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.

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.

The stability between two HIV-1 RNA measurements one year apart and the relationship with HIV subtype in rural Uganda

2001 ◽  
Vol 12 (2) ◽  
pp. 116-121 ◽  
Author(s):  
Dilys Morgan ◽  
Pontiano Kaleebu ◽  
Jimmy Whitworth ◽  
David Yirrell ◽  
Alleluiah Rutebemberwa ◽  
...  
Keyword(s):  
One Year ◽  
The Stability ◽  
The Relationship ◽  
Hiv 1

scholarly journals A Study on the Relationship of Profile Characteristics with Group Performance of Tribal Farmer Interest Groups (FIGs)

2021 ◽  
Vol 108 (March) ◽  
pp. 1-6
Author(s):  
Mathuabirami V ◽  
◽  
Kalaivani S ◽  
Keyword(s):  
Interest Groups ◽  
Group Performance ◽  
Group Communication ◽  
Total Sample ◽  
Structured Interview ◽  
Group Leadership ◽  
Medium Level ◽  
Profile Characteristics ◽  
Relationship Of ◽  
The Relationship

The present study aimed to analyze the relationship of profile characteristics with group performance of tribal FIGs. The survey was purposively conducted in Erode district as it contains more number of tribal Farmer Interest Groups (FIGs). A total of five Tribal FIGs were randomly selected from 16 Tribal FIGs belonging to Dhimbam Dhaniya Farmer Producer Company Limited (DDFPCL) and the total sample size was 100. A well-structured interview schedule was prepared and employed to collect the data from the respondents. The findings showed that majority of the respondents were young aged with high school education, female marginal farmers receiving low level of annual income with medium level of farming experience. They had also received medium level of support from institution. The findings of the study also revealed that majority of the members of tribal FIGs had 76.00, 75.00, 73.00, 67.00 and 55.00 percentages of self-confidence, economic motivation, group leadership, group communication and information seeking behaviour respectively.To improve the performance of tribal FIGs, measures should be taken to increase the level of group communication, group leadership and group cohesiveness. This can be increased through organizing regular meetings for members, proper selection of leaders and making the members to understand the importance of group action

Intimacy, Fusion and Frequency of Sexual Contact in Lesbian Couples

1996 ◽  
Vol 26 (4) ◽  
pp. 253-256
Author(s):  
Sue Blyth ◽  
Gillian Straker
Keyword(s):  
Correlation Coefficients ◽  
Sexual Contact ◽  
Lesbian Couples ◽  
Lesbian Relationships ◽  
Linear Relationships ◽  
One Year ◽  
High Level ◽  
The Relationship ◽  
Personal Assessment ◽  
Very High

It is generally accepted in the literature that, of all couple types, lesbian couples tend to have the lowest frequencies of sexual contact. It has been hypothesized that a reason for this is that lesbian couples are more subject than others to fusion. This study examines the relationship between frequency of sexual contact and fusion in lesbian relationships of duration longer than one year. The concept of fusion has, however, not been clearly defined. Although Mencher (1990), for example, states that fusion is akin to, but not the same as, intense intimacy, fusion is treated within the literature as if it lay on a continuum of intimacy. In the design of this study, fusion was thus defined as a very high level of intimacy, as measured on the Personal Assessment of Intimacy in Relationships (PAIR) Inventory. Spearman correlation coefficients were calculated and scatter graphs plotted to explore the possible existence of significant linear and non-linear relationships between fusion and frequency of sexual contact. The results of this study indicate that the conceptualization of fusion as very high intimacy should be questioned. The results suggest that fusion is not synonymous with intense intimacy and this article argues for a clearer definition and operationalizatian of the important concept of fusion.

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.

New contributions to the prevalence of eating disorders in Spanish adolescents: detection of false negatives

2005 ◽  
Vol 20 (2) ◽  
pp. 173-178 ◽  
Author(s):  
Teresa Rodríguez-Cano ◽  
Luis Beato-Fernández ◽  
Antonia Belmonte-Llario
Keyword(s):  
Eating Disorders ◽  
False Negative ◽  
Structured Interview ◽  
Eating Attitude ◽  
Control Group ◽  
False Negatives ◽  
Not Otherwise Specified ◽  
Eating Attitude Test ◽  
Attitude Test ◽  
Spanish Research

AbstractBackgroundAlthough the epidemiology of Eating Disorders (ED) has been highly developed in Spain, further research considering false negatives and also the prevalence of these disorders in males are needed. They were the aims of the present study.MethodsOne thousand and seventy six adolescents (500 males and 576 females) participated in a two-stage survey. At the age of 13, apart from exploring numerous clinical and psychosocial variables, they were assessed by means of self-administered screening instruments, the eating attitude test (EAT), bulimic investigatory test Edinburgh (BITE), and body shape questionnaire (BSQ). The subjects were interviewed again 2 years later. Afterwards, 159 probable cases and 150 controls were interviewed by means of the structured interview SCAN.ResultsPrevalence of ED in adolescents was 3.71% (95% CI 2.58–4.83; 6.4% of females, 0.6% of males): anorexia nervosa 0.1%, bulimia nervosa 0.75%, eating disorder not otherwise specified (EDNOS) = 2.88%. The rate of false negative was 2.6% of the control group and most of them were EDNOS.ConclusionsThe prevalence of ED obtained in our study, higher than others found in previous Spanish research, and a relatively high percentage of false negatives both indicate that up to now the prevalence of ED in Spanish adolescents could be underestimated.

