Assessment of Long-Term Treatment Results in Women Suffering from Anorexia Nervosa in Adolescence

Magdalena Wszolek; Karolina Ziora-Jakutowicz; Piotr Gorczyca; Katarzyna Rojewska; Katarzyna Ziora

doi:10.5114/pedm.2021.109268

eISSN: 2083-8441
ISSN: 2081-237X

Pediatric Endocrinology Diabetes and Metabolism

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abstract:

Original paper

Assessment of Long-Term Treatment Results in Women Suffering from Anorexia Nervosa in Adolescence

Magdalena Wszolek

¹

,

Karolina Ziora-Jakutowicz

²

,

Piotr Gorczyca

³

,

Katarzyna Rojewska

⁴

,

Katarzyna Ziora

⁵

Individual Specialist Medical Practice, Poland
Department of Genetics, Institute of Psychiatry and Neurology, Warsaw, Poland
Department of Psychiatry, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Poland
Pediatric Endocrinology, Public Clinical Hospital No.1 in Zabrze, Poland
Department of Paediatrics, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Poland

Pediatr Endocrinol Diabetes Metab 2022; 28 (1): 4–15

DOI: https://doi.org/10.5114/pedm.2021.109268

Online publish date: 2022/02/07

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Introduction
Reports assessing long-term treatment outcomes for anorexia nervosa (AN) are divergent and refer to different populations. They lack long-term observations in AN patients in Poland.

Aim of the study
Analysis of the recovery, relapse rate, and predictive factors in patients treated due to AN in adolescence.

Material and methods
A total of 201 subjects were given a survey. Ninety-seven women were recruited: 56 reported to the clinic and 41 filled in the survey.

Results
The average period from hospitalization to the survey was 7.76 ±4.39 years. Remission was found in 78.4%, 21.6% still pre-sented AN, and 84.2% required a one-off hospitalisation, 10.5% twice. The average BMI was: 20.08 ±3.24 kg/m². The rate of attempted suicides was 6.2%. Predictive factors for poor outcome were as follows: older age of the patient when falling ill, lower SDS-BMI score at the onset of AN, transition from the restrictive type of AN into a binge-eating/purging type, and fail-ure to maintain contact with the mother.

Conclusions
1. Most girls suffering from the restricting type of AN in adolescence are cured permanently. 2. The severity of symptoms in these girls does not eliminate the chance of recovery and achieving important life goals, com-pleting education, finding a life partner, and having children. 3. Girls with a smaller degree of cachexia at onset of AN, with no binge-eating/purging symptoms, maintaining regular con-tact with their mothers, have a better prognosis for recovery. 4. Six per cent of women treated in their youth for AN face the risk of attempted suicide, which points to the need to monitor their mental state for many years.

keywords:

Assessment of Long-Term Treatment Results in Women Suffering from Anorexia Nervosa in Adolescence

Magdalena Wszolek 1 , Karolina Ziora-Jakutowicz 2 , Piotr Gorczyca 3 , Katarzyna Rojewska 4 , Katarzyna Ziora 5

anorexia nervosa, long-term observation, predictive factors

Magdalena Wszolek

¹

,

Karolina Ziora-Jakutowicz

²

,

Piotr Gorczyca

³

,

Katarzyna Rojewska

⁴

,

Katarzyna Ziora

⁵