Psychological Medicine

Original Articles

Bulimia nervosa: a 5-year follow-up study

E. Johnson-Sabinea1 c1, D. Reissa1 and D. Daysona1

a1 Academic Department of Psychiatry, Royal Free Hospital, London

Synopsis

Fifty patients with bulimia nervosa were followed up for a minimum length of 5 years. Standardized interviews, observer-rated instruments and self-rated questionnaires were employed both at entry and at completion of the follow-up period. After tracing, the positive response rate was 72%; one patient had died. At the time of follow-up 31% of those traced had made a complete recovery and 25% still fulfilled diagnostic criteria for bulimia nervosa. Judged on behavioural symptoms 47·2% of responders had a ‘good’ outcome. Good outcome was associated with fewer social problems, higher social class, and a significant improvement in eating attitudes at follow-up. All outcome groups reported a reduction of interference by symptoms in other areas of life, and an improvement in mood state. No factors, including those described in previous studies, were identified which predicted outcome.

Correspondence:

c1 Address for correspondence: Dr. E. Johnson-Sabine, Academic Department of Psychiatry, Royal Free Hospital, Pond Street, London NW3 2QG.

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