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ED Recovery Linked with MDD Recovery 22 Years Later

Compr Psychiatry; 2019 Apr; Keshishian, et al

Compared to those who had not fully recovered from eating disorders (EDs), those who had recovered were twice as likely not to be diagnosed with major depressive disorder (MDD) and 5 times as likely not to be diagnosed with substance use disorders (SUDs) within the past year. This according to a recent study that provides evidence that long-term recovery from EDs is associated with recovery from or absence of these common major comorbidities. Researchers examined MDD and SUD in adult women with intake diagnoses of EDs who participated in a 22-year longitudinal study. 176 of 228 surviving participants (77.2%) were interviewed 22 years after study entry using the Eating Disorders Longitudinal Interval Follow-up Evaluation to assess ED recovery status. 64% (n=113) were recovered from an ED. Researchers found:

  • At 22-year follow-up, 28% (n=49) met criteria for MDD, and 6% (n=11) met criteria for SUD.
  • Those who recovered from an ED were 2.17 times more likely not to have MDD at 22-year follow-up and 5.33 times more likely not to have a SUD at 22-year follow-up than those who had not recovered from an ED.

Keshishian AC, Tabri MN, Becker KR, et al. Eating disorder recovery is associated with absence of major depressive disorder and substance use disorders at 22-year longitudinal follow-up. Compr Psychiatry. 2019;90:49-51. doi:10.1016/j.comppsych.2019.01.002.