q000401:mortality / Q000523:psychology / Q000628:therapy*; D001835:Body Weight; D015897:Comorbidity; D005247:Feeding Behavior / Q000523:psychology; D005260:Female; D005500:Follow-Up Studies; D005783:Gender Identity; D006801:Humans; D008297:Male; D010552:Personality Assessment; D010809:Physical Fitness / Q000523:psychology; D012917:Social Adjustment; D015996:Survival Rate
Männliche Anorexia-nervosa-Patienten im Langzeitverlauf.