{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T09:47:27Z","timestamp":1791280047599,"version":"4.1.0"},"reference-count":32,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,10,30]],"date-time":"2013-10-30T00:00:00Z","timestamp":1383091200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2014,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>\u2003To examine factors associated with the outcome of anorexia nervosa among women from the general population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>\u2003Women (<jats:italic>N<\/jats:italic>\u2009=\u20092,881) from the 1975\u20131979 birth cohorts of Finnish twins were screened for lifetime DSM\u2010IV anorexia nervosa (<jats:italic>N<\/jats:italic>\u2009=\u200955 cases) using questionnaires and the SCID interview. Potential factors associated with the likelihood of recovery were addressed in the same assessment. Recovery was defined as restoration of weight, menstruation, and the absence of bingeing and purging for at least one year prior to assessment. Using two\u2010tailed <jats:italic>t<\/jats:italic> tests and Pearson's chi\u2010square tests, we contrasted recovered (<jats:italic>N<\/jats:italic>\u2009=\u200939) and unrecovered (<jats:italic>N<\/jats:italic>\u2009=\u200916) women. We then used logistic regression adjusted for duration of illness and Cox proportional hazard models to account for the variable lengths of illness on prognostic factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>\u2003Unrecovered women were more likely to suffer from depressive symptoms prior to eating disorder onset (18.8% vs. 2.6%, <jats:italic>p<\/jats:italic>\u2009=\u20090.04), remain unemployed (18.8% vs. 2.6%, <jats:italic>p<\/jats:italic>\u2009=\u20090.04), report dissatisfaction with their current partner\/spouse (<jats:italic>p<\/jats:italic>\u2009=\u20090.02), and report high perfectionism (<jats:italic>p<\/jats:italic>\u2009=\u20090.05) than were recovered women. When duration of illness was accounted for in the analyses, premorbid depression was the sole factor significantly associated with decreased likelihood of recovery (hazard ratio 0.17, 95% confidence interval: 0.03\u20130.89).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Predicting the course of anorexia remains fraught with difficulty, but premorbid depressive symptoms are associated with poor outcome of anorexia nervosa in the general population. \u00a9 2013 Wiley Periodicals, Inc. (Int J Eat Disord 2014; 47:117\u2013123)<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.22168","type":"journal-article","created":{"date-parts":[[2013,10,30]],"date-time":"2013-10-30T13:08:34Z","timestamp":1383138514000},"page":"117-123","source":"Crossref","is-referenced-by-count":54,"title":["Factors associated with recovery from anorexia nervosa: A population\u2010based study"],"prefix":"10.1002","volume":"47","author":[{"given":"Anna","family":"Keski\u2010Rahkonen","sequence":"first","affiliation":[{"name":"Department of Public Health University of Helsinki Helsinki Finland"},{"name":"Department of Psychiatry Helsinki University Central Hospital Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anu","family":"Raevuori","sequence":"additional","affiliation":[{"name":"Department of Public Health University of Helsinki Helsinki Finland"},{"name":"Department of Adolescent Psychiatry Helsinki University Central Hospital Helsinki Finland"},{"name":"Institute 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