C. Bizeul et al., The prognostic value of initial EDI scores in anorexia nervosa patients: aprospective follow-up study of 5-10 years, EUR PSYCHIA, 16(4), 2001, pp. 232-238
Aim. To study in a prospective manner the long-term prognostic value of the
initially recorded Eating Disorder Inventory (EDI) scores in anorexia nerv
osa (AN) patients.
Methods. The 5-10-year outcome of 26 consecutive malnourished AN patients w
as prospectively recorded according to the initial EDI score. We selected o
nly patients with full 6-month assessments for more than 5 years (mean 8.5
years). Eating behavior, quality of life, autonomy and insight capacity wer
e prospectively assessed by the Morgan-Russell scale and a semi-structured
interview. At the end of follow-up, 13 patients recovered and the 13 others
had a poor outcome.
Results. In monovariate analyses, high initial EDI total score (P < .0007)
and high initial scores for perfectionism (P < .001), ineffectiveness (P <
.002), interpersonal distrust (P < .004), interoceptive awareness (P < .03)
and drive for thinness (P < .05) were significantly associated with a poor
prognosis 5-10 years afterward. in a multivariate analysis, only high init
ial scores for perfectionism (F = 8.43; P = 0.008) and interpersonal distru
st (F = 7.46; P = 0,012) were significantly associated with illness severit
y.
Discussion. High EDI total score and subscales for perfectionism and interp
ersonal distrust could predict a long-term severe outcome in AN. (C) 2001 E
ditions scientifiques et medicales Elsevier SAS.