Diagnostik von Persönlichkeitsstörungen im Jugendalter nach SKID-II

2008 ◽  
Vol 36 (2) ◽  
pp. 117-125 ◽  
Author(s):  
H. Salbach-Andrae ◽  
A. Bürger ◽  
N. Klinkowski ◽  
K. Lenz ◽  
E. Pfeiffer ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Prognostische Faktoren ◽  
Störung Des Sozialverhaltens ◽  
Dsm Iv

Zusammenfassung: Fragestellung: Ziel der vorliegenden Untersuchung war eine Überprüfung der Anwendbarkeit des Strukturierten Klinischen Interviews für DSM-IV, Achse II: Persönlichkeitsstörungen (SKID-II) im Jugendalter sowie eine Untersuchung zur Übereinstimmung zwischen SKID-II Diagnosen und klinischem Urteil. Zusätzlich wurde der Frage nachgegangen, welche Faktoren bei Patientinnen einer jugendpsychiatrischen Inanspruchnahmepopulation Persönlichkeitsstörungen (PS) prognostizieren. Methodik: Insgesamt wurden 110 stationär behandelte, jugendpsychiatrische Patienten im Alter von 14-18 Jahren mit dem SKID-II und dem Persönlichkeitsstil- und Störungsinventar (PSSI) untersucht. Ergebnisse: 32.7% der untersuchten Patienten zeigten nach SKID-II die Diagnose einer PS. Die Übereinstimmung zwischen kategorialem Urteil (PS liegt vor versus PS liegt nicht vor) des SKID-II und der klinischen Diagnose erwies sich insgesamt als niedrig. Lediglich für die histrionische PS und für die Borderline-PS ergaben sich annehmbare bis sehr gute Übereinstimmungen. Logistische Regressionsanalysen identifizierten «Anorexia nervosa (bulimisch)», «einfache Aktivitäts- und Aufmerksamkeitsstörung/Störung des Sozialverhaltens (ADHD/SSV)» und «Schicht» als relevante prognostische Faktoren für PS. Schlussfolgerungen: Das SKID-II, das primär für Erwachsene entwickelt wurde, ist für den Gebrauch bei Jugendlichen gut einsetzbar. Im jugendpsychiatrischen Bereich sind die Diagnosen Anorexia nervosa (bulimisch) und ADHD/SSV eng mit der Entwicklung einer PS assoziiert.

scholarly journals DSM-IV-Defined Anorexia Nervosa Versus Subthreshold Anorexia Nervosa (EDNOS-AN)

2012 ◽  
Vol 21 (1) ◽  
pp. 1-7 ◽  
Author(s):  
Daniel Le Grange ◽  
Ross D. Crosby ◽  
Scott G. Engel ◽  
Li Cao ◽  
Alfred Ndungu ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Dsm Iv

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.

scholarly journals What is OSFED? The predicament of classifying ‘other’ eating disorders

BJPsych Open ◽  
2021 ◽  
Vol 7 (5) ◽  
Author(s):  
Zoe M. Jenkins ◽  
Serafino G. Mancuso ◽  
Andrea Phillipou ◽  
David J. Castle
Keyword(s):  
Cluster Analysis ◽  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Binge Eating ◽  
Treatment Seeking ◽  
Clinical Feature ◽  
Dsm 5 ◽  
Feeding And Eating Disorders ◽  
Dsm Iv

The transition from DSM-IV to DSM-5 relaxed diagnostic criteria for anorexia nervosa and bulimia nervosa, and recognised a third eating disorder, binge eating disorder. However, a large proportion of cases remain in the ill-defined category of ‘other specified feeding and eating disorders’. We sought to investigate the utility of a proposed solution to classify this group further, subdividing based on the dominant clinical feature: binge eating/purging or restraint. Cluster analysis failed to identify clusters in a treatment-seeking sample based on symptoms of restraint, binge eating, purging and over-evaluation of shape and weight. Further investigation of this highly heterogeneous group is required.

scholarly journals The Anorexia Nervosa Genetics Initiative: Overview and Methods

2017 ◽  
Author(s):  
Laura M Thornton ◽  
Melissa A Munn-Chernoff ◽  
Jessica H Baker ◽  
Anders Juréus ◽  
Richard Parker ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Large Scale ◽  
Eating Behaviors ◽  
Clinical Information ◽  
The United States ◽  
Sample Collection ◽  
Present Sample ◽  
Link Type ◽  
Dsm Iv

