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A Journal on Psychiatry, Psychology and Psychopharmacology

Official Journal of the Italian Society of Social Psychiatry
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Minerva Psichiatrica 1999 December;40(4):237-48

language: Italian

Prognostic factors in early onset anorexia nervosa

Muratori F., Luccherino L., Bianco S., Mengheri L.


Background and aim. This paper aims to highlight the prognosis factors for anorexic disorders occurring before the age of 18.
Methods. A clinical re-evaluation was made of a sample of thirty adolescents examined during the onset of the disorder.
Results. Three possible forms of evolution were identified: total recovery, persistent eating disorders and the development of a psychiatric disorder. A number of prognostic factors were identified on the basis of this distinction: early age at onset (<13 years) plays an important role in the evolution of a psychiatric disorder; the treatment carried out did not influence the evolution of the disorder, whereas a short interval between onset of disease and admittance to hospital indicates a positive prognostic role. Another positive prognostic factor is a continuing good performance at school; lasting damage to social relations represents a negative prognostic factor.
Conclusions. In view of these findings, the authors emphasise the importance of taking early psychiatric action for the secondary prevention of these disorders.

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