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

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http://hdl.handle.net/10138/336488

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Dadi , Y , Sipilä , P N , Raevuori , A , Mustelin , L , Marttunen , M , Kaprio , J & Keski-Rahkonen , A 2021 , ' Detection, treatment, and course of eating disorders in Finland : A population-based study of adolescent and young adult females and males ' , European Eating Disorders Review , vol. 29 , no. 5 , pp. 720-732 . https://doi.org/10.1002/erv.2838

Title: Detection, treatment, and course of eating disorders in Finland : A population-based study of adolescent and young adult females and males
Author: Dadi, Yasmina; Sipilä, Pyry N.; Raevuori, Anu; Mustelin, Linda; Marttunen, Mauri; Kaprio, Jaakko; Keski-Rahkonen, Anna
Contributor: University of Helsinki, Clinicum
University of Helsinki, Department of Public Health
University of Helsinki, HUS Psychiatry
University of Helsinki, Clinicum
University of Helsinki, HUS Psychiatry
University of Helsinki, Institute for Molecular Medicine Finland
University of Helsinki, Anna Keski-Rahkonen / Principal Investigator
Date: 2021-09
Language: eng
Number of pages: 13
Belongs to series: European Eating Disorders Review
ISSN: 1072-4133
URI: http://hdl.handle.net/10138/336488
Abstract: Objective We assessed the detection, treatment and outcomes of DSM-5 eating disorders in a nationwide community setting. Method The 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. Results Only 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). Conclusion Although 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.
Subject: 5
ANOREXIA-NERVOSA
BULIMIA-NERVOSA
COMMUNITY
CONTINUITY
DSM&#8208
EPIDEMIOLOGY
HELP-SEEKING
MEN
NATIONWIDE
PREVALENCE
WOMEN
course
detection
eating disorders
treatment
3142 Public health care science, environmental and occupational health
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