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Anorexia Nervosa: An Affective Disorder?

Anorexia Nervosa: An Affective Disorder? Abstract • Follow-up data on 26 patients hospitalized during adolescence for anorexia nervosa are presented. The mean length of follow-up was 4.9 years. There were no mortalities. Only one patient at the time of follow-up was still possibly anorexic. However, a substantial number of the patients did have other eating difficulties. Most striking was the clinical psychopathology present at follow-up, particularly the incidence of affective disorder. A large number of the patients manifested depressive symptomatology in both the premorbid and the postmorbid states, as well as at the time of follow-up. A family history of affective disorder was particularly common in the mothers of the anorexic patients. Data from this study are consistent with the hypothesis that there is a strong relationship between anorexia nervosa and affective disorder. References 1. Bliss E, Migeon C: Endocrinology of anorexia nervosa . J Clin Endocrinol 17:766-776, 1957.Crossref 2. Meng H: Psyche und Hormon . Berlin, Hans Huber, 1944. 3. Bliss E, Branch C: Anorexia Nervosa . New York, Paul B Hoeber Inc, 1960. 4. Loeb L: The clinical course of anorexia nervosa . Psychosomatics 5:345-347, 1964.Crossref 5. Nicolle G: Prepsychotic anorexia . Proc R Soc Med 32:153-162, 1939. 6. Wall J: Anorexia nervosa . Bull NY Acad Med 32:116-126, 1956. 7. Task Force on Nomenclature and Statistics of the American Psychiatric Association: Progress Report on the Preparation of DSM-III . St Louis, University of Missouri Press, 1976. 8. Feighner J, Robins E, Guze S, et al: Diagnostic criteria for use in psychiatric research . Arch Gen Psychiatry 26:57-63, 1972.Crossref 9. Rowland C: Anorexia nervosa: A survey of the literature and review of 30 cases . Int J Psychiatry Clin 7:37-137, 1970. 10. Ziegler R, Sours J: A naturalistic study of patients with anorexia nervosa admitted to a university medical center . Compr Psychiatry 9:644-651, 1968.Crossref 11. Bruch H: Eating Disorders . New York, Basic Books Inc, 1973. 12. Warren W: A study of anorexia nervosa in young girls . J Child Psychol Psychiatry 9:27-40, 1968.Crossref 13. Kay D, Schapira K, Brandon S: Early factors in anorexia nervosa compared with nonanorexic groups . J Psychosom Res 11:133-139, 1967.Crossref 14. Bruch H: The psychiatric differential diagnosis of anorexia nervosa , in Meyer J, Feldman H (eds): Anorexia Nervosa . Stuttgart, West Germany, Georg Thieme Verlag, 1965. 15. Dubois F: Compulsion neurosis with cachexia (anorexia nervosa) . Am J Psychiatry 106:107-115, 1949. 16. King A: Primary and secondary anorexia nervosa syndromes . Br J Psychiatry 109:470-479, 1963.Crossref 17. Goetz P, Succop R, Reinhart J, et al: Anorexia nervosa in children-a follow-up study. Read before the American Academy of Child Psychiatry, St Louis, October 1975. 18. Lessor L, Ashendon B, Delusky M, et al: Anorexia nervosa in children . Am J Orthopsychiatry 30:572-580, 1960.Crossref 19. Kay D: Anorexia nervosa: A study in prognosis . Proc R Soc Med 46:669-674, 1953. 20. Seidensticker J, Tzagournis M: Anorexia nervosa—clinical features and long-term follow-up . J Chron Dis 21:361-367, 1968.Crossref 21. Beck J, Brochner-Mortensen K: Observations on the prognosis of anorexia nervosa . Acta Med Scand 149:409-430, 1954.Crossref 22. Blitzer J, Rollins N, Blackwell A: Children who starve themselves: Anorexia nervosa . Psychosom Med 23:369-383, 1961.Crossref 23. Frazier S: Anorexia nervosa . Dis Nerv Syst 26:155-159, 1965. 24. Morgan H, Russell G: Value of family background and clinical features as predictors of long-term outcome in anorexia nervosa: Four year follow-up study of 41 patients . Psychol Med 5:355-371, 1975.Crossref 25. Thoma H: Anorexia Nervosa . New York, International Universities Press, 1967. 26. Kay D, Leigh D: The natural history, treatment and prognosis of anorexia nervosa, based on a study of 38 patients . J Ment Sci 100:411-431, 1954. 27. Dally P: Anorexia Nervosa . London, William Heinemann Medical Books, 1969. 28. Theander S: Anorexia nervosa . Acta Psychiatr Scand , (suppl 214) , 1970. 29. Halmi K, Brodland G, Loney J: Prognosis in anorexia nervosa . Ann Intern Med 78:907-909, 1973.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of General Psychiatry American Medical Association

Anorexia Nervosa: An Affective Disorder?

