title: Outcome of eating disorders in a Japanese sample: a 4- to 9-year follow-up study.
abstract: OBJECTIVE
  The aim of this study was to compare the outcome of eating disorders (EDs) in Japan with that in Western countries.
  
  
  METHODS
  Two hundred and thirty-three Japanese women with an ED were followed for 4 to 9 years. We identified fully recovered women (good outcome group), partially recovered women (intermediate outcome group) and women with an active ED (poor outcome group) based on physical, behavioural and psychological indices.
  
  
  RESULTS
  Ninety-seven subjects were categorized as having a good outcome, 58 as intermediate and 61 as poor, and 17 had died. There was a significant difference in outcome results among the types of ED at intake. Women with both anorexia nervosa and bulimia nervosa, diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders, Third Edition, Revised, at intake had the worst recovery rates.
  
  
  CONCLUSIONS
  These results suggest that the outcome of EDs in Japan is relatively similar to that in Western countries, irrespective of sociocultural background and health systems.
authors.affiliation: Kyoto Institute of Health Sciences, Kyoto, Japan.
authors.forename: Yoshikatsu
authors.initials: Y
authors.lastname: Nakai
authors.forename: Kazuko
authors.initials: K
authors.lastname: Nin
authors.forename: Shun'ichi
authors.initials: S
authors.lastname: Noma
authors.forename: Seiji
authors.initials: S
authors.lastname: Hamagaki
authors.forename: Ryuro
authors.initials: R
authors.lastname: Takagi
authors.forename: Stephen A
authors.initials: SA
authors.lastname: Wonderlich
mesh_terms: D000293:Adolescent; D000328:Adult; D000856:Anorexia Nervosa / Q000150:complications / Q000175:diagnosis; D052018:Bulimia Nervosa / Q000150:complications / Q000175:diagnosis; D003431:Cross-Cultural Comparison; D039721:Diagnostic and Statistical Manual of Mental Disorders; D001068:Feeding and Eating Disorders / Q000523:psychology / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007564:Japan; D016896:Treatment Outcome; D055815:Young Adult
keywords: anorexia nervosa; bulimia nervosa; outcome