title: Long-term health-related quality of life in eating disorders.
abstract: There is limited evidence on the long-term development of health-related quality of life (HRQoL) in eating disorders and its relation to eating disorder symptoms. Our objective was to measure long-term change in the HRQoL of eating disorder patients and compare it to normal population.
  
  
  
  Fifty-four bulimia nervosa (BN) and forty-seven anorexia nervosa (AN) patients (ICD-10 diagnosis) entering treatment completed the 15D HRQoL questionnaire and the Eating Disorder Inventory (EDI) before and approximately 8 years after the start of treatment.
  
  
  
  Baseline HRQoL was severely impaired in the patients. During follow-up, mean HRQoL, body mass index (BMI) and EDI improved statistically significantly in both groups. BMI of AN patients reached normal values, but HRQoL was still severely impaired in both AN and BN compared to general population.
  
  
  
  The long-term HRQoL after treatment continues to improve, but is still after 8 years poor. Eating disorders are very serious conditions with long-lasting impact on quality of life even after symptom remission.
authors.affiliation: Department of Psychiatry, Hospital District of Helsinki and Uusimaa, Helsinki, Finland. veera.pohjolainen@fimnet.fi.|Department of Psychiatry, City of Helsinki, Health Centre, Helsinki, Finland. veera.pohjolainen@fimnet.fi.|Department of Psychiatry, University of Helsinki, Helsinki, Finland. veera.pohjolainen@fimnet.fi.|Aurora Hospital, Nordenskiöldinkatu 20, 00250, Helsinki, Finland. veera.pohjolainen@fimnet.fi.
authors.forename: Veera
authors.initials: V
authors.lastname: Pohjolainen
authors.affiliation: Department of Psychiatry, Hospital District of Helsinki and Uusimaa, Helsinki, Finland.|Department of Psychiatry, University of Helsinki, Helsinki, Finland.
authors.forename: Salla
authors.initials: S
authors.lastname: Koponen
authors.affiliation: External Evaluation Unit, Hospital District of Helsinki and Uusimaa, Helsinki, Finland.
authors.forename: Pirjo
authors.initials: P
authors.lastname: Räsänen
authors.affiliation: External Evaluation Unit, Hospital District of Helsinki and Uusimaa, Helsinki, Finland.|University of Eastern Finland, Kuopio, Finland.
authors.forename: Risto P
authors.initials: RP
authors.lastname: Roine
authors.affiliation: Department of Public Health, University of Helsinki, Helsinki, Finland.
authors.forename: Harri
authors.initials: H
authors.lastname: Sintonen
authors.affiliation: Department of Psychiatry, University of Turku and Hospital District of Southwest Finland, Turku, Finland.
authors.forename: Hasse
authors.initials: H
authors.lastname: Karlsson
mesh_terms: D000856:Anorexia Nervosa / Q000523:psychology*; D052018:Bulimia Nervosa / Q000523:psychology*; D001068:Feeding and Eating Disorders / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D018434:Sickness Impact Profile; D011795:Surveys and Questionnaires
keywords: Anorexia nervosa; Bulimia nervosa; Eating disorders; Health-related quality of life (HRQoL)