title: Effective treatment of eating disorders: Results at multiple sites.
abstract: We report the results of a study based on 1,428 patients with eating disorders treated at 6 clinics. These patients were consecutively referred over 18 years and used inpatient and outpatient treatment. The subjects were diagnosed with anorexia nervosa, bulimia nervosa, or an eating disorder not otherwise specified. Patients practiced a normal eating pattern with computerized feedback technology, they were supplied with external heat, their physical activity was reduced, and their social habits restored to allow them to return to their normal life. The estimated rate of remission for this therapy was 75% after a median of 12.5 months of treatment. A competing event such as the termination of insurance coverage, or failure of the treatment, interfered with outcomes in 16% of the patients, and the other patients remained in treatment. Of those who went in remission, the estimated rate of relapse was 10% over 5 years of follow-up and there was no mortality. These data replicate the outcomes reported in our previous studies and they compare favorably with the poor long-term remission rates, the high rate of relapse, and the high mortality rate reported with standard treatments for eating disorders.
authors.affiliation: Mandometer Clinic.
authors.forename: Cecilia
authors.initials: C
authors.lastname: Bergh
authors.affiliation: Mandometer Clinic.
authors.forename: Monica
authors.initials: M
authors.lastname: Callmar
authors.affiliation: Mandometer Clinic.
authors.forename: Sophia
authors.initials: S
authors.lastname: Danemar
authors.affiliation: Mandometer Clinic.
authors.forename: Mats
authors.initials: M
authors.lastname: Hölcke
authors.affiliation: Mandometer Clinic.
authors.forename: Susanne
authors.initials: S
authors.lastname: Isberg
authors.affiliation: Mandometer Clinic.
authors.forename: Michael
authors.initials: M
authors.lastname: Leon
authors.affiliation: Mandometer Clinic.
authors.forename: Jessica
authors.initials: J
authors.lastname: Lindgren
authors.affiliation: Mandometer Clinic.
authors.forename: Asa
authors.initials: A
authors.lastname: Lundqvist
authors.affiliation: Mandometer Clinic.
authors.forename: Maria
authors.initials: M
authors.lastname: Niinimaa
authors.affiliation: Mandometer Clinic.
authors.forename: Barbro
authors.initials: B
authors.lastname: Olofsson
authors.affiliation: Mandometer Clinic.
authors.forename: Karolina
authors.initials: K
authors.lastname: Palmberg
authors.affiliation: Mandometer Clinic.
authors.forename: Anna
authors.initials: A
authors.lastname: Pettersson
authors.affiliation: Mandometer Clinic.
authors.forename: Modjtaba
authors.initials: M
authors.lastname: Zandian
authors.affiliation: Mandometer Clinic.
authors.forename: Kajsa
authors.initials: K
authors.lastname: Asberg
authors.affiliation: Section of Medical Statistics.
authors.forename: Ulf
authors.initials: U
authors.lastname: Brodin
authors.affiliation: Pomerado Hospital.
authors.forename: Louis
authors.initials: L
authors.lastname: Maletz
authors.affiliation: Mandometer Clinic.
authors.forename: John
authors.initials: J
authors.lastname: Court
authors.affiliation: Mandometer Clinic.
authors.forename: Iva
authors.initials: I
authors.lastname: Iafeta
authors.affiliation: Mandometer Clinic.
authors.forename: Mikael
authors.initials: M
authors.lastname: Björnström
authors.affiliation: Mandometer Clinic.
authors.forename: Caroline
authors.initials: C
authors.lastname: Glantz
authors.affiliation: Mandometer Clinic.
authors.forename: Linda
authors.initials: L
authors.lastname: Kjäll
authors.affiliation: Mandometer Clinic.
authors.forename: Pia
authors.initials: P
authors.lastname: Rönnskog
authors.affiliation: Mandometer Clinic.
authors.forename: Jennie
authors.initials: J
authors.lastname: Sjöberg
authors.affiliation: Mandometer Clinic.
authors.forename: Per
authors.initials: P
authors.lastname: Södersten
mesh_terms: D000293:Adolescent; D000328:Adult; D000856:Anorexia Nervosa / Q000175:diagnosis / Q000401:mortality / Q000628:therapy*; D052018:Bulimia Nervosa / Q000175:diagnosis / Q000401:mortality / Q000628:therapy*; D005247:Feeding Behavior / Q000502:physiology*; D001068:Feeding and Eating Disorders / Q000175:diagnosis / Q000401:mortality / Q000628:therapy*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D012008:Recurrence; D016896:Treatment Outcome; D055815:Young Adult