scholarly journals Structure of Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition Criteria for Obsessive—Compulsive Personality Disorder in Patients with Binge Eating Disorder

2008 ◽  
Vol 53 (12) ◽  
pp. 863-867 ◽  
Author(s):  
Emily B Ansell ◽  
Anthony Pinto ◽  
Maria Orlando Edelen ◽  
Carlos M Grilo
Keyword(s):  
Eating Disorder ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
Factor Model ◽  
Fourth Edition ◽  
Obsessive Compulsive ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Dsm Iv ◽  
Obsessive Compulsive Personality Disorder

Objective: To examine 1–, 2–, and 3-factor model structures through confirmatory analytic procedures for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) obsessive–compulsive personality disorder (OCPD) criteria in patients with binge eating disorder (BED). Method: Participants were consecutive outpatients ( n = 263) with binge eating disorder and were assessed with semi-structured interviews. The 8 OCPD criteria were submitted to confirmatory factor analyses in Mplus Version 4.2 (Los Angeles, CA) in which previously identified factor models of OCPD were compared for fit, theoretical relevance, and parsimony. Nested models were compared for significant improvements in model fit. Results: Evaluation of indices of fit in combination with theoretical considerations suggest a multifactorial model is a significant improvement in fit over the current DSM-IV single-factor model of OCPD. Though the data support both 2-and 3-factor models, the 3-factor model is hindered by an underspecified third factor. Conclusion: A multifactorial model of OCPD incorporating the factors perfectionism and rigidity represents the best compromise of fit and theory in modelling the structure of OCPD in patients with BED. A third factor representing miserliness may be relevant in BED populations but needs further development. The perfectionism and rigidity factors may represent distinct intrapersonal and interpersonal attempts at control and may have implications for the assessment of OCPD.

scholarly journals Binge eating disorder in men. A review of the relevant variables in the literature

Salud Mental ◽  
2018 ◽  
Vol 41 (2) ◽  
pp. 91-100
Author(s):  
Héctor Julián Velázquez López ◽  
◽  
Rosalía Vázquez Arévalo ◽  
Juan Manuel Mancilla Díaz
Keyword(s):  
Eating Disorder ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
Male Population ◽  
Female Population ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Relevant Variables ◽  
Ideal Body ◽  
Dsm Iv

Background. Although binge eating disorder (BED) formally appeared in the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), after nearly two decades of research, it is still considered understudied in men. Objective. To carry out a literature review with the variables that have been relevant in research on BED in men, from 1994 to 2015. Method. The article search was conducted in Medline and PsycINFO databases. Results. Twenty-eight articles were analyzed, none specifically investigated male population. Men engage less in restrictive dieting than women (29.8% and 57.3%, respectively). Regarding body image, both men and women are prone to body dissatisfaction, although the ideal body is not necessarily the same. Regarding comorbidity, anxiety disorders are the most common ones in men with BED, in addition to the fact that they are more susceptible to substance abuse. Discussion and conclusion. Investigation on BED has mainly been conducted on female population, which suggests the need for more research on men that provides more empirical evidence.

Eating disorders in adolescents: how does the DSM-5 change the diagnosis?

2015 ◽  
Vol 27 (4) ◽  
pp. 437-441 ◽  
Author(s):  
Martin Fisher ◽  
Marisol Gonzalez ◽  
Joan Malizio
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Bulimia Nervosa ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Dsm 5 ◽  
Dsm Iv

Abstract Purpose: This study aimed to determine the changes in diagnosis that occur in making the transition from Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) to Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria in an adolescent medicine eating disorder program. Methods: During the months of September 2011 through December 2012, a data sheet was completed at the end of each new outpatient eating disorder evaluation listing the patient’s gender, age, ethnicity, weight, height, DSM-IV diagnosis, and proposed DSM-5 diagnosis. Distributions were calculated using the Mann-Whitney and Wilcoxon rank sum analyses to determine differences between diagnostic groups. Results: There were 309 patients evaluated during the 16-month period. DSM-IV diagnoses were as follows: anorexia nervosa, 81 patients (26.2%); bulimia nervosa, 29 patients (9.4%); binge eating disorder, 1 patient (0.3%); and eating disorder not otherwise specified (EDNOS), 198 patients (64.6%). By contrast, DSM-5 diagnoses were as follows: anorexia nervosa, 100 patients; atypical anorexia nervosa, 93 patients; avoidant/restrictive food intake disorder, 60 patients; bulimia nervosa, 29 patients; purging disorder, 18 patients; unspecified feeding or eating disorder, 4 patients; subthreshold bulimia nervosa, 2 patients; subthreshold binge eating disorder, 2 patients; and binge eating disorder, 1 patient. Conclusion: Almost two thirds (64.6%) of the 309 patients had a diagnosis of EDNOS based on the DSM-IV criteria. By contrast, only four patients had a diagnosis of unspecified feeding or eating disorder based on the DSM-5 criteria. These data demonstrate that the goal of providing more specific diagnoses for patients with eating disorders has been accomplished very successfully by the new DSM-5 criteria.

