scholarly journals Instability of eating disorder diagnoses: prospective study

2005 ◽  
Vol 187 (6) ◽  
pp. 573-578 ◽  
Author(s):  
Gabriella Milos ◽  
Anja Spindler ◽  
Ulrich Schnyder ◽  
Christopher G. Fairburn
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Remission Rate ◽  
Full Range ◽  
Research Attention ◽  
Original Diagnosis ◽  
Not Otherwise Specified ◽  
Dsm Iv ◽  
The Stability ◽  
A Current

BackgroundThe stability of eating disorder diagnoses has received little research attention.AimsTo examine the course of the full range of clinical eating disorders.MethodA sample of 192 women with a current DSM–IV eating disorder (55 with anorexia nervosa, 108 with bulimia nervosa and 29 with eating disorder not otherwise specified) were assessed three times over 30 months using a standardised interview.ResultsAlthough the overarching category of ‘eating disorder’ was relatively stable, the stability of the three specific eating disorder diagnoses was low, with just a third of participants retaining their original diagnosis. This was due only in part to remission since the remission rate was low across all three diagnoses.ConclusionsThere is considerable diagnostic flux within the eating disorders but a low overall remission rate. This suggests that underpinning their psychopathology may be common biological and psychological causal and maintaining processes.

Eating Disorders

2014 ◽  
pp. 391-409
Author(s):  
Robyn Sysko ◽  
G. Terence Wilson
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
American Psychiatric Association ◽  
Behavioral Therapy ◽  
Future Research ◽  
Pharmacological Treatments ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Not Otherwise Specified ◽  
Dsm Iv

The Diagnostic and Statistical Manual of Mental Disorders (DSM-IV; American Psychiatric Association, 1994) describes two eating disorder diagnoses, anorexia nervosa (AN) and bulimia nervosa (BN). Provisional criteria are also provided in DSM-IV for binge eating disorder (BED), which is an example of an eating disorder not otherwise specified. This chapter presents a summary and synthesis of research related to the clinical features and treatment of AN, BN, and BED, including studies of prevalence, common comorbidities, and treatment efficacy. Both psychological and pharmacological treatments are reviewed, including cognitive-behavioral therapy, interpersonal psychotherapy, family therapy, and the use of antidepressant medications. Recommendations are made for future research across the eating disorders.

Relationships between eating disorders and personality disorders in adolescents

2011 ◽  
Vol 26 (S2) ◽  
pp. 722-722
Author(s):  
S. Gaudio ◽  
C. Bufacchi ◽  
M. Andreotti ◽  
N. Gregorini ◽  
F. Montecchi
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Eating Attitudes ◽  
Lower Prevalence ◽  
Axis Ii ◽  
Not Otherwise Specified ◽  
Significant Difference ◽  
Adolescent Patients ◽  
Dsm Iv

IntroductionSeveral research studies have investigated Personality Disorder (PD) comorbidity in adult with Eating Disorders (ED), which showed an association between the two types of disorder.ObjectiveThe aim of this study is to examine the relationships between ED and PD in a sample of adolescents between 14 to 18 years of age.MethodSixty-seven adolescents with ED treated in an outpatients setting [23 Anorexia Nervosa (AN), 17 Bulimia Nervosa (BN) and 27 Eating Disorder Not Otherwise Specified (EDNOS)] were assessed using the Structured Clinical Interview for DSM-IV Axis II Disorders (SCID-II), the Beck Depression Inventory (BDI) and the Eating Attitudes Test (EAT).ResultsOverall, 13 (19.4%) of ED patients had one or more PD. Cluster C PDs were the most common specific PDs. No significant difference was found between AN and BN based on the general presence of PDs. EDNOS patients had a lower prevalence of PDs compared to AN and BN patients. ED patients with a PD had an higher BDI rates compared to ED patients without PDs. No significant difference was observed in EAT rates between ED patients with and without PDs.ConclusionsCluster C PDs were the most frequent PDs found in ED adolescent patients. The prevalence of PDs is similar in AN and BN patients, whilst EDNOS patients have a lower prevalence of PDs compared to AN and BN patients. ED adolescent patients with current PD comorbidity show higher depression scores.

