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解构“非典型”进食障碍:新兴进食障碍表型概述。

Deconstructing "Atypical" Eating Disorders: an Overview of Emerging Eating Disorder Phenotypes.

机构信息

Eating Disorders Treatment & Research Center, Department of Psychiatry, University of California San Diego, 4510 Executive Drive, Suite 310, San Diego, CA, 92121, USA.

出版信息

Curr Psychiatry Rep. 2015 Nov;17(11):86. doi: 10.1007/s11920-015-0624-7.

Abstract

Recent changes to the diagnostic framework of eating disorders (ED's) in DSM-5 were introduced to reduce the large preponderance of cases falling within the residual and undifferentiated category. However, current reports continue to illustrate overrepresentation of cases in this residual category, suggesting that clinical reality comprises more diverse ED psychopathology than is accounted for in the current diagnostic spectrum. However, with emerging evidence preliminarily delineating several additional distinct phenotypes, we aim to provide a narrative overview of emerging ED phenotypes which (i) are not currently located as a specific diagnostic category in diagnostic criteria for ED's, (ii) centrally feature ED psychopathology, and (iii) have emerging empirical evidence suggesting the distinct nature of the syndrome. A greater awareness of these emerging phenotypes will likely facilitate accurate diagnostic practice and may also serve to facilitate further empirical efforts.

摘要

DSM-5 中对进食障碍(ED)诊断框架的最新修改旨在减少大量归入残余和未分化类别的病例。然而,目前的报告继续表明,在这个残余类别中存在病例的过度代表性,这表明临床现实中包含的 ED 心理病理比当前诊断谱系所涵盖的更为多样化。然而,随着初步确定几个额外的不同表型的新证据的出现,我们旨在提供一个关于新兴 ED 表型的叙述性概述,这些表型 (i) 目前不在 ED 的诊断标准中作为特定的诊断类别,(ii) 以 ED 心理病理为中心特征,(iii) 有新的实证证据表明该综合征具有独特的性质。对这些新兴表型的更多认识可能有助于准确的诊断实践,也可能有助于进一步的实证努力。

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