Ratnasuriya R H, Eisler I, Szmukler G I, Russell G F
Acre Day Hospital, Worthing, Sussex.
Br J Psychiatry. 1991 Apr;158:495-502. doi: 10.1192/bjp.158.4.495.
Forty-one patients with anorexia nervosa, admitted to the Maudsley Hospital between 1959 and 1966, were followed up after a mean of 20 years. An assessment of general outcome (based on the Morgan-Russell scales) yielded three outcome categories: 'good' (n = 12), 'intermediate' (n = 13) and 'poor' (n = 15). Six patients (15%) had died from causes related to anorexia nervosa; at least 15% had developed bulimia nervosa. There was a general consistency between the follow-up at 20 years and that previously conducted five years after admission, although with a few individual patients there were serious prognostic errors at the earlier follow-up. A poorer outcome was associated with a later age of onset, a history of neurotic and personality disturbances, disturbed relationships in the family and a longer duration of illness.
1959年至1966年间入住莫兹利医院的41名神经性厌食症患者，在平均20年后接受了随访。基于摩根-拉塞尔量表对总体结果进行评估，得出了三个结果类别：“良好”（n = 12）、“中等”（n = 13）和“较差”（n = 15）。6名患者（15%）死于与神经性厌食症相关的原因；至少15%的患者发展为神经性贪食症。20年随访结果与入院后5年的随访结果总体一致，尽管少数个体患者在早期随访中存在严重的预后判断错误。较差的结果与发病年龄较晚、有神经症和人格障碍史、家庭关系紊乱以及病程较长有关。