Hyperphagie boulimique : évolution des concepts et critères diagnostiques actuels (DSM V)

2013 ◽  
Vol 28 (S2) ◽  
pp. 98-98
Author(s):  
C. Foulon
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Binge Eating Disorder ◽  
Night Eating Syndrome ◽  
Night Eating ◽  
Not Otherwise Specified ◽  
Dsm V ◽  
Troubles Alimentaires ◽  
Dsm Iv ◽  
Critères Diagnostiques

L’individualisation des troubles alimentaires dans le sens d’un excès d’alimentation s’est faite très tardivement par rapport aux troubles dits restrictifs. les critères de la boulimie ont été pour la première fois décrits par Russell en 1976. les troubles alimentaires se sont divisés en Anorexie mentale avec deux sous-types (restrictif et purgatif) et Boulimie dite « normopondérée ». Tous les autres tableaux cliniques qui ne remplissaient pas la totalité des critères d’un de ses deux troubles entraient dans la catégorie des troubles alimentaires non spécifiés « Eating Disorders not Otherwise Specified ou EDNOS » dans le DSM IV TR. Ces catégories ne semblaient pas pertinentes pour décrire l’ensemble de la pathologie et il est apparu nécessaire de les refondre. les critères de diagnostic tels qu’ils étaient proposés ne permettaient pas de décrire des formes modérées de ces troubles et de pouvoir rendre compte du degré de sévérité du symptôme ou de l’existence de stratégies de contrôle du poids. les classifications se sont faites de façon empirique. Parallèlement à ces classifications (DSM IV TR, CIM 10), différents travaux se sont appliqués à prendre en compte une plus grande diversité de symptômes avec en particulier la description du syndrome d’alimentation nocturne « Night Eating Syndrome ou NES ». Le DSM V a intégré ces travaux et a reconnu comme trouble l’hyperphagie boulimique « binge eating disorder » qui se définit comme l’ingestion de grandes quantités de nourriture sur une courte période avec sentiment de perte de contrôle ce qui le différencie du phénomène plus courant de l’hyperphagie qui est associé à moins de problèmes physiques et psychologiques. La conséquence de ces désordres liés à l’excès de nourriture sont le surpoids et surtout l’obésité avec ses conséquences somatiques. Le fait d’avoir une description clinique précise de ces troubles permet de leur appliquer des thérapeutiques pertinentes. les propositions de traitement doivent absolument tenir compte des caractéristiques cliniques et psychologiques des sujets.

Eating Disorders – A Current Concern

2011 ◽  
Vol 32 (1) ◽  
pp. 27-45 ◽  
Author(s):  
Mónica Guinzbourg
Keyword(s):  
Eating Disorders ◽  
Population Sample ◽  
Epidemiological Data ◽  
The Past ◽  
Not Otherwise Specified ◽  
Rorschach Comprehensive System ◽  
Dsm Iv ◽  
Using Data ◽  
Outpatient Settings ◽  
A Current

Epidemiological data shows that Eating Disorders (ED) have been increasing over the past decades and have become one of the most common categories seen in outpatient settings. The EDNOS category – Eating Disorder Not Otherwise Specified – was included in DSM-IV, joining the traditional Anorexia and Bulimia categories. However, some controversy still exists about whether this inclusion is justified. For this reason we decided to examine the differences between ED groups and a population sample, and to compare the three subgroups using data from the Rorschach Comprehensive System. We compared 106 patients suffering from Eating Disorders with a population of 60 nonpatient subjects from a similar demographic subjects background. The ED group consists of 25 Anorexia, 27 Bulimia, and 54 EDNOS cases. We found that the three groups differ significantly from the nonpatient sample, and while they share some features, Anorexia differs from Bulimia and EDNOS. This last group presents differences in regard to introspective capacities. These differences may have an impact on therapy planning.

scholarly journals Eating disorders, DSM–5 and clinical reality

2011 ◽  
Vol 198 (1) ◽  
pp. 8-10 ◽  
Author(s):  
Christopher G. Fairburn ◽  
Zafra Cooper
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Clinical Practice ◽  
Response To Treatment ◽  
Dsm 5 ◽  
Current State ◽  
Not Otherwise Specified ◽  
Clinical Reality ◽  
Dsm Iv

SummaryThe DSM–IV scheme for classifying eating disorders is a poor reflection of clinical reality. In adults it recognises two conditions, anorexia nervosa and bulimia nervosa, yet these states are merely two presentations among many. As a consequence, at least half the cases seen in clinical practice are relegated to the residual diagnosis ‘eating disorder not otherwise specified’. The changes proposed for DSM–5 will only partially succeed in correcting this shortcoming. With DSM–6 in mind, it is clear that comprehensive transdiagnostic samples need to be studied with data collected on their current state, course and response to treatment. Only with such data will it be possible to derive an empirically based classificatory scheme that is both rooted in clinical reality and of value to clinicians.

