Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Int J Eat Disord. 2013 Jul;46(5):396-403. doi: 10.1002/eat.22091.
Given renewed interest in dimensional approaches in psychiatric nosology, we review evidence for the utility of including dimensions of eating disorder (ED) psychopathology, comorbid psychopathology, and neurobiology in the classification of EDs.
We searched on-line databases and reference lists of published papers for articles on dimensional methods in psychiatric classification, with an emphasis on EDs.
ED classification may be enhanced by including dimensional assessments. Specifically, some ED features appear to exist on a continuum with normality, and dimensional measures of ED severity are likely to have utility in clinical contexts. Furthermore, accumulating data support the validity of ED classification schemes that incorporate dimensions of comorbid psychopathology. Finally, neurobiological dimensions have gained increasing notice across the psychiatric literature and may be particularly salient to the classification of EDs.
An approach to ED classification that incorporates multiple dimensional measures may have the greatest utility for advancing ED treatment.
鉴于人们对精神疾病分类学中维度方法的兴趣重新燃起，我们综述了将饮食障碍（ED）精神病理学、共病精神病理学和神经生物学维度纳入 ED 分类的效用证据。
我们在线数据库和已发表论文的参考文献列表中搜索有关精神疾病分类学中维度方法的文章，重点是 ED。
通过包含维度评估，ED 的分类可能会得到改善。具体来说，一些 ED 特征似乎与正常状态存在连续性，ED 严重程度的维度测量可能在临床环境中有实际用途。此外，越来越多的数据支持将共病精神病理学维度纳入 ED 分类方案的有效性。最后，神经生物学维度在整个精神科文献中越来越受到关注，对于 ED 的分类可能尤为重要。
纳入多种维度测量的 ED 分类方法可能对推进 ED 治疗最具实用价值。