AbstractBackground:Genetic factors contribute to anorexia nervosa (AN); and the first genome-wide significant locus has been identified. We describe methods and procedures for the Anorexia Nervosa Genetics Initiative (ANGI), an international collaboration designed to rapidly recruit 13000 individuals with AN as well as ancestrally matched controls. We present sample characteristics and the utility of an online eating disorder diagnostic questionnaire suitable for large-scale genetic and population research.Methods:ANGI recruited from the United States (US), Australia/New Zealand (ANZ), Sweden (SE), and Denmark (DK). Recruitment was via national registers (SE, DK); treatment centers (US, ANZ, SE, DK); and social and traditional media (US, ANZ, SE). All cases had a lifetime AN diagnosis based on DSM-IV or ICD-10 criteria (excluding amenorrhea). Recruited controls had no lifetime history of disordered eating behaviors. To assess the positive and negative predictive validity of the online eating disorder questionnaire (ED100K-v1), 109 women also completed the Structured Clinical Interview for DSM-IV (SCID), Module H.Results:Blood samples and clinical information were collected from 13,364 individuals with lifetime AN and from controls. Online diagnostic phenotyping was effective and efficient; the validity of the questionnaire was acceptable.Conclusions:Our multipronged recruitment approach was highly effective for rapid recruitment and can be used as a model for efforts by other groups. High online presence of individuals with AN rendered the Internet/social media a remarkably effective recruitment tool in some countries. ANGI has substantially augmented Psychiatric Genomics Consortium AN sample collection. ANGI is a registered clinical trial: clinicaltrials.gov NCT01916538; https://clinicaltrials.gov/ct2/show/NCT01916538?cond=Anorexia+Nervosa&draw=1&rank=3.

Anorexia nervosa - Die Trias von Metrik-Index, BMI-Altersperzentilenkurve und Zielgewicht

1999 ◽  
Vol 27 (1) ◽  
pp. 5-17 ◽  
Author(s):  
K.-J. Neumärker ◽  
A. J. Bartsch ◽  
M. W. Bzufka ◽  
U. Dudeck ◽  
H. Greil ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Bulimia Nervosa ◽  
Icd 10 ◽  
Dsm Iv

Zusammenfassung: Anhand von n = 133 adoleszenten Patientinnen der Berliner Anorexie-Studie belegen Quer- und Längsschnittdaten der stationären Therapie bei Anorexia nervosa (n = 104; Achse-I-Hauptdiagnose nach ICD-10 und DSM-IV-Kriterien), Bulimia nervosa (n = 19) und atypischen Eßstörungen (n = 10) eine signifikante Verschiebung der nach dem Metrik-Index kategorisierten typologischen Häufigkeitsverteilung in Richtung leptomorpher Körperbauvarianten (p < 0.050, χ2/Fisher's). Drei Erklärungsmodelle werden diskutiert. Es wird auf die diagnostische und therapeutische Bedeutung eingegangen, insbesondere für eine körperbautypgerechte Zielgewichtsbestimmung bei Anorexia nervosa. Ein entsprechender Algorithmus unter Nutzung von Metrix-Index und geschlechtsspezifischen BMI-Altersperzentilen wird vorgeschlagen.

scholarly journals Eighty-five per cent of what? Discrepancies in the weight cut-off for anorexia nervosa substantially affect the prevalence of underweight

2008 ◽  
Vol 39 (5) ◽  
pp. 833-843 ◽  
Author(s):  
J. J. Thomas ◽  
C. A. Roberto ◽  
K. D. Brownell
Keyword(s):  
Anorexia Nervosa ◽  
National Sample ◽  
Specific Method ◽  
Insurance Reimbursement ◽  
False Consensus ◽  
Dsm Iv ◽  
Nationally Representative ◽  
Subclinical Eating Disorders ◽  
The Impact

BackgroundDSM-IV cites <85% of expected body weight (EBW) as a guideline for the diagnosis of anorexia nervosa (AN) but does not require a specific method for calculating EBW. The purpose of the present study was to determine the degree to which weight cut-off calculations vary across studies, and to evaluate whether differential cut-offs lead to discrepancies in the prevalence of individuals who are eligible for the AN diagnosis.MethodTwo coders independently recorded the EBW calculation methods from 99 studies that either (a) compared individuals with AN to those with subclinical eating disorders or (b) conducted AN treatment trials. Each weight cut-off was applied to a nationally representative (n=12001) and treatment-seeking (n=189) sample to determine the impact of EBW calculation on the proportion who met the AN weight criterion.ResultsCoders identified 10 different EBW methods, each of which produced different weight cut-offs for the diagnosis of AN. Although only 0.23% of the national sample met the lowest cut-off, this number increased 43-fold to 10.10% under the highest cut-off. Similarly, only 48.1% of treatment seekers met the lowest cut-off, whereas 89.4% met the highest.ConclusionsThere is considerable variance across studies in the determination of the AN weight cut-off. Discrepancies substantially affect the proportion of individuals who are eligible for diagnosis, treatment and insurance reimbursement. However, differences may not be fully appreciated because the ubiquitous citation of the 85% criterion creates a sense of false consensus.

