{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T04:58:12Z","timestamp":1788929892405,"version":"build-2803163510"},"reference-count":35,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2019,4,19]],"date-time":"2019-04-19T00:00:00Z","timestamp":1555632000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Christina Barz-Stiftung","award":["none"],"award-info":[{"award-number":["none"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess the long\u2010term outcome and identify outcome predictors in a very large sample of inpatients treated for bulimia nervosa (BN).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      Out of a total of 2,033 patients admitted consecutively to specialized treatment, 1,351 patients (mean age at treatment 25.94) were assessed for follow\u2010up on average 11 (\n                      <jats:italic>SD<\/jats:italic>\n                      6) years after admission. Also a very long\u2010term (21\u2009years) subsample (\n                      <jats:italic>N<\/jats:italic>\n                      =\u2009147; mean age 25.92) was defined. Bivariate and logistic regression analyses identified predictors of poor outcome.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      For more than 70% of the patients follow\u2010up information could be gathered. Severity of eating disorder (ED) and other symptoms decreased over time but remained higher than in healthy controls, using published normative data. Remission rate was 38% after 11\u2009years and 42% in the subsample after 21\u2009years. Out of the total sample of\n                      <jats:italic>N<\/jats:italic>\n                      =\u20092,033 patients, 49 had died (2.4%). Persistent BN was found in 14.2% and the most frequent crossover was to ED not otherwise specified. Predictors of poor outcome were fewer follow\u2010up years, higher drive for thinness, higher age at treatment, and less global functioning.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Based on clinical indicators, patients presented with a high level of ED and psychiatric symptomatology. With less than half of the patients remitted after 22\u2009years, efforts are needed to improve treatment outcome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.23084","type":"journal-article","created":{"date-parts":[[2019,4,19]],"date-time":"2019-04-19T09:35:10Z","timestamp":1555666510000},"page":"834-845","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":43,"title":["Long\u2010term outcome of inpatients with bulimia nervosa\u2014Results from the Christina Barz Study"],"prefix":"10.1002","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6252-3315","authenticated-orcid":false,"given":"Norbert","family":"Quadflieg","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Psychotherapy University of Munich (LMU)  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8788-4878","authenticated-orcid":false,"given":"Manfred M.","family":"Fichter","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy University of Munich (LMU)  Munich Germany"},{"name":"Sch\u00f6n Klinik Roseneck affiliated with the Medical Faculty of the University of Munich(LMU)  Prien Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,4,19]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3999(97)00272-9"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22346"},{"key":"e_1_2_8_4_1","volume-title":"Diagnostic and statistical manual for mental disorders","author":"American Psychiatric Association","year":"1994"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1961.01710120031004"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)04406-8"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0010-440X(98)90062-1"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.1071"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1159\/000329358"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/PSY.0b013e31820a1838"},{"key":"e_1_2_8_11_1","volume-title":"Statistical power analysis for the behavioral sciences","author":"Cohen J.","year":"1988"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.164.1.80"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700048017"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/10503307.2016.1210834"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.15m10393"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(199412)16:4<363::AID-EAT2260160405>3.0.CO;2-#"},{"key":"e_1_2_8_17_1","first-page":"272","article-title":"Outcome and clinical course in inpatient bulimic women: A 2\u2010 to 9\u2010year follow\u2010up study","volume":"52","author":"Fallon B. 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