ArticleComprehensive psychiatry2019
Eating disorder recovery is associated with absence of major depressive disorder and substance use disorders at 22-year longitudinal follow-up.
Article in Comprehensive psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Defining Recovery and Relapse in Bulimia Nervosa: A Systematic Review of the Literature.European eating disorders review : the journal of the Eating Disorders Association · 2026Pooled it
- Recovery From Anorexia Nervosa: A Concept Analysis.Journal of advanced nursing · 2026Review
- Body image and eating issues in midlife: A narrative review with clinical question recommendations.Maturitas · 2024Review
- Practice Assessment Tool for the Care of Patients With Eating Disorders.Focus (American Psychiatric Publishing) · 2024Article
- Exploring Alcohol-Related Behaviours in an Adult Sample with Anorexia Nervosa and Those in Recovery.Nutrients · 2024Article
- Reducing Relapse by Enhancing Reward Responsivity in Anorexia Nervosa: The VIBRANT (Virtual Interventions for Bolstering Recovery following Anorexia Nervosa Treatment) TrialJournal of psychiatry and brain science · 2024Article
- Eating disorder outcomes: findings from a rapid review of over a decade of research.Journal of eating disorders · 2023Article
- Eating disorder patients with and without PTSD treated in residential care: discharge and 6-month follow-up results.Journal of eating disorders · 2023Article
- Diagnostic Concordance between Research and Clinical-Based Assessments of Psychiatric Comorbidity in Anorexia Nervosa.Journal of clinical medicine · 2022Article
- A population-based study of macronutrient intake according to mental health status with a focus on pure and comorbid anxiety and eating disorders.European journal of nutrition · 2022Article
- Shifting the Focus: A Pilot Study on the Effects of Positive Body Exposure on Body Satisfaction, Body Attitude, Eating Pathology and Depressive Symptoms in Female Patients with Eating Disorders.International journal of environmental research and public health · 2022Article
- Predictors of outcome following a body image treatment based on acceptance and commitment therapy for patients with an eating disorder.Journal of eating disorders · 2022Article
- The effect of temperament and character on body dissatisfaction in women with bulimia nervosa: The role of low self-esteem and depression.European eating disorders review : the journal of the Eating Disorders Association · 2022Article
- The Association of Malnutrition, illness duration, and pre-morbid weight status with anxiety and depression symptoms in adolescents and young adults with restrictive eating disorders: a cross-sectional study.Journal of eating disorders · 2021Article
- Disordered Eating, Eating Disorders, and Body Image in Midlife and Older Women.Current psychiatry reports · 2019Review
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundPsychiatric comorbidity is common in eating disorders (EDs) and associated with poor outcomes, including increased risk for relapse and premature death. Yet little is known about comorbidity following ED recovery.
methodsWe examined two common comorbidities, major depressive disorder (MDD) and substance use disorder (SUD), in adult women with intake diagnoses of anorexia nervosa and bulimia nervosa who participated in a 22-year longitudinal study. One hundred and seventy-six of 228 surviving participants (77.2%) were interviewed 22 years after study entry using the Eating Disorders Longitudinal Interval Follow-up Evaluation to assess ED recovery status. Sixty-four percent (n = 113) were recovered from their ED. The Structured Clinical Interview for DSM-IV was used to assess MDD and SUD at 22 years.
resultsAt 22-year follow-up, 28% (n = 49) met criteria for MDD, and 6% (n = 11) met criteria for SUD. Those who recovered from their ED were 2.17 times more likely not to have MDD at 22-year follow-up (95% CI [1.10, 4.26], p = .023) and 5.33 times more likely not to have a SUD at 22-year follow-up than those who had not recovered from their ED (95% CI [1.36, 20.90], p = .008).
conclusionCompared to those who had not fully recovered from their ED, those who had recovered were twice as likely not to be diagnosed with MDD in the past year and five times as likely not to be diagnosed with SUDs in the past year. These findings provide evidence that long-term recovery from EDs is associated with recovery from or absence of these common major comorbidities. Because comorbidity in EDs can predict poor outcomes, including greater risk for relapse and premature death, our findings of reduced risk for psychiatric comorbidity following recovery at long-term follow-up is cause for optimism.
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