Original Research J Clin Psychiatry February 2017

Recovery From Anorexia Nervosa and Bulimia Nervosa at 22-Year Follow-Up

JCP 2017;78(2):10.4088/JCP.15m10393

Full Article Read the complete peer-reviewed article in J Clin Psychiatry. JCP 2017;78(2):10.4088/JCP.15m10393 Clinical Summary Patients with anorexia nervosa and bulimia nervosa are often labeled chronic when illness persists for years, raising real questions about when to keep pursuing remission versus shifting to palliative goals. This 22-year follow-up shows that recovery remains common over the long term, especially for anorexia nervosa, where improvement continued well beyond the first decade. FAQ How often did women with anorexia nervosa and bulimia nervosa recover by 22 years in this study? 11 questions
Key Takeaways Using a stringent definition of recovery as a PSR score of ≤ 2 for 52 consecutive weeks, the study still found long-term recovery in 62.8% of anorexia nervosa and 68.2% of bulimia nervosa, which can help clinicians frame prognosis without lowering the bar for remission. 6 takeaways Clinical Guide How should clinicians use early recovery status to estimate long-term recovery in anorexia nervosa? 6 steps Clinical Guide How should clinicians decide whether to continue active treatment rather than shift to palliative management in long-duration anorexia nervosa or bulimia nervosa? 6 steps