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Anorexia in adolescence--healthy in adulthood?

Selective samples The main volume of anorexia research takes place in university hospitals with specialist departments for eating disorders, which tend to have a majority of patients with particularly complicated afflictions. It is therefore uncertain whether the results from these studies are representative of all patients with anorexia. Most children and adolescents with anorexia are treated at inor outpatient mental-health units for young people, often in close cooperation with the paediatric department. Two Swedish follow-up studies of young people with anorexia are exemplary in terms of their long period of follow-up and the representativity of their samples (3, 4). Of 51 adolescents who were diagnosed with anorexia during a screening of eighthgraders in Gothenburg, 13 still suffered from eating disorders ten years later. In the follow-up after 18 years, the number had been reduced to six, whereof three had anorexia. Twenty of these young people had at least one other psychiatric diagnosis, and 13 did not have paid employment because of mental health problems (3). In the other study, 76 adolescents with anorexia, who were treated in psychiatric polyclinics for children and adolescents in Northern Sweden, were followed up after eight and 16 years (4). One person had died before the first follow-up after eight years, and 24 still suffered from anorexia. After 16 years ten patients still had eating disorders, whereof two had anorexia. These results are better than in most comparable studies (1, 2), which could be an effect of the samples being more representative of young people with anorexia.