DISCRIMINANT VALIDITY OF THE EATING ATTITUDES TEST ACCORDING TO AMERICAN PSYCHIATRIC ASSOCIATION AND WORLD HEALTH ORGANIZATION CRITERIA OF EATING DISORDERS

2002 ◽  
Vol 91 (7) ◽  
pp. 1052 ◽  
Author(s):  
JOSEPA CANALS
Keyword(s):  
Eating Disorders ◽  
World Health Organization ◽  
American Psychiatric Association ◽  
Discriminant Validity ◽  
Eating Attitudes ◽  
World Health ◽  
Eating Attitudes Test ◽  
Health Organization

Discriminant Validity of the Eating Attitudes Test According to American Psychiatric Association and World Health Organization Criteria of Eating Disorders

2002 ◽  
Vol 91 (3_suppl) ◽  
pp. 1052-1056 ◽  
Author(s):  
Josepa Canals ◽  
Gentzane Carbajo ◽  
Joan Fernandez-Ballast
Keyword(s):  
Eating Disorders ◽  
Positive Predictive Value ◽  
Predictive Value ◽  
American Psychiatric Association ◽  
Discriminant Validity ◽  
Eating Attitudes ◽  
World Health ◽  
Eating Attitudes Test ◽  
Icd 10 ◽  
Health Organization

The purpose of this study was to assess the sensitivity, the specificity, and the positive predictive value of the Eating Attitudes Test in a sample of Spanish nonclinical 18-yr.-olds. 304 subjects answered the Eating Attitudes Test-40, 290 of whom were interviewed individually with the Spanish version of the Schedules for Clinical Assessment in Neuropsychiatry. Eating disorders were diagnosed using ICD–10 and DSM-III–R criteria. The prevalence of eating disorders was higher for ICD–10 (5.2%) than for DSM-III-R (2.6%) and only affected the rate of diagnosis in women. According to ICD–10 criteria, the cut-off of 25 was more sensitive (87.5%) than the cut-off of 30 (75%) and varied little in specificity (93.9% vs 97.1%). The positive predictive value of the Eating Attitudes Test cut-off of 30 for eating disorders (ICD–10) was 36%. Our results support the test as useful for identifying eating disturbances in 18-yr.-olds and suggest assessment of a cut-off lower than 30 may be appropriate in the general population if confirmed in further research with a representative sample of adults.

scholarly journals Avaliação da procura pelos serviços de saúde e tratamento farmacológico de pacientes com anorexia e bulimia nervosa

2019 ◽  
Vol 8 (5) ◽  
Author(s):  
Fernando Yamamoto Chiba ◽  
Suzely Adas Saliba Moimaz ◽  
Artênio José Ísper Garbin ◽  
Cléa Adas Saliba Garbin
Keyword(s):  
Systematic Review ◽  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Bulimia Nervosa ◽  
World Health Organization ◽  
Young Women ◽  
American Psychiatric Association ◽  
World Health ◽  
Health Organization ◽  
The Impact