Prevalence of Psychotic Disorders in Patients with Obsessive-Compulsive Disorder

CNS Spectrums ◽  
2009 ◽  
Vol 14 (8) ◽  
pp. 415-418 ◽  
Author(s):  
Lieuwe de Haan ◽  
Christine Dudek-Hodge ◽  
Yolanda Verhoeven ◽  
Damiaan Denys
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Psychotic Disorder ◽  
Psychotic Disorders ◽  
Fourth Edition ◽  
Obsessive Compulsive ◽  
Statistical Manual ◽  
Compulsive Disorder ◽  
Diagnostic And Statistical Manual ◽  
Dsm Iv ◽  
Clinical Characteristic

ABSTRACTIntroduction: The co-occurrence of obsessive-compulsive disorder (OCD) in patients with schizophrenia and related disorders has been increasingly recognized. However, the rate of psychosis comorbidity in OCD patients has yet to be systematically evaluated.Methods: The prevalence of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition psychotic disorders was evaluated in 757 subjects consecutively referred to a specialised diagnostic and treatment facility for OCD. Demographic and clinical characteristics were assessed.Results: Thirteen OCD patients (1.7%) also met the DSM-IV criteria for a psychotic disorder. We found no significant differences in clinical characteristic between OCD patients with and without a psychotic disorder, although patients with OCD and a psychotic disorder more likely used illicit substances and more likely were male.Conclusion: Relatively few patients referred to a specialized treatment OCD center suffer from a psychotic disorder.

Validation of the Five-Factor Obsessive–Compulsive Inventory in a Mental Health Sample

Assessment ◽  
2020 ◽  
pp. 107319112097686
Author(s):  
Miro Hall-Jones ◽  
Jacqueline Liggett ◽  
Martin Sellbom
Keyword(s):  
Mental Health ◽  
Construct Validity ◽  
Factor Model ◽  
Five Factor Model ◽  
Obsessive Compulsive ◽  
Data Set ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Scale Scores ◽  
Obsessive Compulsive Personality Disorder

The Five-Factor Obsessive–Compulsive Inventory (FFOCI) is a recently developed measure of obsessive–compulsive personality disorder (OCPD) based on an established dimensional model of general personality, the five-factor model. The present study aimed to evaluate the construct validity of the FFOCI by examining its associations with both traditional and dimensional diagnostic models of OCPD. This study used an archival data set of mental health patients that employed a multimethod design. A total of 214 individuals (and their nominated informants) completed various personality inventories indexing the Diagnostic and Statistical Manual for Mental Disorders–Fifth edition traditional and Alternative Model of Personality Disorders (AMPD) diagnostic criteria for OCPD, as well as other individual AMPD personality traits deemed conceptually relevant to the FFOCI. The results were generally quite supportive of construct validity. They showed that FFOCI scale scores converged with traditional measures of OCPD and AMPD–OCPD traits and impairment in a conceptually expected manner, with a few exceptions. Overall, it was clear from these findings that the FFOCI takes a broader and more comprehensive approach to the assessment of obsessive–compulsive than traditional Diagnostic and Statistical Manual and AMPD operationalizations.

Essstörungen

2014 ◽  
Vol 42 (5) ◽  
pp. 361-368 ◽  
Author(s):  
Susanne Knoll ◽  
Manuel Föcker ◽  
Johannes Hebebrand
Keyword(s):  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Mental Disorders ◽  
Bulimia Nervosa ◽  
Binge Eating ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Dsm 5 ◽  
Dsm Iv

Die fünfte Revision des Diagnostic and Statistical Manual of Mental Disorders (DSM-5) hat für den Bereich Essstörungen einige wesentliche Änderungen erbracht. Im DSM-5 werden erstmalig Fütter- und Essstörungen in einer Kategorie zusammengefasst. Zu den klassischen Essstörungen zählt neben Anorexia nervosa (AN) und Bulimia nervosa (BN) nun auch die Binge-Eating-Störung (BES) als eigenständige Diagnose. Die Kriterien für AN sind zum Teil wesentlich verändert worden, während nur wenige Kriterien der BN abgeändert wurden. Die Kriterien der BES unterscheiden sich nur marginal von den Forschungskriterien im DSM-IV. Unter einer neuen Kategorie «Other Specified Feeding or Eating Disorder» wurden einzelne Subdiagnosen für AN, BN und BES gefasst und spezifische Kriterien genannt. Die Restkategorie «Nicht näher bezeichnete Fütter- oder Essstörungen» wurde umbenannt in «Unspecified Feeding or Eating Disorder». Ob sich die DSM-5-Kriterien für Essstörungen und v. a. für AN in der Klinik und Forschung als klinisch praktikabel bewähren, bleibt abzuwarten.

