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Am J Psychiatry 1995; 152:1266-1271
Copyright © 1995 by American Psychiatric Association
Increasing incidence of anorexia nervosa in the female population of northeast Scotland
JM Eagles, MI Johnston, D Hunter, M Lobban and HR Millar
Royal Cornhill Hospital, Aberdeen, Scotland, UK.
OBJECTIVE: The aim of the study was to determine whether there has been an
increase in the incidence of anorexia nervosa in the female population in
the northeast of Scotland since the 1960s. METHOD: Standardized diagnostic
criteria were applied to the case records of female subjects who had been
diagnosed as suffering from anorexia nervosa and had presented for the
first time to psychiatric services between 1965 and 1991 or had been
admitted for the first time to a general hospital between 1970 and 1991.
Age-standardized annual incidence rates were calculated from 1965 through
1991. As a broad measure of severity, the weights of patients in 3 early
years of the study, 1970-1972, were compared with those of patients in the
last 3 years, 1989-1991. RESULTS: Over the 27-year period studied, 287
patients received confirmed diagnoses of anorexia nervosa, and the mean
annual increase in incidence was 5.3%. The rate of increase was highly
statistically significant. Comparison of weights at presentation showed a
trend for patients presenting in 1970-1972 to be lighter than those
presenting in 1989-1991. CONCLUSIONS: Rates of referral for female subjects
with anorexia nervosa have greatly increased since the 1960s. These rates
likely reflect a genuine increase in incidence, but the data suggest that
less severely ill patients are now being referred.
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