Columbia Center forEating Disorders, Division of Clinical Therapeutics, New York State Psychiatric Institute, New York, New York 10032, USA.
Int J Eat Disord. 2011 Nov;44(7):625-9. doi: 10.1002/eat.20860. Epub 2010 Nov 5.
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.
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.
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.
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.
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。
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。
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。
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。
