Incidence of severe anorexia nervosa in Switzerland: 40 years of development.
OBJECTIVE
The current study examined the development of the incidence of severe anorexia nervosa with five sampling periods covering the years 1956-1995 in a geographically defined region of Switzerland.


METHODS
Applying the same methodology as in the earlier sampling periods, the medical records of all hospitals of the canton of Zurich were screened manually for first-time hospitalizations of female anorexia nervosa patients during the years 1993-1995. Incidence rates were compared with the previous sampling period (1956-1985).


RESULTS
The incidence rate of severe anorexia nervosa in the total population and the rate in the population at risk (females 12-25 years old) did not differ significantly from the incidence rates of 1983-1985.


CONCLUSIONS
The incidence of severe anorexia nervosa in the canton of Zurich rose significantly during the 1960s and 1970s. Since then, the incidence appears to have reached a plateau.
Milos
Gabriella
G
Psychiatric Outpatients Department, University Hospital Zurich, Zurich, Switzerland. gabriella.milos@psy.usz.ch
Spindler
Anja
A
Schnyder
Ulrich
U
Martz
Jan
J
Hoek
Hans Wijbrand
HW
Willi
Jürg
J
D000293:Adolescent; D000328:Adult; D000856:Anorexia Nervosa / Q000175:diagnosis / Q000453:epidemiology* / Q000534:rehabilitation; D015992:Body Mass Index; D002648:Child; D005260:Female; D006760:Hospitalization; D006801:Humans; D015994:Incidence; D008605:Mental Health Services / Q000458:organization & administration; D012307:Risk Factors; D012494:Sampling Studies; D012720:Severity of Illness Index; D013557:Switzerland / Q000453:epidemiology