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.

scholarly journals Classification of eating disorders: comparison of relative prevalence rates using DSM-IV and DSM-5 criteria

2015 ◽  
Vol 206 (6) ◽  
pp. 519-520 ◽  
Author(s):  
Serafino G. Mancuso ◽  
J. Richard Newton ◽  
Peter Bosanac ◽  
Susan L. Rossell ◽  
Julian B. Nesci ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Prevalence Rates ◽  
Eating Disorder Examination Questionnaire ◽  
Eating Disorder Examination ◽  
Dsm 5 ◽  
Dsm Iv ◽  
Relative Prevalence

SummaryDSM-5 contains substantial changes to eating disorder diagnoses. We examined relative prevalence rates of DSM-IV and DSM-5 eating disorder diagnoses using Eating Disorder Examination–Questionnaire diagnostic algorithms in 117 community out-patients. DSM-5 criteria produced a reduction in combined ‘other specified feeding or eating disorder’ and ‘unspecified feeding or eating disorder’ diagnoses from 46% to 29%, an increase in anorexia nervosa diagnoses from 35% to 47%, the same number of bulimia nervosa diagnoses and a 5% rate of binge eating disorder diagnoses.

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.

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.

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.

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.

scholarly journals The management of bulimia nervosa and other binge eating problems

1997 ◽  
Vol 3 (1) ◽  
pp. 2-8 ◽  
Author(s):  
Christopher G. Fairburn
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Bulimia Nervosa ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
Eating Problems ◽  
Prominent Feature ◽  
Dsm Iv ◽  
New Diagnosis

This article is about the management of eating disorders in which binge eating is a prominent feature. These disorders include bulimia nervosa, the most common eating disorder, and ‘binge eating disorder’, a provisional new diagnosis included in DSM–IV. In addition, binge eating is seen in anorexia nervosa and in many atypical eating disorders.

The Validity of the Eating Disorder Examination and its Subscales

1989 ◽  
Vol 154 (6) ◽  
pp. 807-812 ◽  
Author(s):  
Zafra Cooper ◽  
Peter J. Cooper ◽  
Christopher G. Fairburn
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Bulimia Nervosa ◽  
Internal Consistency ◽  
Discriminant Validity ◽  
Semistructured Interview ◽  
Eating Disorder Examination ◽  
Satisfactory Degree ◽  
Two Populations

The EDE is a semistructured interview which has been developed as a measure of the specific psychopathology of anorexia nervosa and bulimia nervosa. To establish its discriminant validity it was administered to 100 patients with anorexia nervosa or bulimia nervosa and to 42 controls. The two groups differed significantly on all items. Five subscales were derived on rational grounds and evaluated on the two populations. The α coefficients for each subscale indicated a satisfactory degree of internal consistency. The EDE provides clinicians and research workers with a detailed and comprehensive profile of the psychopathological features of patients with eating disorders.

Psychological Comorbidity of Eating Disorders

2010 ◽  
pp. 291-304 ◽  
Author(s):  
Katherine A. Halmi
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Bulimia Nervosa ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
Population Based ◽  
Psychological Comorbidity ◽  
Axis I ◽  
Dsm Iv

Psychological comorbidity of eating disorders may be organized most conveniently according to psychiatric diagnoses of the Diagnostic and Statistical Manual–IV (DSM-IV) and assessments of specific traits. In this chapter, further categorization of the DSM-IV diagnoses is made according to Axis I and Axis II diagnoses (American Psychiatric Association [APA], 1994). The most comprehensive psychological comorbidity study is from the U.S. national comorbidity survey replication (Hudson et al., 2008). In this study, at least one lifetime comorbid psychiatric DSM-IV disorder was present in 56.2% of anorexia nervosa participants, 94.5% of those with bulimia nervosa, 78.9% of those with binge eating disorder, 63.6% with subthreshold binge eating disorder, and 76.5% with any binge eating. Similar results were obtained with other population based studies and also from studies of clinical populations containing the diagnoses of anorexia nervosa, bulimia nervosa, and binge eating disorder (Braun, Sunday, & Halmi, 1994; Godart et al., 2002; Halmi et al., 1991; Hudson et al., 1987; Johnson et al., 2001; Kaye et al., 2004; McElroy et al., 2005).

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