TY - JOUR PY - 2000// TI - Epidemiology and natural course of eating disorders in young women from adolescence to young adulthood JO - Journal of the American Academy of Child and Adolescent Psychiatry A1 - Lewinsohn, P. M. A1 - Striegel-Moore, Ruth H. A1 - Seeley, J. R. SP - 1284 EP - 1292 VL - 39 IS - 10 N2 - OBJECTIVES: To describe the epidemiology of eating disorders (ED) in a community sample of adolescent girls; to compare the clinical characteristics of full-syndrome (FS) and partial-syndrome (PS) ED cases; and to provide information about the continuity between adolescent ED and young adult psychopathology. METHOD: A randomly selected sample of high school girls were assessed during adolescence (n = 891) and a year later (n = 810), and a stratified subset (n = 538) was assessed during their 24th year. The assessments included the Schedule for Affective Disorders and Schizophrenia for School-Age Children, the Longitudinal Interval Follow-up Evaluation, level of functioning, mental health treatment utilization, history of suicide attempt, and physical symptoms. RESULTS: The incidence of ED was less than 2.8% by age 18, and 1.3% for ages 19 through 23. Comorbidity with other psychopathology (89.5%), but especially depression, was very high. FS- and PS-ED groups differed significantly from a no-disorder comparison group on most outcome measures, and more than 70% of the adolescent FS- and PS-ED cases met criteria for an Axis I disorder in young adulthood. CONCLUSIONS: FS- and PS-ED are associated with substantial comorbidity, treatment seeking, impaired functioning, and risk for psychopathology in young adulthood.

Language: en

LA - en SN - 0890-8567 UR - http://dx.doi.org/10.1097/00004583-200010000-00016 ID - ref1 ER -