Detection, treatment, and course of eating disorders in Finland: A population-based study of adolescent and young adult females and males.
DSM-5
course
detection
eating disorders
treatment
Journal
European eating disorders review : the journal of the Eating Disorders Association
ISSN: 1099-0968
Titre abrégé: Eur Eat Disord Rev
Pays: England
ID NLM: 9436977
Informations de publication
Date de publication:
09 2021
09 2021
Historique:
revised:
22
03
2021
received:
06
10
2020
accepted:
26
04
2021
pubmed:
20
5
2021
medline:
29
3
2022
entrez:
19
5
2021
Statut:
ppublish
Résumé
We assessed the detection, treatment and outcomes of DSM-5 eating disorders in a nationwide community setting. The FinnTwin12 cohort comprises twins born in 1983-1987 in Finland (n = 5,600), with follow-up starting at age 12. We outline treatment and outcomes of the 127 females and 15 males diagnosed with a lifetime DSM-5 eating disorder in interviews conducted for a subsample (n = 1,347) in their early 20s. Only 45 (32%) of those diagnosed with eating disorder in the interviews had their condition detected in healthcare, and even fewer received treatment (30% of females, 13% of males). Anorexia nervosa (AN), bulimia nervosa, and atypical AN were detected and treated more often than other eating disorders. Five years after disease onset, 41% of those diagnosed had recovered. There were no statistically significant differences in the course of different eating disorders (log-rank p = 0.66) but the outcome was more favourable among males (log-rank p = 0.008). The likelihood of 5-year recovery did not differ between those who had and who had not received treatment (41.1% vs. 40.5%, log-rank p = 0.66). Although eating disorders are common and symptoms are persistent for many, they remain under-diagnosed and under-treated. In real-world settings, effectiveness of provided treatments may be limited.
Identifiants
pubmed: 34008267
doi: 10.1002/erv.2838
pmc: PMC8349843
mid: NIHMS1707871
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
720-732Subventions
Organisme : NIAAA NIH HHS
ID : R01 AA009203
Pays : United States
Organisme : NIAAA NIH HHS
ID : K05 AA000145
Pays : United States
Organisme : NIAAA NIH HHS
ID : R01 AA012502
Pays : United States
Organisme : NIAAA NIH HHS
ID : R01 AA015416
Pays : United States
Organisme : NIAAA NIH HHS
ID : R37 AA012502
Pays : United States
Informations de copyright
© 2021 The Authors. European Eating Disorders Review published by Eating Disorders Association and John Wiley & Sons Ltd.
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