title: Trans-diagnostic outcome of eating disorders: A 30-month follow-up study of 629 patients.
abstract: OBJECTIVE
  To assess the 30-month outcome and predictors of outcome in a cohort of patients with any eating disorder (ED).
  
  
  METHODS
  A naturalistic design was used to determine time to remission, predictors of remission, relapse, diagnostic cross-over and mortality of 629 patients.
  
  
  RESULTS
  At follow-up (FU) 312 patients attended, 42% obtained full remission and 72% partial remission. No differences were found between diagnostic groups for adolescents. Adult patients with anorexia-like eating disorder not otherwise specified-anorexia nervosa (EDNOS-AN) had the poorest outcome. Bulimia-like EDNOS was the most frequent relapse diagnosis. Bingeing/purging behaviour predicted a poorer outcome for individuals with bulimic disorders. Desired low BMI predicted a poorer outcome for individuals with anorexia. Comorbid personality disorder was a common predictor of a worse outcome.
  
  
  CONCLUSIONS
  Adults with EDNOS-AN had the poorest prognosis. Bulimic symptoms emerged frequently during FU regardless of diagnosis. Remission rates and outcome predictors were similar to previous findings.
authors.affiliation: Eating Disorder Centre, Regional Centre of Child- and Adolescent Psychiatry, Aarhus University Hospital, Risskov, Denmark. jannhelv@rm.dk
authors.forename: J L
authors.initials: JL
authors.lastname: Helverskov
authors.forename: L
authors.initials: L
authors.lastname: Clausen
authors.forename: O
authors.initials: O
authors.lastname: Mors
authors.forename: M
authors.initials: M
authors.lastname: Frydenberg
authors.forename: P H
authors.initials: PH
authors.lastname: Thomsen
authors.forename: K
authors.initials: K
authors.lastname: Rokkedal
mesh_terms: D000293:Adolescent; D000328:Adult; D016009:Chi-Square Distribution; D005196:Family Therapy; D001068:Feeding and Eating Disorders / Q000175:diagnosis* / Q000628:therapy*; D005500:Follow-Up Studies; D006801:Humans; D053208:Kaplan-Meier Estimate; D011379:Prognosis; D016016:Proportional Hazards Models; D011615:Psychotherapy, Group; D012008:Recurrence; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D016896:Treatment Outcome