Introdução: Os transtornos alimentares são caracterizados como distúrbios do comportamento alimentar, associados ao desequilíbrio nos pensamentos, ações e atitudes dos indivíduos resultando em prejuízos à saúde do indivíduo. Estas condições são cada vez mais comuns na sociedade atual e têm ganhado crescente atenção da comunidade científica. Objetivo: Analisar a procura pelo atendimento e farmacoterapia em mulheres com anorexia e bulimia nervosa atendidas em uma faculdade de medicina em 2018. Material e método: Realizou-se análise documental dos prontuários médicos. A procura pelo atendimento foi considerada não-espontânea quando a paciente foi encaminhada pela unidade de urgência/emergência ou compareceu acompanhada por responsável legal sem admitir necessidade de tratamento. Resultados: Identificou-se 14 pacientes, com idade média de 31,21 anos. 43% apresentaram procura não-espontânea pelo atendimento, sendo 83% destas encaminhadas por unidades de urgência/emergência. Foram prescritos 21 medicamentos diferentes, sendo a maioria antidepressivos. 52% dos fármacos prescritos não são disponibilizados pelo Sistema Único de Saúde. 29% dos pacientes apresentavam polifarmácia, 43% automedicação e 57% pensamento de morte. Houve associação entre o pensamento de morte e uso de 4 ou mais medicamentos. Conclusão: Uma parcela considerável das pacientes teve procura não-espontânea pelo atendimento. Os fármacos prescritos foram principalmente antidepressivos e a maioria não é disponibilizado no Sistema Único de Saúde, evidenciando a onerosidade econômica e social do tratamento.Descritores: Transtornos da Alimentação e da Ingestão de Alimentos; Anorexia; Bulimia; Tratamento Farmacológico.ReferênciasLe LK, Barendregt JJ, Hay P, Mihalopoulos C. Prevention of eating disorders: A systematic review and meta-analysis. Clin Psychol Rev. 2017;53:46-58.Herpertz-Dahlmann B. Adolescent eating disorders: definitions, symptomatology, epidemiology and comorbidity. Child Adolesc Psychiatr Clin N Am. 2009;18(1):31-47.Zabala MJ, Macdonald P, Treasure J. Appraisal of caregiving burden, expressed emotion and psychological distress in families of people with eating disorders: a systematic review. Eur Eat Disord Rev. 2009;17(5):338-49.Sharan P, Sundar AS. Eating disorders in women. Indian J Psychiatry. 2015; 57(Suppl 2): S286–S295.Brandys MK, de Kovel CG, Kas MJ, van Elburg AA, Adan RA. Overview of genetic research in anorexia nervosa: The past, the present and the future. Int J Eat Disord. 2015;48(7):814-25.Mitchison D, Hay PJ. The epidemiology of eating disorders: genetic, environmental, and societal factors. Clin Epidemiol. 2014;6:89-97.American Psychiatric Association; 2013. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington.Smink FR, van Hoeken D, Hoek HW. Epidemiology of eating disorders: incidence, prevalence and mortality rates. Curr Psychiatry Rep. 2012;14(4):406-14.Geneva: World Health Organization; 1992. World Health Organization. The ICD-10 classification of mental and behavioural disorders. Clinical descriptions and diagnostic guidelines.Stewart TM, Williamson DA. Multidisciplinary treatment of eating disorders--Part 1: Structure and costs of treatment. Behav Modif. 2004;28(6):812-30.Donaldson AA, Hall A, Neukirch J, Kasper V, Simones S, Gagnon S, et al. Multidisciplinary care considerations for gender nonconforming adolescents with eating disorders: A case series. Int J Eat Disord. 2018;51(5):475-479.Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Política Nacional de Alimentação e Nutrição/Ministério da Saúde, Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Brasília: Ministério da Saúde, 2013. 84 p.Brasil. Ministério da Saúde. Secretaria de Ciência, Tecnologia e Insumos Estratégicos. departamento de assistência farmacêutica e insumos estratégicos. Relação nacional de medicamentos essenciais: RENAME 2017. Brasília: Ministério da Saúde, 2017. 210 p.Stice E, Marti CN, Rohde P. Prevalence, incidence, impairment, and course of the proposed DSM-5 eating disorder diagnoses in an 8-year prospective community study of young women. J Abnorm Psychol. 2013;122(2):445-57.Lewinsohn PM, Striegel-Moore RH, Seeley JR. Epidemiology and natural course of eating disorders in young women from adolescence to young adulthood. J Am Acad Child Adolesc Psychiatry. 2000;39(10):1284-92.van Son GE, van Hoeken D, Bartelds AI, van Furth EF, Hoek HW. Time trends in the incidence of eating disorders: a primary care study in the Netherlands. Int J Eat Disord. 2006;39(7):565-9.Hoek HW, van Hoeken D. Review of the prevalence and incidence of eating disorders. Int J Eat Disord. 2003;34(4):383–96.Brand-Gothelf A, Leor S, Apter A, Fennig S. The impact of comorbid depressive and anxiety disorders on severity of anorexia nervosa in adolescent girls. J Nerv Ment Dis. 2014;202(10):759-62.Bühren K, Schwarte R, Fluck F, Timmesfeld N, Krei M, Egberts K, et al. Comorbid psychiatric disorders in female adolescents with first-onset anorexia nervosa. Eur Eat Disord Rev. 2014;22(1):39-44.Mizusaki K, Gih D, LaRosa C, Richmond R, Rienecke RD. Psychotropic usage by patients presenting to an academic eating disorders program. Eat Weight Disord. 2018 Jun 7. doi: 10.1007/s40519-018-0520-3. [Epub ahead of print]Fazeli PK, Calder GL, Miller KK, Misra M, Lawson EA, Meenaghan E, et al. Psychotropic medication use in anorexia nervosa between 1997 and 2009. Int J Eat Disord. 2012;45(8):970-6.Nascimento RCRM, Álvares J, Guerra Junior AA, Gomes IC, Costa EA, Leite SN et al. Availability of essential medicines in primary health care of the Brazilian Unified Health System. Rev. Saúde Pública. 2017;51(Suppl 2):10s.Fassino S, Abbate-Daga G. Resistance to treatment in eating disorders: a critical challenge. BMC Psychiatry. 2013;13:282.Becker AE, Fay KE, Agnew-Blais J, Khan AN, Striegel-Moore RH, Gilman SE. Social network media exposure and adolescent eating pathology in Fiji. Br J Psychiatry. 2011;198(1):43-50.Groesz LM, Levine MP, Murnen SK. The effect of experimental presentation of thin media images on body satisfaction: a meta-analytic review. Int J Eat Disord. 2002;31(1):1-16.

