Remschmidt H, Wienand F, Wewetzer C
Klinik und Poliklinik für Kinder- und Jugendpsychiatrie, Philipps-Universität Marburg.
Monatsschr Kinderheilkd. 1988 Nov;136(11):726-31.
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.
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。
