Mitchell James E, Cook-Myers Tricia, Wonderlich Stephen A
Neuropsychiatric Research Institute, University of North Dakota School of Medicine and Health Sciences, Fargo, North Dakota 58107, USA.
Int J Eat Disord. 2005;37 Suppl:S95-7. doi: 10.1002/eat.20125.
In considering possible revisions to the diagnostic criteria for anorexia nervosa (AN), questions can be raised regarding the 85% cutoff and consideration could be given to using a body mass index (BMI) score instead. The criterion most likely to change in the 4th ed. of the Diagnostic and Statistical Manual of Mental Disorders (Washington, DC: American Psychiatric Association) is the amenorrhea criterion because this does not appear to add to the diagnostic specificity.
在考虑对神经性厌食症(AN)诊断标准进行可能的修订时,对于85%的临界值可能会产生疑问,并且可以考虑使用体重指数(BMI)评分取而代之。《精神疾病诊断与统计手册》(华盛顿特区:美国精神病学协会)第4版中最有可能改变的标准是闭经标准,因为这似乎并未增加诊断特异性。