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References (26)

Publisher
American Medical Association
Copyright
Copyright © 1977 American Medical Association. All Rights Reserved.
ISSN
0003-990X
eISSN
1598-3636
DOI
10.1001/archpsyc.1977.01770210101009
Publisher site
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Abstract

Abstract • Follow-up data on 26 patients hospitalized during adolescence for anorexia nervosa are presented. The mean length of follow-up was 4.9 years. There were no mortalities. Only one patient at the time of follow-up was still possibly anorexic. However, a substantial number of the patients did have other eating difficulties. Most striking was the clinical psychopathology present at follow-up, particularly the incidence of affective disorder. A large number of the patients manifested depressive symptomatology in both the premorbid and the postmorbid states, as well as at the time of follow-up. A family history of affective disorder was particularly common in the mothers of the anorexic patients. Data from this study are consistent with the hypothesis that there is a strong relationship between anorexia nervosa and affective disorder. References 1. Bliss E, Migeon C: Endocrinology of anorexia nervosa . J Clin Endocrinol 17:766-776, 1957.Crossref 2. Meng H: Psyche und Hormon . Berlin, Hans Huber, 1944. 3. Bliss E, Branch C: Anorexia Nervosa . New York, Paul B Hoeber Inc, 1960. 4. Loeb L: The clinical course of anorexia nervosa . Psychosomatics 5:345-347, 1964.Crossref 5. Nicolle G: Prepsychotic anorexia . Proc R Soc Med 32:153-162, 1939. 6. Wall J: Anorexia nervosa . Bull NY Acad Med 32:116-126, 1956. 7. Task Force on Nomenclature and Statistics of the American Psychiatric Association: Progress Report on the Preparation of DSM-III . St Louis, University of Missouri Press, 1976. 8. Feighner J, Robins E, Guze S, et al: Diagnostic criteria for use in psychiatric research . Arch Gen Psychiatry 26:57-63, 1972.Crossref 9. Rowland C: Anorexia nervosa: A survey of the literature and review of 30 cases . Int J Psychiatry Clin 7:37-137, 1970. 10. Ziegler R, Sours J: A naturalistic study of patients with anorexia nervosa admitted to a university medical center . Compr Psychiatry 9:644-651, 1968.Crossref 11. Bruch H: Eating Disorders . New York, Basic Books Inc, 1973. 12. Warren W: A study of anorexia nervosa in young girls . J Child Psychol Psychiatry 9:27-40, 1968.Crossref 13. Kay D, Schapira K, Brandon S: Early factors in anorexia nervosa compared with nonanorexic groups . J Psychosom Res 11:133-139, 1967.Crossref 14. Bruch H: The psychiatric differential diagnosis of anorexia nervosa , in Meyer J, Feldman H (eds): Anorexia Nervosa . Stuttgart, West Germany, Georg Thieme Verlag, 1965. 15. Dubois F: Compulsion neurosis with cachexia (anorexia nervosa) . Am J Psychiatry 106:107-115, 1949. 16. King A: Primary and secondary anorexia nervosa syndromes . Br J Psychiatry 109:470-479, 1963.Crossref 17. Goetz P, Succop R, Reinhart J, et al: Anorexia nervosa in children-a follow-up study. Read before the American Academy of Child Psychiatry, St Louis, October 1975. 18. Lessor L, Ashendon B, Delusky M, et al: Anorexia nervosa in children . Am J Orthopsychiatry 30:572-580, 1960.Crossref 19. Kay D: Anorexia nervosa: A study in prognosis . Proc R Soc Med 46:669-674, 1953. 20. Seidensticker J, Tzagournis M: Anorexia nervosa—clinical features and long-term follow-up . J Chron Dis 21:361-367, 1968.Crossref 21. Beck J, Brochner-Mortensen K: Observations on the prognosis of anorexia nervosa . Acta Med Scand 149:409-430, 1954.Crossref 22. Blitzer J, Rollins N, Blackwell A: Children who starve themselves: Anorexia nervosa . Psychosom Med 23:369-383, 1961.Crossref 23. Frazier S: Anorexia nervosa . Dis Nerv Syst 26:155-159, 1965. 24. Morgan H, Russell G: Value of family background and clinical features as predictors of long-term outcome in anorexia nervosa: Four year follow-up study of 41 patients . Psychol Med 5:355-371, 1975.Crossref 25. Thoma H: Anorexia Nervosa . New York, International Universities Press, 1967. 26. Kay D, Leigh D: The natural history, treatment and prognosis of anorexia nervosa, based on a study of 38 patients . J Ment Sci 100:411-431, 1954. 27. Dally P: Anorexia Nervosa . London, William Heinemann Medical Books, 1969. 28. Theander S: Anorexia nervosa . Acta Psychiatr Scand , (suppl 214) , 1970. 29. Halmi K, Brodland G, Loney J: Prognosis in anorexia nervosa . Ann Intern Med 78:907-909, 1973.Crossref

Journal

Archives of General Psychiatry – American Medical Association

Published: Sep 1, 1977

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