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Abstract 1 of 1 
Eating Disorders During Adolescence and the Risk for Physical and Mental Disorders During Early Adulthood
Arch Gen Psychiatry. 2002;59:545-552.
Background Data from a community-based longitudinal investigation were used to
investigate whether adolescents with eating disorders are at an elevated risk
for physical and mental disorders during early adulthood.
Methods Psychosocial and psychiatric interviews were administered to a representative
community sample of 717 adolescents and their mothers from 2 counties in the
state of New York in 1983, 1985 to 1986, and 1991 to 1993. In 1983, the mean
age of the youths was 13.8 years.
Results Adolescents with eating disorders were at a substantially elevated risk
for anxiety disorders, cardiovascular symptoms, chronic fatigue, chronic pain,
depressive disorders, limitations in activities due to poor health, infectious
diseases, insomnia, neurological symptoms, and suicide attempts during early
adulthood after age, sex, socioeconomic status, co-occurring psychiatric disorders,
adolescent health problems, body mass index, and worries about health during
adulthood were controlled statistically. Problems with eating or weight during
adolescence predicted poor health outcomes during adulthood, regardless of
whether an eating disorder had been present. Only 22% of the adolescents with
current eating disorders had received psychiatric treatment within the past
year.
Conclusion Eating disorders during adolescence may be associated with an elevated
risk for a broad range of physical and mental health problems during early
adulthood.
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