Views on Classification and Diagnosis of Eating Disorders

1995 ◽  
Vol 40 (8) ◽  
pp. 445-456 ◽  
Author(s):  
Paul E Garfinkel ◽  
Sidney H Kennedy ◽  
Allan S Kaplan
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Empirical Work ◽  
Original Description ◽  
Diagnostic And Statistical Manual ◽  
Not Otherwise Specified ◽  
Conversion Disorders ◽  
Research Findings ◽  
Dsm Iv ◽  
Definition Of

Objective To highlight developments in the taxonomy of eating disorders since Russell's original description of bulimia nervosa (BN) in 1979 and through 3 versions of the Diagnostic and Statistical Manual. Method Criteria for anorexia nervosa (AN), BN and binge eating disorder (BED) are systematically described. Results While criteria for AN remain largely unchanged between DSM-III-R and DSM-IV, the subclassification of binge/purge and restricter subgroups endorses previous research findings. For BN, the definition of “binge” has occupied considerable attention both in quantitative and qualitative terms. The arbitrary choice of 2 episodes per week as a minimum frequency is also discussed in light of recent data from the Ontario Health Supplement. A third eating disorder, BED, is now included in the appendix of DSM-IV under Eating Disorders — Not Otherwise Specified category. The potential overlap between this disorder and nonpurging BN is discussed. Finally, the relationship between eating disorders and other psychiatric disorders including depression, schizophrenia, obsessional, and conversion disorders is considered as well as the continuum from preoccupation with weight to eating disorder. Conclusion While significant advances have been made in understanding and classifying eating disorders during the past 15 years, further empirical work is necessary to clarify areas of uncertainty.

Eating Disorders

2010 ◽  
pp. 387-405 ◽  
Author(s):  
Robyn Sysko ◽  
G. Terence Wilson
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
American Psychiatric Association ◽  
Behavioral Therapy ◽  
Future Research ◽  
Pharmacological Treatments ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Not Otherwise Specified ◽  
Dsm Iv

The Diagnostic and Statistical Manual of Mental Disorders (DSM-IV; American Psychiatric Association, 1994) describes two eating disorder diagnoses, anorexia nervosa (AN) and bulimia nervosa (BN). Provisional criteria are also provided in DSM-IV for binge eating disorder (BED), which is an example of an eating disorder not otherwise specified. This chapter presents a summary and synthesis of research related to the clinical features and treatment of AN, BN, and BED, including studies of prevalence, common comorbidities, and treatment efficacy. Both psychological and pharmacological treatments are reviewed, including cognitive-behavioral therapy, interpersonal psychotherapy, family therapy, and the use of antidepressant medications. Recommendations are made for future research across the eating disorders.

Psychiatric Comorbidity in Eating Disorders Not Otherwise Specified (EDNOS)

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
G. Milos
Keyword(s):  
Eating Disorders ◽  
Total Sample ◽  
Structured Interview ◽  
Not Otherwise Specified ◽  
Axis I ◽  
Dsm Iv ◽  
One Year ◽  
The Stability ◽  
The Relationship ◽  
Very High

This study aimed to analyse the course of eating disorders (ED) over thirty months emphasizing comorbidity and stability of the ED diagnoses. Particularly attention was given to the eating disorders not otherwise specified (EDNOS) subjects in comparison with anorexia nervosa (AN) and bulimia nervosa (BN) patients.192 women with a DSM IV eating disorder diagnosis - 55 AN, 108 BN, 29 EDNOS - was assessed with the structured interview (SCID I) at the baseline, one year and thirty months after the first assessment.83.3% of the total sample had in addition to the ED diagnosis one or more lifetime axis I diagnoses. We found no significant differences between the most common axis diagnoses - anxiety and affective disorders, or dependence disorders - in the three diagnostic groups, excepted for social phobia, in fact this disorder was significantly often present in AN. The distribution of the lifetime suicidal attempt was very similar in the three diagnostic groups.The stability of the ED diagnoses was low, but EDNOS was the most instable ED diagnosis with a tendency to remission.The axis I comorbidity of ED was very high, and the EDNOS subjects showed a very similar axis I comorbidity compared with subjects with AN and BN. The stability of the ED diagnoses was low and the EDNOS group showed the highest ED diagnosis instability and tendency to remission. The relationship between axis I comorbidity, and ED instability is unclear, further studies in these fields are needed.

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