BCD-ED 方案中用于诊断进食障碍的广泛类别是否会减少未特定的进食障碍的频率？
Does the broad categories for the diagnosis of eating disorders (BCD-ED) scheme reduce the frequency of eating disorder not otherwise specified?
机构信息
Columbia Center forEating Disorders, Division of Clinical Therapeutics, New York State Psychiatric Institute, New York, New York 10032, USA.
出版信息
Int J Eat Disord. 2011 Nov;44(7):625-9. doi: 10.1002/eat.20860. Epub 2010 Nov 5.
Abstract
OBJECTIVE
This study evaluated whether the Broad Categories for the Diagnosis of Eating Disorders (BCD-ED) proposal (Walsh and Sysko, Int J Eat Disord, 42, 754-764, 2009) reduces the number of individuals who receive a DSM-IV eating disorder not otherwise specified (EDNOS) diagnosis.
METHOD
Individuals calling a tertiary care facility completed a brief telephone interview and were classified into a DSM-IV eating disorder category (anorexia nervosa, bulimia nervosa, EDNOS). Subsequently, the proposed DSM-5 criteria for eating disorders and the BCD-ED scheme were also applied.
RESULTS
A total of 247 individuals with telephone interview data met criteria for an eating disorder, including 97 (39.3%) with an EDNOS. Of patients with an EDNOS diagnosis, 97.6% were reclassified using the BCD-ED scheme.
DISCUSSION
The BCD-ED scheme has the potential to virtually eliminate the use of DSM-IV EDNOS; however, additional data are needed to document its validity and clinical utility.
摘要
目的
本研究旨在评估《饮食障碍的广泛分类（BCD-ED）提案》（Walsh 和 Sysko，《国际饮食障碍杂志》，42，754-764，2009）是否能减少接受 DSM-IV 特定未特指的饮食障碍（EDNOS）诊断的人数。
方法
拨打三级医疗机构的个人完成了简短的电话访谈，并被归入 DSM-IV 饮食障碍类别（神经性厌食症、神经性贪食症、EDNOS）。随后，还应用了拟议的 DSM-5 饮食障碍标准和 BCD-ED 方案。
结果
共有 247 名具有电话访谈数据的个体符合饮食障碍标准，包括 97 名（39.3%）患有 EDNOS。在 EDNOS 诊断的患者中，97.6%使用 BCD-ED 方案重新分类。
讨论
BCD-ED 方案有可能几乎消除 DSM-IV EDNOS 的使用；然而，需要更多的数据来证明其有效性和临床实用性。
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