The course and outcome of eating disorders in adults and in adolescents: a review.

Martin Fisher
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Abstract

Over 100 studies have been published in the literature to date on the course and outcome of eating disorders. These have generally shown that approximately 50% of patients do well over time, approximately 30% do reasonably well but continue to have symptoms, and approximately 20% do poorly. In this article, the literature on the course and outcome of eating disorders is reviewed from two perspectives. The first is an analysis of studies in adults, looking in depth at a range of issues (weight, eating behaviors, menstrual function, psychosocial functioning, psychosexual function, mortality, bulimia nervosa, long-term follow-up, comorbidity, and prognostic factors) and reviewing the difficulties inherent to the performance of all eating disorders follow-up studies. The second is an analysis of whether adolescents with eating disorders have a better prognosis than adults, as has been considered in the literature. It is concluded that adolescents do, in fact, have a somewhat better prognosis than adults, with the differences seeming to be greater with a longer duration of follow-up.

成人和青少年饮食失调的过程和结果:综述。
迄今为止,已有100多项关于饮食失调的过程和结果的研究发表在文献中。这些研究表明,大约50%的患者在一段时间内表现良好,大约30%的患者表现良好,但仍有症状,大约20%的患者表现不佳。本文从两个方面综述了进食障碍的过程和结果。首先是对成人研究的分析,深入研究了一系列问题(体重、饮食行为、月经功能、社会心理功能、性心理功能、死亡率、神经性贪食症、长期随访、合并症和预后因素),并回顾了所有饮食失调随访研究中固有的困难。第二个是分析是否有饮食失调的青少年比成年人有更好的预后,正如文献中所考虑的那样。结论是,青少年确实比成年人有更好的预后,而且随着随访时间的延长,这种差异似乎更大。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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