Evidence map›Paper›PMID 34008267›Full record

ArticleEuropean eating disorders review : the journal of the Eating Disorders Association2021

Detection, treatment, and course of eating disorders in Finland: A population-based study of adolescent and young adult females and males.

Yasmina Silén, Pyry N Sipilä, Anu Raevuori, Linda Mustelin, Mauri Marttunen, Jaakko Kaprio, Anna Keski-Rahkonen

Abstract read
In one paragraph

Article in European eating disorders review : the journal of the Eating Disorders Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Defining Recovery and Relapse in Bulimia Nervosa: A Systematic Review of the Literature.European eating disorders review : the journal of the Eating Disorders Association · 2026
    Pooled it
  2. The Follow-Up of Eating Disorders from Adolescence to Early Adulthood: A Systematic Review.International journal of environmental research and public health · 2022
    Pooled it
  3. Article
  4. Article
  5. Recovery From Anorexia Nervosa: A Concept Analysis.Journal of advanced nursing · 2026
    Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Factors associated with eating disorders among Indonesian adolescents at boarding schools.International journal of adolescent medicine and health · 2025
    Article
  12. Article
  13. Genetic Predisposition and Severity of Eating Disorders- A Review.CNS & neurological disorders drug targets · 2025
    Review
  14. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Yasmina SilénClinicum, Department of Public Health, University of Helsinki, Helsinki, Finland.ORCID 0000-0001-5065-2566
Pyry N SipiläClinicum, Department of Public Health, University of Helsinki, Helsinki, Finland.ORCID 0000-0003-4886-8151
Anu RaevuoriClinicum, Department of Public Health, University of Helsinki, Helsinki, Finland.
Linda MustelinInstitute for Molecular Medicine Finland (FIMM), University of Helsinki, Helsinki, Finland.
Mauri MarttunenDepartment of Adolescent Psychiatry, University of Helsinki and Helsinki University Central Hospital, Helsinki, Finland.
Jaakko KaprioClinicum, Department of Public Health, University of Helsinki, Helsinki, Finland.
Anna Keski-RahkonenClinicum, Department of Public Health, University of Helsinki, Helsinki, Finland.

Funding

The development of alcohol misuse and related problems from adolescence to early midlifeR01AA015416 · NIAAA · WASHINGTON UNIVERSITY · PI DICK, DANIELLE M, SALVATORE, JESSICA E · 2005 to 2024
$7.6M
ADOLESCENT ALCOHOL ABUSE: A TWIN-STUDY PERSPECTIVER37AA012502 · NIAAA · TRUSTEES OF INDIANA UNIVERSITY · PI ROSE, RICHARD JOSEPH · 2000 to 2009
$2.9M
Adolescent Alcohol Abuse: A Twin-Study PerspectiveR01AA012502 · NIAAA · TRUSTEES OF INDIANA UNIVERSITY · PI ROSE, RICHARD JOSEPH · 2013 to 2017
$1.2M
USE &ABUSE OF ALCOHOL--A BEHAVIOR-GENETICS PERSPECTIVEK05AA000145 · NIAAA · INDIANA UNIVERSITY BLOOMINGTON · PI ROSE, RICHARD JOSEPH · 1992 to 1996
–
BEHAVIORAL PRECURSORS OF ALCOHOLISM--TWIN FAMILY STUDIESR01AA009203 · NIAAA · INDIANA UNIVERSITY BLOOMINGTON · PI ROSE, RICHARD JOSEPH · 1994 to 1998
–
NIAAA NIH HHS K05 AA000145NIAAA NIH HHS R01 AA009203NIAAA NIH HHS R01 AA012502NIAAA NIH HHS R01 AA015416NIAAA NIH HHS R37 AA012502
6 · The paper itself

Abstract

objectiveWe assessed the detection, treatment and outcomes of DSM-5 eating disorders in a nationwide community setting.

methodThe 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.

resultsOnly 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).

conclusionAlthough 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.

Indexed as

Anorexia NervosaBulimia NervosaFeeding and Eating DisordersAdolescentAdultChildDiagnostic and Statistical Manual of Mental DisordersFemaleFinlandHumansMaleYoung AdultcoursedetectionDSM-5eating disorderstreatment

Identifiers

PMID34008267
PMCPMC8349843

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.