{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T16:07:04Z","timestamp":1791216424827,"version":"4.1.0"},"reference-count":62,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,5,18]],"date-time":"2021-05-18T00:00:00Z","timestamp":1621296000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004785","name":"NordForsk","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004785","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Euro Eating Disorders Rev"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>We assessed the detection, treatment and outcomes of DSM\u20105 eating disorders in a nationwide community setting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>The FinnTwin12 cohort comprises twins born in 1983\u20131987 in Finland (<jats:italic>n<\/jats:italic>\u00a0=\u00a05,600), with follow\u2010up starting at age 12. We outline treatment and outcomes of the 127 females and 15 males diagnosed with a lifetime DSM\u20105 eating disorder in interviews conducted for a subsample (<jats:italic>n<\/jats:italic>\u00a0=\u00a01,347) in their early 20s.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Only 45 (32%) of those diagnosed with eating disorder in the interviews had their condition detected in healthcare, and even fewer received treatment (30% of females, 13% of males). Anorexia nervosa (AN), bulimia nervosa, and atypical AN were detected and treated more often than other eating disorders. Five years after disease onset, 41% of those diagnosed had recovered. There were no statistically significant differences in the course of different eating disorders (log\u2010rank <jats:italic>p<\/jats:italic>\u00a0=\u00a00.66) but the outcome was more favourable among males (log\u2010rank <jats:italic>p<\/jats:italic>\u00a0=\u00a00.008). The likelihood of 5\u2010year recovery did not differ between those who had and who had not received treatment (41.1% vs. 40.5%, log\u2010rank <jats:italic>p<\/jats:italic>\u00a0=\u00a00.66).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Although eating disorders are common and symptoms are persistent for many, they remain under\u2010diagnosed and under\u2010treated. In real\u2010world settings, effectiveness of provided treatments may be limited.<\/jats:p><\/jats:sec>","DOI":"10.1002\/erv.2838","type":"journal-article","created":{"date-parts":[[2021,5,19]],"date-time":"2021-05-19T03:11:30Z","timestamp":1621393890000},"page":"720-732","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":44,"title":["Detection, treatment, and course of eating disorders in Finland: A population\u2010based study of adolescent and young adult females and males"],"prefix":"10.1002","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5065-2566","authenticated-orcid":false,"given":"Yasmina","family":"Sil\u00e9n","sequence":"first","affiliation":[{"name":"Clinicum, Department of Public Health University of Helsinki  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4886-8151","authenticated-orcid":false,"given":"Pyry N.","family":"Sipil\u00e4","sequence":"additional","affiliation":[{"name":"Clinicum, Department of Public Health University of Helsinki  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anu","family":"Raevuori","sequence":"additional","affiliation":[{"name":"Clinicum, Department of Public Health University of Helsinki  Helsinki Finland"},{"name":"Department of Adolescent Psychiatry University of Helsinki and Helsinki University Central Hospital  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Mustelin","sequence":"additional","affiliation":[{"name":"Institute for Molecular Medicine Finland (FIMM) University of Helsinki  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mauri","family":"Marttunen","sequence":"additional","affiliation":[{"name":"Department of Adolescent Psychiatry University of Helsinki and Helsinki University Central Hospital  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaakko","family":"Kaprio","sequence":"additional","affiliation":[{"name":"Clinicum, Department of Public Health University of Helsinki  Helsinki Finland"},{"name":"Institute for Molecular Medicine Finland (FIMM) University of Helsinki  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Keski\u2010Rahkonen","sequence":"additional","affiliation":[{"name":"Clinicum, Department of Public Health University of Helsinki  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,5,18]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20708"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920\u2010018\u20100932\u20109"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(00)04406\u20108"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781118574089.ch55"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20213"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337\u2010017\u20100164\u20100"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.2019.113"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2503"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2159"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22257"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22736"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20539"},{"key":"e_1_2_10_15_1","volume-title":"Structured clinical interview for DSM\u2010IV\u2010TR axis I disorders, research version, patient edition. 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