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 |
published 2000