{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T01:52:50Z","timestamp":1790733170960,"version":"4.1.0"},"reference-count":33,"publisher":"Royal College of Psychiatrists","issue":"2","license":[{"start":{"date-parts":[[2019,5,22]],"date-time":"2019-05-22T00:00:00Z","timestamp":1558483200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Psychiatry"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:sec id=\"S0007125019001132_sec_a1\" sec-type=\"other\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Little is known about the long-term outcome of anorexia nervosa.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0007125019001132_sec_a2\" sec-type=\"other\">\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To study the 30-year outcome of adolescent-onset anorexia nervosa.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0007125019001132_sec_a3\" sec-type=\"methods\">\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>All 4291 individuals born in 1970 and attending eighth grade in 1985 in Gothenburg, Sweden were screened for anorexia nervosa. A total of 24 individuals (age cohort for anorexia nervosa) were pooled with 27 individuals with anorexia nervosa (identified through community screening) who were born in 1969 and 1971\u20131974. The 51 individuals with anorexia nervosa and 51 school- and gender-matched controls were followed prospectively and examined at mean ages of 16, 21, 24, 32 and 44. Psychiatric disorders, health-related quality of life and general outcome were assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0007125019001132_sec_a4\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>At the 30-year follow-up 96% of participants agreed to participate. There was no mortality. Of the participants, 19% had an eating disorder diagnosis (6% anorexia nervosa, 2% binge-eating disorder, 11% other specified feeding or eating disorder); 38% had other psychiatric diagnoses; and 64% had full eating disorder symptom recovery, i.e. free of all eating disorder criteria for 6 consecutive months. During the elapsed 30 years, participants had an eating disorder for 10 years, on average, and 23% did not receive psychiatric treatment. Good outcome was predicted by later age at onset among individuals with adolescent-onset anorexia nervosa and premorbid perfectionism.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0007125019001132_sec_a5\" sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This long-term follow-up study reflects the course of adolescent-onset anorexia nervosa and has shown a favourable outcome regarding mortality and full symptom recovery. However, one in five had a chronic eating disorder.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1192\/bjp.2019.113","type":"journal-article","created":{"date-parts":[[2019,5,22]],"date-time":"2019-05-22T04:25:52Z","timestamp":1558499152000},"page":"97-104","source":"Crossref","is-referenced-by-count":189,"title":["Anorexia nervosa: 30-year outcome"],"prefix":"10.1192","volume":"216","author":[{"given":"Sandra Rydberg","family":"Dobrescu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Dinkler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carina","family":"Gillberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"R\u00e5stam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Gillberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabet","family":"Wentz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2019,5,22]]},"reference":[{"key":"S0007125019001132_ref28","doi-asserted-by":"crossref","first-page":"1630","DOI":"10.1176\/ajp.152.11.1630","article-title":"Persistent perfectionism, symmetry, and exactness after long-term recovery from anorexia nervosa","volume":"152","author":"Srinivasagam","year":"1995","journal-title":"Am J Psychiatry"},{"key":"S0007125019001132_ref27","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7967(02)00088-8"},{"key":"S0007125019001132_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3956(85)90059-7"},{"key":"S0007125019001132_ref22","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22736"},{"key":"S0007125019001132_ref21","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22415"},{"key":"S0007125019001132_ref20","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1098-108X(199712)22:4<339::AID-EAT1>3.0.CO;2-N"},{"key":"S0007125019001132_ref18","volume-title":"SF-36 Health Questionnaire (Swedish Manual and Interpretation Guide)","author":"Sullivan","year":"2002"},{"key":"S0007125019001132_ref16","volume-title":"Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5)","year":"2013"},{"key":"S0007125019001132_ref14","first-page":"22","article-title":"The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10","volume":"59","author":"Sheehan","year":"1998","journal-title":"J Clin Psychiatry"},{"key":"S0007125019001132_ref13","volume-title":"Neuropsychiatric aspects of perceptual, motor and attention deficits in seven-year-old Swedish children","author":"Gillberg","year":"1981"},{"key":"S0007125019001132_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(99)05363-5"},{"key":"S0007125019001132_ref32","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1002\/1098-108X(199412)16:4<363::AID-EAT2260160405>3.0.CO;2-#","article-title":"Assessment of eating disorders: interview or self-report questionnaire?","volume":"16","author":"Fairburn","year":"1994","journal-title":"Int J Eat Disord"},{"key":"S0007125019001132_ref4","doi-asserted-by":"publisher","DOI":"10.1097\/00004583-199406000-00014"},{"key":"S0007125019001132_ref2","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2011.74"},{"key":"S0007125019001132_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chc.2008.07.013"},{"key":"S0007125019001132_ref12","volume-title":"Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV)","year":"1994"},{"key":"S0007125019001132_ref7","doi-asserted-by":"publisher","DOI":"10.1097\/00004583-199209000-00007"},{"key":"S0007125019001132_ref3","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2007.06081388"},{"key":"S0007125019001132_ref23","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)04406-8"},{"key":"S0007125019001132_ref24","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-012-0157-z"},{"key":"S0007125019001132_ref9","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.15m10393"},{"key":"S0007125019001132_ref19","doi-asserted-by":"publisher","DOI":"10.1038\/nrdp.2015.74"},{"key":"S0007125019001132_ref11","volume-title":"Diagnostic and Statistical Manual of Mental Disorders, of Mental Disorders, 3rd edition revised (DSM-III-R)","year":"1987"},{"key":"S0007125019001132_ref15","volume-title":"Structured Clinical Interview for DSM-IV Axis I Disorders - Patient Edition (SCID-I\/P, Version 2.0, 4\/97 Revision)","author":"First","year":"1997"},{"key":"S0007125019001132_ref5","doi-asserted-by":"publisher","DOI":"10.1111\/1469-7610.00757"},{"key":"S0007125019001132_ref26","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.56.5.468"},{"key":"S0007125019001132_ref31","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-017-0145-3"},{"key":"S0007125019001132_ref33","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.1994.tb13183.x"},{"key":"S0007125019001132_ref30","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1991.01810320036006"},{"key":"S0007125019001132_ref29","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.155.7.939"},{"key":"S0007125019001132_ref6","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.107.048686"},{"key":"S0007125019001132_ref17","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.159.8.1284"},{"key":"S0007125019001132_ref25","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22840"}],"container-title":["The British Journal of Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0007125019001132","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,9,18]],"date-time":"2022-09-18T07:15:32Z","timestamp":1663485332000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0007125019001132\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,5,22]]},"references-count":33,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2020,2]]}},"alternative-id":["S0007125019001132"],"URL":"https:\/\/doi.org\/10.1192\/bjp.2019.113","relation":{"has-review":[{"id-type":"doi","id":"10.3410\/f.735813795.793574909","asserted-by":"object"}]},"ISSN":["0007-1250","1472-1465"],"issn-type":[{"value":"0007-1250","type":"print"},{"value":"1472-1465","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,5,22]]}}}