CPG for Eating Disorders

abuse/dependency, low sensation seeking level 395 .Binge-Eating DisorderIn follow-up studies at 5 years, 10% of cases diagnosed with BED maintained the diagnosis,18% to 20% presented partial remission and 70% were determined to have good prognosis. Thepresence of binge-eating predicts weight gain. The prevalence of obesity was duplicated in thegroup of patients who presented disorder maintenance by the end of the study 74 .11.2. Are there prognostic factors in eating disorders?Anorexia nervosa– Good prognostic factors: histrionic personality traits 388 , onset in adolescence 393, 396 . In thelatter case, it would not exactly be a good prognostic factor but rather a better prognosticfactor than onset of AN in adulthood.– Poor prognostic factors: comorbidity with other psychiatric disorders (mood disorders,anxiety disorders, substance abuse), presence of self-induced vomiting, binge-eating orlaxative abuse, obsessive-compulsive personality traits, social adjustment and diseaseduration 388, 395, 397 .Bulimia nervosa– Good prognostic factors: the earlier treatment has been initiated, the better prognosis.This factor is deemed to be the best indicator of good prognosis, even more than the type orduration of given treatment 398 ; it also correlates with good prognosis at the beginning of thedisease in adolescence when compared to onset in adulthood 399 .– Poor prognostic factors: history of substance abuse or laxative abuse predict suicideattempts 400 ; comorbidity with OCD is associated with longer disease duration 401 ; history ofeating conflicts and/or refusal at early stages of childhood 402 ; poor psychosocial functioningand greater disturbance of body image are the factors that most influence BN relapse 403 .Binge-Eating Disorder– Poor prognostic factors: the presence of binge-eating episodes predicts weight gain. Theprevalence of obesity was duplicated in the group of patients who sustained BED by theend of the study 74 . The presence of Cluster B personality traits predicts greater frequency ofbinge-eating episodes 404 .CLINICAL PRACTICE GUIDELINE FOR EATING DISORDERS186