title: One-year outcome and incidence of anorexia nervosa and restrictive eating disorders among adolescent girls treated as out-patients in a family-based setting.
abstract: Aims To study the 1-year outcome and to analyse predictors of outcome of a cohort of adolescent girls with anorexia nervosa (AN) or restrictive eating disorders not otherwise specified (EDNOSr) treated as out-patients in a family-based programme at a specialized eating disorder service. To calculate the incidence of anorexia nervosa among treatment-seeking girls younger than 18 in Uppsala County from 2004 to 2006. Methods A total of 168 female patients were offered treatment, and 141 were followed-up 1 year after starting treatment, 29 with AN and 112 with EDNOSr. Results Of the 29 girls who initially had AN, 6 (20%) had a good outcome and were free of any form of eating disorder at follow-up; only 1 (3%) had AN. Of the patients with EDNOSr, 54 (48%) had a good outcome and were free of eating disorders. Three (3%) had a poor outcome and had developed AN. The incidence of AN was 18/100,000 person-years in girls younger than 12 and 63/100,000 in girls younger than 18. Conclusion Restrictive eating disorders, including AN, in children and adolescents can be successfully treated in a family-based specialized out-patient service without in-patient care.
authors.affiliation: a Department of Neuroscience, Child and Adolescent Psychiatry , Uppsala University Hospital , Uppsala , Sweden ;
authors.forename: Agneta
authors.initials: A
authors.lastname: Rosling
authors.affiliation: a Department of Neuroscience, Child and Adolescent Psychiatry , Uppsala University Hospital , Uppsala , Sweden ;
authors.forename: Helena
authors.initials: H
authors.lastname: Salonen Ros
authors.affiliation: b Department of Women's and Children's Health , Uppsala University , Uppsala , Sweden.
authors.forename: Ingemar
authors.initials: I
authors.lastname: Swenne
mesh_terms: D000293:Adolescent; D000856:Anorexia Nervosa / Q000453:epidemiology* / Q000628:therapy; D002648:Child; D001068:Feeding and Eating Disorders / Q000453:epidemiology* / Q000628:therapy; D005260:Female; D006801:Humans; D015994:Incidence; D008598:Menstruation; D017063:Outcome Assessment, Health Care; D010045:Outpatients; D016032:Randomized Controlled Trials as Topic
keywords: Adolescent; anorexia nervosa; day care; family-based treatment; incidence; out-patient