Changes in the presenting features of females with anorexia nervosa in northeast Scotland, 1965-1991.
Rates of anorexia nervosa among females presenting to specialist services in northeast Scotland had increased significantly between 1965 and 1991.
We sought to elucidate possible causes of this change.
Hospital and primary care records were searched.
Age, weight, and body mass index (BMI) were determined for 196 patients and duration of symptoms from onset to presentation was established in 190 cases.
Changes in these parameters were investigated over the 27-year period of the study.
There was no significant change in duration of illness or in age at presentation.
BMls increased significantly, but this arose because patients decreased in height, not because they increased in weight.
There was no increase in seriously underweight patients with BMls of <=15.
Anorexic females were not referred at an earlier stage of their illness, but primary care teams may be identifying and referring milder cases.
Alternatively, the findings may reflect an increasing incidence of eating disorders coupled with changes in their presenting symptomatology.
Mots-clés Pascal : Anorexie mentale, Indice masse corporelle, Critère, Diagnostic, Soin santé primaire, Santé mentale, Ecosse, Grande Bretagne, Royaume Uni, Europe, Homme, Femelle, Trouble comportement alimentaire
Mots-clés Pascal anglais : Anorexia nervosa, Body mass index, Criterion, Diagnosis, Primary health care, Mental health, Scotland, Great Britain, United Kingdom, Europe, Human, Female, Eating disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0471919
Code Inist : 002B18B02. Création : 22/03/2000.