Course and outcome of eating disorders in a primary care-based cohort.
OBJECTIVE
To study the course and outcome of patients with eating disorder detected in primary care.


METHODS
General practitioners (GP's) provided information on the course and outcome of eating disorders in patients (n = 147) diagnosed with anorexia nervosa (AN) or bulimia nervosa (BN) identified during a Dutch nationwide primary care-based incidence study. The research team determined the outcome based on the data provided by the GP's. The mean duration of the follow-up was 4.8 years.


RESULTS
About 57% of the patients initially diagnosed with AN and 61% of those diagnosed with BN were fully recovered. AN binge/purge subtype (ANBP) demonstrated the most extended median survival time of all diagnostic subgroups (the point at which half of the group has reached full recovery). Diagnostic crossover was low. A younger age at detection predicted recovery at outcome for AN and BN. One patient (AN) died.


CONCLUSIONS
The results of this study on differences in outcome and low crossover support the diagnostic distinction between AN and BN in the DSM-IV. Early detection is of major importance for a favorable outcome.
van Son
Gabriëlle E
GE
Center for Eating Disorders Ursula, Leidschendam, The Netherlands. g.vanson@centrumeetstoornissen.nl
van Hoeken
Daphne
D
van Furth
Eric F
EF
Donker
Gé A
GA
Hoek
Hans W
HW
D000293:Adolescent; D000328:Adult; D000856:Anorexia Nervosa / Q000453:epidemiology* / Q000401:mortality / Q000628:therapy*; D015992:Body Mass Index; D052018:Bulimia Nervosa / Q000453:epidemiology* / Q000401:mortality / Q000628:therapy*; D003625:Data Collection; D039721:Diagnostic and Statistical Manual of Mental Disorders; D001068:Feeding and Eating Disorders / Q000453:epidemiology / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D008297:Male; D009426:Netherlands / Q000453:epidemiology; D011379:Prognosis; D011795:Surveys and Questionnaires; D013997:Time Factors; D055815:Young Adult