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Partial syndromes of eating disorders in adolescence are associated with adverse health outcome in adulthood

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QUESTION

Question:

What impact do partial syndromes of eating disorder in adolescence have on health and social adjustment in young adulthood?

Population:

2032 students selected using a two-stage cluster sample and followed up regularly into young adulthood. In the first wave, one class from each of 44 schools was selected at random. A second class was randomly selected 6 months later (wave 2). The average age of participants at the start of study was 14.5 years. Follow-up was at subsequent 6-month intervals during the remaining school years (waves 3–6) and at two stages in young adulthood (wave 7, aged 20–21 years; wave 8, aged 24–25 years).

Setting:

Victoria, Australia; August 1992 to March 2003.

Prognostic factors:

Partial syndrome of eating disorder based on DSM-IV criteria for anorexia or bulimia on the Branched Eating Disorders Test. See online notes for further details on how anorexia and bulimia were defined.

Outcomes:

Depression or anxiety (assessed on the Revised Clinical Interview Schedule (CIS-R) during waves 1–7 and the 12-item General Health Questionnaire (GHQ) at wave 8), persistent eating disorder (assessed at wave 7 and …

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