Incidence and outcomes of bulimia nervosa: a nationwide population-based study. Export

@article{citeulike:3224828, abstract = {BACKGROUND: Little is known about the epidemiology of bulimia nervosa outside clinical settings. We report the incidence, prevalence and outcomes of bulimia nervosa using for the first time a nationwide study design.MethodTo assess the incidence and natural course and outcomes of DSM-IV bulimia nervosa among women from the general population, women (n=2881) from the 1975kg/m2. RESULTS: The lifetime prevalence of DSM-IV bulimia nervosa was 2.3\%; 76\% of the women suffered from its purging subtype and 24\% from the non-purging subtype. The incidence rate of bulimia nervosa was 300/100000 person-years at the peak age of incidence, 1624 years. The 5-year clinical recovery rate was 55.0\%. Less than a third of the cases had been detected by health-care professionals; detection did not influence outcome. After clinical recovery from bulimia nervosa, the mean levels of residual psychological symptoms gradually decreased over time but many women continued to experience significantly more body image problems and psychosomatic symptoms than never-ill women. CONCLUSIONS: Few women with bulimia nervosa are recognized in health-care settings. Symptoms of bulimia are relatively long-standing, and recovery is gradual. Many clinically recovered women experience residual psychological symptoms after attaining abstinence from bingeing and purging.}, address = {Department of Public Health, University of Helsinki, Finland.}, author = {Keski-Rahkonen, A and Hoek, H W W. and Linna, M S S. and Raevuori, A and Sihvola, E and Bulik, C M M. and Rissanen, A and Kaprio, J}, citeulike-article-id = {3224828}, citeulike-linkout-0 = {http://dx.doi.org/10.1017/S0033291708003942}, citeulike-linkout-1 = {http://view.ncbi.nlm.nih.gov/pubmed/18775085}, citeulike-linkout-2 = {http://www.hubmed.org/display.cgi?uids=18775085}, day = {8}, doi = {10.1017/S0033291708003942}, issn = {0033-2917}, journal = {Psychological medicine}, month = {September}, pages = {1--9}, posted-at = {2008-09-11 11:15:11}, priority = {2}, title = {Incidence and outcomes of bulimia nervosa: a nationwide population-based study.}, url = {http://dx.doi.org/10.1017/S0033291708003942}, year = {2008} }

TY - JOUR ID - citeulike:3224828 L3 - citeulike-article-id:3224828 N2 - BACKGROUND: Little is known about the epidemiology of bulimia nervosa outside clinical settings. We report the incidence, prevalence and outcomes of bulimia nervosa using for the first time a nationwide study design.MethodTo assess the incidence and natural course and outcomes of DSM-IV bulimia nervosa among women from the general population, women (n=2881) from the 1975kg/m2. RESULTS: The lifetime prevalence of DSM-IV bulimia nervosa was 2.3%; 76% of the women suffered from its purging subtype and 24% from the non-purging subtype. The incidence rate of bulimia nervosa was 300/100000 person-years at the peak age of incidence, 1624 years. The 5-year clinical recovery rate was 55.0%. Less than a third of the cases had been detected by health-care professionals; detection did not influence outcome. After clinical recovery from bulimia nervosa, the mean levels of residual psychological symptoms gradually decreased over time but many women continued to experience significantly more body image problems and psychosomatic symptoms than never-ill women. CONCLUSIONS: Few women with bulimia nervosa are recognized in health-care settings. Symptoms of bulimia are relatively long-standing, and recovery is gradual. Many clinically recovered women experience residual psychological symptoms after attaining abstinence from bingeing and purging. JF - Psychological medicine SN - 0033-2917 AD - Department of Public Health, University of Helsinki, Finland. EP - 9 TI - Incidence and outcomes of bulimia nervosa: a nationwide population-based study. SP - 1 AU - Keski-Rahkonen, A AU - Hoek, H W AU - Linna, M S AU - Raevuori, A AU - Sihvola, E AU - Bulik, C M AU - Rissanen, A AU - Kaprio, J PY - 2008/09/08/ UR - http://dx.doi.org/10.1017/S0033291708003942 ER -