What is remission in adolescent anorexia nervosa? A review of various conceptualizations and quantitative analysis
Article first published online: 16 FEB 2006
Copyright © 2006 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 39, Issue 3, pages 175–183, April 2006
How to Cite
Couturier, J. and Lock, J. (2006), What is remission in adolescent anorexia nervosa? A review of various conceptualizations and quantitative analysis. Int. J. Eat. Disord., 39: 175–183. doi: 10.1002/eat.20224
- Issue published online: 21 MAR 2006
- Article first published online: 16 FEB 2006
- Manuscript Accepted: 13 AUG 2005
- anorexia nervosa;
- Eating Disorder Examination
The current article evaluated models of remission in anorexia nervosa (AN).
A dataset from 86 adolescents with AN was used to model definitions of remission by using (a) Morgan–Russell categories, (b) criteria proposed by Pike, (c) criteria proposed by Kordy, et al. (d) DSM-IV-text revision criteria, (e) other weight thresholds, (f) psychological symptoms (Eating Disorder Examination [EDE] scores), and (g) combinations of these.
The mean age was 15.2 ± 1.6 years. Remission rates varied from 3% to 96% depending on the method used. Combining percent ideal body weight and EDE scores appeared to reduce the variability in rates, capture the most meaningful aspects of remission, and avoid the pitfalls of other methods.
These methods of defining remission produce a wide range of outcomes, demonstrating the importance of defining remission consistently. Weight and psychological variables combined appear most important in defining remission. © 2006 by Wiley Periodicals, Inc. Int J Eat Disord 2006