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The prognostic value of initial EDI scores in anorexia nervosa patients: a prospective follow-up study of 5–10 years

Published online by Cambridge University Press:  16 April 2020

C. Bizeul ,
N. Sadowsky  and
D. Rigaud
C. Bizeul
Affiliation:
Laboratoire de Nutrition Humaine, Faculté Xavier Bichat, 16, rue Henri Huchard, B.P. 416, 75018Paris, France
N. Sadowsky
Affiliation:
Department of Hepato-Gastroenterology and Nutrition, Bichat-Claude Bernard Hospital, 46, rue Henri Huchard, 75877Paris Cedex 18, France
D. Rigaud*
Affiliation:
Service d*Endocrinologie (Pr J.M. Brun), CHU Le Bocage, 21034Dijon cedex, France
*
*Correspondence and reprints. E-mail address: daniel.rigaud@chu-dijon.fr (D. Rigaud).
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Summary

Aim

To study in a prospective manner the long-term prognostic value of the initially recorded Eating Disorder Inventory (EDI) scores in anorexia nervosa (AN) patients.

Methods

The 5–10-year outcome of 26 consecutive malnourished AN patients was prospectively recorded according to the initial EDI score. We selected only patients with full 6-month assessments for more than 5 years (mean 8.5 years). Eating behavior, quality of life, autonomy and insight capacity were prospectively assessed by the Morgan-Russell scale and a semi-structured interview. At the end of follow-up, 13 patients recovered and the 13 others had a poor outcome.

Results

In monovariate analyses, high initial EDI total score (P < .0007) and high initial scores for perfectionism (P < .001), ineffectiveness (P < .002), interpersonal distrust (P < .004), interoceptive awareness (P < .03) and drive for thinness (P < .05) were significantly associated with a poor prognosis 5–10 years afterward. In a multivariate analysis, only high initial scores for perfectionism (F = 8.43; P = 0.008) and interpersonal distrust (F = 7.46; P = 0.012) were significantly associated with illness severity.

Discussion

High EDI total score and subscales for perfectionism and interpersonal distrust could predict a long-term severe outcome in AN.

Keywords

anorexia nervosaeating disorder inventorylong-term outcomemalnutrition
Type
Original article
Information
European Psychiatry , Volume 16 , Issue 4 , June 2001 , pp. 232 - 238
Copyright
Copyright © Éditions scientifiques et médicales Elsevier SAS 2001

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