Kyoto Institute of Health Sciences, Kyoto, Japan.
Eat Behav. 2013 Aug;14(3):330-5. doi: 10.1016/j.eatbeh.2013.06.002. Epub 2013 Jun 15.
The purposes of this study were to compare DSM-IV diagnostic criteria and the Broad Categories for the Diagnosis of Eating Disorders (BCD-ED) scheme in terms of the number of cases of Eating Disorder Not Otherwise Specified (EDNOS) and to test which diagnostic tool better captures the variance of psychiatric symptoms in a Japanese sample. One thousand and twenty-nine women with an eating disorder (ED) participated in this study. Assessment methods included structured clinical interviews and administration of the Eating Attitudes Test and the Eating Disorder Inventory. The BCD-ED scheme dramatically decreased the proportion of DSM-IV EDNOS from 45.1% to 1.5%. However, the categorization of patients with the BCD-ED scheme was less able to capture the variance in psychopathology scales than the DSM-IV, suggesting that the BCD-ED scheme may differentiate ED groups less effectively than the DSM-IV. These results suggest that the BCD-ED scheme may have the potential to eliminate the use of DSM-IV EDNOS, but it may have problems capturing the variance of psychiatric symptoms.
本研究旨在比较 DSM-IV 诊断标准和用于诊断进食障碍的广泛类别（BCD-ED）方案，以确定哪种诊断工具能更好地捕捉日本样本中精神症状的变异。1029 名患有饮食障碍（ED）的女性参与了本研究。评估方法包括使用结构化临床访谈以及饮食态度测试和饮食障碍量表进行评估。与 DSM-IV 相比，BCD-ED 方案将 DSM-IV 中 EDNOS 的比例从 45.1%显著降低至 1.5%。然而，与 DSM-IV 相比，BCD-ED 方案对患者的分类在精神病理学量表上的差异捕捉能力较差，这表明 BCD-ED 方案在区分 ED 群体方面可能不如 DSM-IV 有效。这些结果表明，BCD-ED 方案可能有潜力消除 DSM-IV EDNOS 的使用，但它可能在捕捉精神症状的变异方面存在问题。