Insidious: The relationship between patients and their eating disorders and its impact on ED symptoms, illness duration and self-image

2017 ◽  
Vol 41 (S1) ◽  
pp. S552-S552
Author(s):  
E. Forsén Mantilla ◽  
A. Birgegård
Keyword(s):  
Eating Disorders ◽  
Interpersonal Relationships ◽  
Real Life ◽  
True Self ◽  
Illness Duration ◽  
Self Image ◽  
Not Otherwise Specified ◽  
Higher Ed ◽  
Competing Interest ◽  
The Relationship

Patients with eating disorders (EDs) often spontaneously talk about their disorder in terms of a symbolic other (a demon, a voice, a guardian). Further, externalizing exercises where patients are encouraged to separate their true self from their ED self are common in some treatment approaches. Yet, no previous quantitative study has investigated this phenomenon. We examined the patient-ED relationship (using the interpersonal structural analysis of social behavior methodology) and its implications for ED symptoms, illness duration and self-image. Participants were 16–25 year old female patients (N = 150) diagnosed with anorexia nervosa (N = 55), bulimia nervosa (N = 33) or eating disorder not otherwise specified (N = 62). Results suggested that patients had comprehensible and organized relationships with their EDs. EDs were primarily experienced as acting critical and controlling towards patients. Higher ED control was associated with more ED symptoms and longer illness duration, especially when coupled with patient submission. Patients reacting more negatively towards their EDs than their EDs were acting towards them had lower symptom levels and more positive self-images. Externalizing one's ED, relating to it like a symbolic other, seemed to make sense to patients and depending on its quality seemed to influence ED symptoms, illness duration and self-image. We put forward both clinical and theoretical implications based on the assumption that the patient-ED relationship may function in similar ways as real-life interpersonal relationships do.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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.

Prevalence of subthreshold forms of psychiatric disorders in persons making suicide attempts in Hungary

2000 ◽  
Vol 15 (6) ◽  
pp. 354-361 ◽  
Author(s):  
J. Balázs ◽  
I. Bitter ◽  
Y. Lecrubier ◽  
N Csiszér ◽  
G. Ostorharics
Keyword(s):  
Psychiatric Disorders ◽  
Suicide Attempts ◽  
Structured Interview ◽  
Background Information ◽  
Semistructured Interview ◽  
Suicide Attempters ◽  
Psychiatric Illnesses ◽  
Current Threshold ◽  
Axis I ◽  
Dsm Iv

summaryBackground – Suicide and suicide attempts have been associated to psychiatric illnesses; however, little is known about the role in suicide risk of those symptoms that do not meet the full criteria for a DSM-IV disorder. The aim of this study was to examine the prevalence of subthreshold psychiatric disorders among suicide attempters in Hungary. Methods – Using a modified structured interview (Mini International Neuropsychiatric Interview) determining 16 Axis I psychiatric diagnoses and their subthreshold forms defined by the DSM-IV and a semistructured interview collecting background information, the authors examined 140 consecutive suicide attempters, aged 18–65 years. Results – Eighty-three-point-six percent of the attempters had one or more current threshold diagnoses on Axis I and in addition more than three-quarters (78.6%) of the subjects had at least one subthreshold diagnosis. Six-point-four percent of the subjects (N = 9) had neither subthreshold nor threshold diagnoses at the time of their suicide attempts. Ten percent of the subjects (N = 14), not meeting the full criteria for any DSM-IV diagnoses, had at least one subthreshold diagnosis. In 68.6% of the subjects (N = 96), both subthreshold and threshold disorders were diagnosed at the time of their suicide attempts. The number of subthreshold and threshold diagnoses were positively and significantly related (χ2 = 5.12, df = 1, P < 0.05). Sixty-three-point-six percent of the individuals received two or more current threshold diagnoses on Axis I and 44.3% of the individuals (N = 62) had two or more subthreshold diagnoses at the time of their suicide attempts. Limitations – The subthreshold definitions in this study included only those forms of the disorders which required the same duration as the criteria DSM-IV disorder with fewer symptoms. Conclusions – Suicide attempts showed a very high prevalence of subthreshold disorders besides psychiatric disorders meeting the full criteria required according to the DSM-IV. Subthreshold forms of mental disorders need to be taken into account in suicide prevention.

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