Delirium

1991 ◽  
Vol 3 (2) ◽  
pp. 349-351
Author(s):  
A. S. Henderson
Keyword(s):  
World Health Organization ◽  
Diagnostic Criteria ◽  
American Psychiatric Association ◽  
World Health ◽  
Icd 10 ◽  
Health Organization ◽  
Research World

The etymology of delirium is highly expressive: it comes from the Latin de, meaning down or away from, and lira, a furrow or track in the fields; that is, to be off the track. The precise features of the syndrome have been specified in DSM-111-R (American Psychiatric Association, 1987) and in the Draft ICD-10 Diagnostic Criteria for Research (World Health Organization, 1990).

scholarly journals Cognitive–behavioural therapy for body dysmorphic disorder

2001 ◽  
Vol 7 (2) ◽  
pp. 125-132 ◽  
Author(s):  
David Veale
Keyword(s):  
World Health Organization ◽  
American Psychiatric Association ◽  
Body Dysmorphic Disorder ◽  
Behavioural Therapy ◽  
World Health ◽  
Cognitive Behavioural ◽  
Icd 10 ◽  
Dsm Iv ◽  
Health Organization

The DSM–IV classification of body dysmorphic disorder (BDD) refers to an individual's preoccupation with an ‘imagined’ defect in his or her appearance or markedly excessive concern with a slight physical anomaly (American Psychiatric Association, 1994). An Italian psychiatrist, Morselli, first used the term ‘dysmorphophobia’ in 1886, although it is now falling into disuse, probably because ICD–10 (World Health Organization, 1992) has discarded it, subsuming the condition under hypochondriacal disorder.

scholarly journals Revision of the classification of mental disorders in ICD–11 and DSM–V: work in progress

2010 ◽  
Vol 16 (1) ◽  
pp. 2-9 ◽  
Author(s):  
Norman Sartorius
Keyword(s):  
Primary Care ◽  
Mental Disorders ◽  
World Health Organization ◽  
American Psychiatric Association ◽  
World Health ◽  
Dsm V ◽  
The World ◽  
Health Organization ◽  
Work Done

SummaryThis editorial summarises the work done to prepare ICD–11 and DSM–V (which should be published in 2015 and 2013 respectively). It gives a brief description of the structures that have been put in place by the World Health Organization and by the American Psychiatric Association and lists the issues and challenges that face the two organisations on their road to the revisions of the classifications. These include dilemmas about the ways of presentation of the revisions (e.g. whether dimensions should be added to categories or even replace them), about different versions of the classifications (e.g. the primary care and research versions), about ways to ensure that the best of evidence as well as experience are taken into account in drafting the revision and many other issues that will have to be resolved in the immediate future.

