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[神经性厌食症的长期预后]

[Long term prognosis in anorexia nervosa].

作者信息

Remschmidt H, Wienand F, Wewetzer C

机构信息

Klinik und Poliklinik für Kinder- und Jugendpsychiatrie, Philipps-Universität Marburg.

出版信息

Monatsschr Kinderheilkd. 1988 Nov;136(11):726-31.

PMID:3065635
Abstract

Follow-up studies using the same prognostic criteria have shown that about 48% of the patients had recovered at follow-up, while 28% revealed further difficulties with eating, weight and figure, and 24% remained anorectic. Our own study on 103 patients who underwent inpatient treatment, revealed unexpectedly good results: according to the criteria of Morgan and Russell, 72% (n = 58) showed a good prognosis, 11% (n = 9) a fair, and 17% (n = 14) an unfavourable prognosis. 3 patients had died during the follow-up interval. It was possible to predict the long-term outcome from weight recovery during inpatient treatment, more successfully in patients with favourable than unfavourable outcome. The best predictors were: time until weight stabilization, the ratio ideal weight/stabilized weight, and age at onset of the eating disorder.

摘要

采用相同预后标准的随访研究表明,约48%的患者在随访时已康复,而28%的患者在饮食、体重和体型方面仍有进一步困难,24%的患者仍厌食。我们自己对103例接受住院治疗的患者进行的研究得出了出人意料的良好结果:根据摩根和拉塞尔的标准,72%(n = 58)预后良好,11%(n = 9)一般,17%(n = 14)预后不良。3例患者在随访期间死亡。根据住院治疗期间体重恢复情况有可能预测长期预后,预后良好的患者比预后不良的患者预测得更成功。最佳预测指标为:体重稳定所需时间、理想体重/稳定体重之比以及进食障碍发病时的年龄。

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