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Minerva Psichiatrica 1999 December;40(4):237-48

Copyright © 1999 EDIZIONI MINERVA MEDICA

language: Italian

Prognostic factors in early onset anorexia nervosa

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


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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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