La diagnosi psicodinamica in un'ottica contemporanea

2011 ◽  
pp. 9-31
Author(s):  
Vittorio Lingiardi ◽  
Annalisa Tanzilli
Keyword(s):  
World Health Organization ◽  
American Psychiatric Association ◽  
Task Force ◽  
World Health ◽  
Health Organization

I più diffusi manuali di classificazione diagnostica come l' (ICD; vedi World Health Organization, OMS, 1992) e il (DSM; vedi American Psychiatric Association, APA, 2000), nelle loro varie edizioni, si fondano su un approccio alla psicopatologia descrittivo, ateorico e sostanzialmente . Questa impostazione ha suscitato nei clinici di formazione dinamica reazioni diverse: disinteresse, insoddisfazione, diffidenza, ostilità. La recente comparsa di procedure di valutazione e manuali diagnostici di ispirazione psicodinamica, ma ben ancorati alla ricerca empirica, quali la (SWAP-200; Westen, Shedler, 1999a,b; Westen, Shedler, Lingiardi, 2003) e il (PDM; PDM Task Force, 2006) ha promosso una "rivoluzione culturale" nella comunità dei professionisti della salute mentale, valorizzando un approccio alla diagnosi più vicino alla pratica clinica e più compatibile con interventi di tipo psicoterapeutico. Dove la diagnosi non è solo un'etichetta, ma anche un processo valutativo capace di ricondurre il sintomo al contesto di personalità e a un trattamento a misura di paziente.

The Classification of the Depressions

1989 ◽  
Vol 155 (4) ◽  
pp. 437-443 ◽  
Author(s):  
Anne Farmer ◽  
Peter McGuffin
Keyword(s):  
World Health Organization ◽  
Affective Disorder ◽  
American Psychiatric Association ◽  
Social Research ◽  
World Health ◽  
Icd 10 ◽  
Health Organization

It is 13 years since Kendell (1976) reviewed the ‘contemporary confusion’ surrounding the classification of depression. Reconsideration of this issue is now timely, especially in light of the development of the new classifications of affective disorder included in DSM–III (American Psychiatric Association, 1980), the revised version, DSM–III–R (American Psychiatric Association, 1987), and the forthcoming ICD–10 (World Health Organization, 1988). Recent activities in neurobiological, genetic and social research also bear importantly on our concepts of the aetiology of depression.

scholarly journals Vascular dementia as a frontal subcortical system dysfunction

2000 ◽  
Vol 30 (5) ◽  
pp. 997-1003 ◽  
Author(s):  
JEFFREY C. L. LOOI ◽  
PERMINDER S. SACHDEV
Keyword(s):  
Risk Factors ◽  
Cerebrovascular Disease ◽  
Vascular Dementia ◽  
World Health Organization ◽  
Diagnostic Criteria ◽  
American Psychiatric Association ◽  
World Health ◽  
Distinctive Features ◽  
The World ◽  
Health Organization

Vascular dementia (VaD) is the second most common subtype of dementia in Western countries (Desmond, 1996) and, overall, may be the most common subtype of dementia in the world (Henderson, 1994). Furthermore, the recognition of some major risk factors of cerebrovascular disease makes VaD a form of ‘preventable senility’ (Hachinski, 1992). The last decade has seen a major re-evaluation of the concept of VaD (Erkinjuntti & Hachinski, 1993; Hachinski, 1994), with new diagnostic criteria having been proposed (World Health Organization, 1993; American Psychiatric Association, 1994) but without any consensus (Wetterling et al. 1996). Indeed, some investigators have called for the abandonment of the diagnosis of VaD and the adoption of alternative nosology (Hachinski, 1994). It is therefore time to re-examine the concept of VaD and evaluate its distinctive features.

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