Abstract
Aim of the studyThe aim of this study was to assess factors associated with outcome of eating disorders in Polish teenage patients.Subject or material and methodsAnalyses covered the data of 47 patients diagnosed with any of the eating disorders according to DSM IV consulted for the first time in the outpatients clinic of the Child and Adolescent Psychiatry Unit between 2002/2004 in Krakow (DGN1), Poland and then followed-up between 2009/2011 (DGN2). The influence of the number of variables collected at DGN1 on outcomes were analysed.ResultsThe outcomes of anorexia nervosa and bulimia nervosa are influenced by some aspects of clinical picture, patients’ objective family situation, their self-image and the perception they have of their family relations. The co-occurrence of depressive symptoms and younger age of parents proved to be the most clinically important negative outcome predictors in whole group of eating disorders.DiscussionSmall size of group in the follow-up study is the most important limitating factor.ConclusionsConclusion: Outcomes in eating disorders are affected by several psycho-bio-social factors common for all patients and specific for diagnosis type they initially present.
Highlights
A few factors turn out to have reliable identification of influence on outcomes of eating disorders (ED)
Based on DGN2, the patients were assigned to the category of remission (CAT). 20 subjects turned out to be fully remittant (REM), 5 patients were enrolled in the group with symptoms of disordered eating without clinical signs (DISEAT), 11 in the group of subclinical symptoms according to DSM-IV (EDNOS), 11 in the group with clinical symptoms of eating disorders according to DSM-IV (CLIN)
The presence of statistically significant differences between the groups involved in the follow up study (n = 47) and those not involved (n = 65) was shown only concerning the average age of the fathers of the girls who did not participate in the study (44.56 ± 5.26 years) and the average age of the fathers of the girls who participated in the DGN2 follow up (47.23 ± 5.62) (t (86.28) = -2.33, p =0.02)
Summary
A few factors turn out to have reliable identification of influence on outcomes of eating disorders (ED). Important clinical aspects related to the negative outcome of anorexia nervosa (AN) include: the beginning of symptoms during adolescence, the incidence of vomiting, Maciej Wojciech Pilecki, Barbara Józefik, Dorota Solecka, Patrycja Cygankiewicz3: 1Department of Child and Adolescent Psychiatry, Jagiellonian University, Collegium Medicum, 2Laboratory of Psychology and Systemic Psychotherapy, Department of Child and Adolescent Psychiatry, Jagiellonian University Medical College, 3Clinical Ward of Adult, Child and Adolescent Psychiatry at the University Hospital in Krakow. Predictors of collapse in the course of treatment include a lower desired weight, lower scores in the Eating Disorders Inventory (EDI) and treatment in a non-specialised centre [3]. It should be noted, that conclusions from various studies and meta-analyses sometimes provide contradictory results [1]. In the eating disorders not otherwise specified (EDNOS) group the presence of anorexic symptoms is a significant negative prognostic [3]
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