Dialektisch Behaviorale Therapie (DBT) und Kognitiv Behaviorale Therapie (CBT) für Jugendliche mit Anorexia und Bulimia nervosa im Vergleich

2009 ◽  
Vol 18 (3) ◽  
pp. 180-190 ◽  
Author(s):  
Harriet Salbach-Andrae ◽  
Inga Bohnekamp ◽  
Tobias Bierbaum ◽  
Nora Schneider ◽  
Claudia Thurn ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Bulimia Nervosa ◽  
Dialektisch Behaviorale Therapie ◽  
Dsm Iv

Ziel der vorliegenden randomisierten kontrollierten Studie war die Überprüfung der Wirksamkeit der Kognitiv Behavioralen Therapie (CBT) sowie der Dialektisch Behavioralen Therapie (DBT-AN/BN) bei Patienten mit einer Anorexia nervosa (AN) und Bulimia nervosa (BN). 50 weibliche Patienten (12;4 – 21;0 Jahre) nahmen an der Untersuchung teil. 19 Patientinnen absolvierten eine 25-wöchige CBT, 16 eine 25-wöchige DBT-AN/BN und 15 wurden für 3 Monate einer Wartekontrollgruppe (WKG) zugeordnet. Am Ende der Behandlung erfüllten in der CBT-Gruppe noch 42.1 %, in der DBT-AN/BN-Gruppe 37.5 % und in der WKG alle Patienten die Kriterien einer Essstörung nach DSM-IV. Sowohl die CBT als auch die DBT-AN/BN führten verglichen mit der WKG zu einer Reduktion der Kalorienvermeidung, der unregelmäßigen Nahrungsaufnahme und der aktuellen psychischen Belastung sowie zu einer Erhöhung des BMI. Bezogen auf die Körperbildstörung, die Autonomieentwicklung, die Emotionsregulation sowie den Perfektionismus konnten nur geringe positive Effekte erzielt werden.

An epidemiological study on eating disorders in two high schools in Naples

1997 ◽  
Vol 12 (7) ◽  
pp. 342-344 ◽  
Author(s):  
P Cotrufo ◽  
V Barretta ◽  
P Monteleone
Keyword(s):  
High School ◽  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
High School Girls ◽  
School Girls ◽  
Dsm Iv

SummaryIn this study, we investigated the prevalence of full syndrome (FS), partial syndrome (PS) and subclinical syndrome (SCS) eating disorders in a sample of 356 high school girls. We identified two cases of anorexia nervosa (0.56%), 14 of bulimia nervosa (3.94%) and one of binge eating disorder (0.28%) according to Diagnostic and Statistical Manual (DSM)-IV. Moreover, 17 girls (4.77%) were recognized as PS cases and 49 (13.7%) as SCS cases. A follow-up is now ongoing to explore the clinical evolution of partial and subclinical syndromes.

Measuring the Specific Psychopathology of Eating Disorder Patients

1993 ◽  
Vol 27 (3) ◽  
pp. 506-511 ◽  
Author(s):  
P. J. V. Beumont ◽  
E. M. Kopec-Schrader ◽  
P. Talbot ◽  
S. W. Touyz
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Structured Interview ◽  
Eating Disorder Examination ◽  
Australian Context ◽  
Dsm Iv

Cooper and Fairburn's Eating Disorder Examination (EDE) is a semi-structured interview designed to assess the specific psychopathology of eating disorder subjects. It was employed in a study of 116 Sydney patients for 2 purposes: first, to determine its usefulness in an Australian context; and second, to compare patients with anorexia nervosa, bulimia and atypical eating disorder. The instrument appears to be quite appropriate for studies in Australia. With respect to the second aim, the results emphasize the essential similarity in psychopathology between the three diagnostic groups. The relevance of this latter finding to the categorisation of eating disorders in the DSM-IV proposals is discussed.

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