Steinhausen H C, Glanville K
Acta Psychiatr Scand. 1983 Jul;68(1):1-10. doi: 10.1111/j.1600-0447.1983.tb06974.x.
Twenty-one female patients between the ages of 15 and 44 years who had suffered from anorexia nervosa between the ages of 11 and 17 were re-evaluated at a mean follow-up of 9.4 years. The continuing psychic impairment of the former patients was apparent both in interviews and questionnaires. Abnormalities were found in 10 to 66% of the patients according to different symptoms and criteria. The outcome was less favourable for patients who had experienced a high initial weight loss and had been subjected to repeated in-patient treatment. Three variables were most significant in terms of poor long-term prognosis: pre-morbid obesity, pre-morbid eating disorders and complications during pregnancy.
对21名年龄在15至44岁之间、曾在11至17岁期间患神经性厌食症的女性患者进行了重新评估,平均随访时间为9.4年。通过访谈和问卷调查发现,这些曾经患病的患者仍存在明显的心理障碍。根据不同症状和标准,10%至66%的患者存在异常情况。初始体重下降幅度大且接受过多次住院治疗的患者,预后较差。就长期预后不良而言,有三个变量最为显著:病前肥胖、病前饮食失调以及孕期并发症。