[Long-term evolution and complications of eating disorders].
Eating disorders long-term evolution is good in 50% of cases, middle in 25% (recovery from eating disorders, but still psychological suffering) and bad in 25% of cases, with chronic eating disorders, anxious or depressive comorbid disorder, and bad consequences in social patients' life. Anorexia nervosa has a considerably worse long-term outcome than bulimia nervosa or binge eating disorders. Never the less, purging bulimia nervosa is often associated with other impulsive symptoms, such as addictions and suicide attempts. Chronic undernutrition leads to main long-term medical complications of eating disorders: linear growth in adolescents with anorexia nervosa, infertility, and osteoporosis. These complications need a specific medical follow up, at least once a year, added to the psychiatric and psychotherapist follow-up.
Nicolas
Isabelle
I
Département de psychiatrie de l'adolescent et du jeune adulte, Institut mutualiste Montsouris, 42, bd Jourdan, 75674 Paris 14. isabelle.nicolas@imm.fr
D000293:Adolescent; D000856:Anorexia Nervosa / Q000150:complications / Q000523:psychology / Q000628:therapy; D001008:Anxiety Disorders / Q000150:complications; D016739:Behavior, Addictive / Q000150:complications / Q000523:psychology; D052018:Bulimia Nervosa / Q000150:complications / Q000523:psychology / Q000628:therapy; D003866:Depressive Disorder / Q000150:complications; D001068:Feeding and Eating Disorders / Q000150:complications / Q000523:psychology / Q000628:therapy*; D005500:Follow-Up Studies; D006130:Growth Disorders / Q000209:etiology; D006801:Humans; D007175:Impulsive Behavior / Q000150:complications / Q000523:psychology; D007246:Infertility / Q000209:etiology; D008137:Longitudinal Studies; D044342:Malnutrition / Q000209:etiology; D010024:Osteoporosis / Q000209:etiology; D011379:Prognosis; D020127:Recovery of Function / Q000502:physiology; D012917:Social Adjustment; D013315:Stress, Psychological / Q000523:psychology; D013406:Suicide, Attempted / Q000523:psychology