Table 1. Cases of childhood anorexia nervosa in mostly retrospective surveys of hospital records

 

 

 

Reference

Number of cases

(Total)

 

 

M:F ratio

 

Age at onset (years)

Age at presentation

(years)

 

Core symptoms

 

 

Comorbidity

 

 

Treatment

 

 

Outcome

 

Period cases reviewed

 

 

Comments

 

 

Lesser et al. 1960

 

 

 

3 (15)

 

 

 

not reported

 

 

before age 13

 

 

 

not reported

 

 

 

+

hysterical

obsessive-compulsive

schizoid

 

 

 

hospitalization

 

 

 

"good"

 

 

 

1960

 

 

 

Youngest 10 years

Blitzer et al. 1961

 

9 (15)

 

3:15

 

7-14

 

10-16

 

+

anxiety

anger

 

hospitalization

 

1/27 died

 

1960-68

 

9 premenarchal

 

 

Warren

1968

8 prepubertal

4 premenarchal

(20)

 

 

 

no boys

 

 

 

10-15

 

 

 

12-16

 

less weight loss

+

 

depression

anxiety

tension

 

 

 

hospitalization

 

 

2/8 prepubertal  pts. died

 

1949-64

 

10% of all patients admitted to Maudsley Hospital

 

 

Galdston

1972

 

 

? (50) 8 - 16 years

 

 

 

9:41

number of prepubertal cases not reported

number of prepubertal cases not reported

 

 

3 suicidal

+

 

moderate depression

euphoria

 

 

hospitalization

psychotherapy

 

 

all discharged with weight gain

 

 

 

1960-72

 

 

Children's Hospital Boston

 

 

Halmi

1974

 

 

 

7 (94)

 

 

 

6:88

 

 

8% <10 years

 

29% 10-15

41% 16-25

25% >25

 

 

 

+

anxiety

obsessive-compulsive

depression

 

 

 

hospitalization

 

 

 

not reported

 

 

 

1920-72

 

 

Hospitals

U. of Iowa

 

 

Goetz et al. 1977

 

 

 

? (30)

 

 

 

2:28

 

 

 

 

9.5-16

 

 

 

+

hysterical

obsessive-compulsive

schizoid

 

 

 

hospitalization

 

 

 

good

 

 

 

1954-70

 

 

Children's Hospital

Pittsburgh

Irwin

1984

 

13 (54)

males excluded

 

?

 

9-12

less weight loss  +

 

depression

 

hospitalization

 

not reported

 

1960-80

 

7% under age 10

 

 

Hawley

1985

10 prepubescent

7 pubescent

(21)

 

 

 

4:21

 

 

 

7.2-13.5

 

 

 

not reported

 

 

 

+

 

 

 

not reported

 

 

 

hospitalization

 

 

 

67% good outcome

 

 

 

1964-82

 

All boys prepubertal

Children's Hospital

Birmingham

 

 

Jacobs & Isaacs

1986

 

 

 

20

 

 

 

6:14

 

 

 

7.2-13.9

 

 

 

not reported

 

 

 

+

 

sexual anxiety

disturbed peer relationships

 

 

 

hospitalization

poor prognosis

low social class

family psychopathology

 

 

 

1963-81

 

 

 

Maudsley Hospital

 

 

Fosson et al. 1987

 

23 prepubertal (48)

 

 

 

13:35

 

 

 

7.7-13.7

 

 

 

8.2-13.9

 

 

 

+

 

 

depression

family conflict

 

 

 

hospitalization

 

 

 

good

 

 

 

1960-84

Hospital for Sick Children

7:16 prepubescent

6:14 pubescent

 

 

Higgs et al. 1989

 

 

 

(27)

 

 

 

8:19

 

 

 

8-16

 

 

 

not reported

 

 

 

+

Higher obsessionality than comparison group

 

 

 

hospitalization

50% good or intermediate outcome, boys better outcome

 

 

 

1958-84

 

 

Children's Hospital Manchester

Atkins and Silber 1990

 

9 (21)

 

0:21

9 Tanner stage I

 

7-12

 

+ in 16

71% additional diagnosis

 

hospitalization

all prepubertal cases good outcome

 

1978-89

 

Children's Hospital

 

Gowers et al. 1991

 

30 premenarchal

 

males excluded

 

 

13.6±2.2

 

 

16.3±5.3

 

 

+

 

 

not described

 

 

hospitalization

anxiety about pubertal development

 

 

not indicated

 

St. George's Hospital

 

 

Back to Chapter

published 2000