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An assessment of general outcome (based on the Morgan-Russell scales) yielded three outcome categories: \u2018good\u2019 (<jats:italic>n<\/jats:italic> = 12), \u2018intermediate\u2019 (<jats:italic>n<\/jats:italic> = 13) and \u2018poor\u2019 (<jats:italic>n<\/jats:italic> = 15). Six patients (15%) had died from causes related to anorexia nervosa; at least 15% had developed bulimia nervosa. There was a general consistency between the follow-up at 20 years and that previously conducted five years after admission, although with a few individual patients there were serious prognostic errors at the earlier follow-up. A poorer outcome was associated with a later age of onset, a history of neurotic and personality disturbances, disturbed relationships in the family and a longer duration of illness.<\/jats:p>","DOI":"10.1192\/bjp.158.4.495","type":"journal-article","created":{"date-parts":[[2008,10,15]],"date-time":"2008-10-15T17:25:27Z","timestamp":1224091527000},"page":"495-502","source":"Crossref","is-referenced-by-count":287,"title":["Anorexia Nervosa: Outcome and Prognostic Factors after 20 Years"],"prefix":"10.1192","volume":"158","author":[{"given":"R. H.","family":"Ratnasuriya","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I.","family":"Eisler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G. I.","family":"Szmukler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G. F. 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