Does Obsessive-Compulsive Personality Disorder Belong Within the Obsessive-Compulsive Spectrum?

CNS Spectrums ◽  
2007 ◽  
Vol 12 (6) ◽  
pp. 467-482 ◽  
Author(s):  
Naomi A. Fineberg ◽  
Punita Sharma ◽  
Thanusha Sivakumaran ◽  
Barbara Sahakian ◽  
Sam Chamberlain
Keyword(s):  
Personality Disorder ◽  
Fourth Edition ◽  
Obsessive Compulsive ◽  
Statistical Manual ◽  
Compulsive Disorder ◽  
Diagnostic And Statistical Manual ◽  
Axis I ◽  
Spectrum Disorders ◽  
Obsessive Compulsive Personality Disorder ◽  
Genetic Contributions

ABSTRACTIt has been proposed that certainDiagnostic and Statistical Manual of Mental Disorders, Fourth EditionAxis I disorders share overlapping clinical features, genetic contributions, and treatment response and fall within an “obsessive-compulsive” spectrum. Obsessive-compulsive personality disorder (OCPD) resembles obsessive-compulsive disorder (OCD) and other spectrum disorders in terms of phenomenology, comorbidity, neurocognition, and treatment response.This article critically examines the nosological profile of OCPD with special reference to OCD and related disorders. By viewing OCPD as a candidate member of the obsessive-compulsive spectrum, we gain a fresh approach to understanding its neurobiology, etiology, and potential treatments.

The Classification of Eating Disorders

2010 ◽  
pp. 7-24 ◽  
Author(s):  
Kathryn H. Gordon ◽  
Jill M. Holm-Denoma ◽  
Ross D. Crosby ◽  
Stephen A. Wonderlich
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Latent Class ◽  
Minority Groups ◽  
Statistical Manual ◽  
Text Revision ◽  
Diagnostic And Statistical Manual ◽  
Key Issues ◽  
Dsm Iv

The purpose of the chapter is to elucidate the key issues regarding the classification of eating disorders. To this end, a review of nosological research in the area of eating disorders is presented, with a particular focus on empirically based techniques such as taxometric and latent class analysis. This is followed by a section outlining areas of overlap between the current Diagnostic and Statistical Manual of Mental Disorders – Fourth Edition, Text Revision (DSM-IV-TR; American Psychiatric Association, 2000) eating disorder categories and their symptoms. Next, eating disorder classification models that are alternatives to the DSM-IV-TR are described and critically examined in light of available empirical data. Finally, areas of controversy and considerations for change in next version of the DSM (i.e., the applicability of DSM criteria to minority groups, children, males; the question of whether clinical categories should be differentiated from research categories) are discussed.

scholarly journals Orthorexia Nervosa: differences between clinical and non-clinical samples

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
C. Novara ◽  
E. Maggio ◽  
S. Piasentin ◽  
S. Pardini ◽  
S. Mattioli
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Bulimia Nervosa ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
Diet Group ◽  
Orthorexia Nervosa ◽  
Clinical Samples ◽  
Control Group ◽  
Obsessive Compulsive

Abstract Background Orthorexia Nervosa (ON) is a construct characterized by behaviors, emotions, and beliefs on eating healthy food and excessive attention to diet; moreover, dieting has been considered a risk factor in ON symptoms development. The principal aim of this study was to investigate the differences in clinical and non-clinical groups most at risk of ON. Aspects that could be associated with ON (Eating Disorders [EDs], obsessive-compulsive symptomatology, perfectionistic traits, anxiety, depression, Body Mass Index [BMI]) were investigated in all groups. Methods The sample consisted of 329 adults belonging to four different groups. Three were on a diet: Anorexia/Bulimia Nervosa group (N = 90), Obesity/Binge Eating Disorder group (N = 54), Diet group (N = 91). The Control group consisted of people who were not following a diet (N = 94). Participants completed several self-administered questionnaires (EHQ-21, EDI-3, OCI-R, MPS, BAI, BDI-II) to assess ON-related features in different groups. Results Analyses highlighted higher orthorexic tendencies in Anorexia/Bulimia Nervosa, Obesity/BED, and Diet groups than in the Control group. Moreover, results have shown that in the AN/BN group, eating disorders symptomatology and a lower BMI were related to ON and that in Obesity/Binge Eating Disorder and Diet groups, perfectionism traits are associated with ON. Conclusion Individuals who pursue a diet share some similarities with those who have an eating disorder regarding emotions, behaviors, and problems associated with orthorexic tendencies. Moreover, perfectionistic traits seem to predispose to higher ON tendencies. In general, these results confirm the ON as an aspect of the main eating disorders category.

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