Martin F E
J Psychiatr Res. 1985;19(2-3):509-14. doi: 10.1016/0022-3956(85)90060-3.
This study reports the treatment and five year follow-up of 25 adolescent (mean age 14.9 yr) anorexics seen early in their illness (mean duration 8.08 months) and fulfilling Feighner's criteria. Results are reported along four parameters at treatment termination and at follow-up; weight, menstrual function, eating patterns and social life. At follow-up 76% are rated as excellent or good, 16% fair or continuing in treatment and 8% as relapsed. This represents a significant improvement over results at treatment termination. It is concluded that anorexia nervosa in adolescence can have a good outcome for the majority but it is undemonstrated which are the crucial variables regarding treatment modalities and patient selection nor did any clear prognostic factors emerge. A hypothesis regarding the therapeutic effect of the follow-up is suggested.
本研究报告了25例青少年神经性厌食症患者的治疗及五年随访情况。这些患者在疾病早期（平均病程8.08个月）就诊，符合费格纳标准，平均年龄14.9岁。报告了治疗结束时及随访时体重、月经功能、饮食模式和社交生活这四个参数的结果。随访时，76%的患者评定为优秀或良好，16%为一般或仍在接受治疗，8%复发。这相较于治疗结束时的结果有显著改善。结论是，青少年神经性厌食症对大多数患者而言可获得良好预后，但尚未明确治疗方式和患者选择的关键变量，也未出现任何明确的预后因素。本文提出了一个关于随访治疗效果的假说。
