DSM-5 对儿科进食障碍诊断的影响。
Implications of DSM-5 for the diagnosis of pediatric eating disorders.
机构信息
Department of Psychosomatic Medicine and Psychotherapy, Klinikum rechts der Isar, Technichal University of Munich, Munich, Germany.
Eating Disorders Program, Child and Adolescent Mental Health Service, Perth, Australia.
出版信息
Int J Eat Disord. 2018 May;51(5):392-400. doi: 10.1002/eat.22856. Epub 2018 Mar 8.
OBJECTIVE
The aim of the study was to compare the DSM-IV, DSM-5, and ICD-10 eating disorders (ED) nomenclatures to assess their value in the classification of pediatric eating disorders. We investigated the prevalence of the disorders in accordance with each system's diagnostic criteria, diagnostic concordance between the systems, and interrater reliability.
METHOD
Participants were 1062 children and adolescents assessed at intake to a specialist Eating Disorders Program (91.6% female, mean age 14.5 years, SD = 1.75). Measures were collected from routine intake assessments.
RESULTS
DSM-5 categorization led to a lower prevalence of unspecified EDs when compared with DSM-IV. There was almost complete overlap for specified EDs. Kappa values indicated almost excellent agreement between the two coders on all three diagnostic systems, although there was higher interrater reliability for DSM-5 and ICD-10 when compared with DSM-IV.
DISCUSSION
DSM-5 nomenclature is useful in classifying eating disorders in pediatric clinical samples.
目的
本研究旨在比较 DSM-IV、DSM-5 和 ICD-10 饮食障碍（ED）命名法，以评估其在儿科饮食障碍分类中的价值。我们根据每个系统的诊断标准、系统间的诊断一致性和评分者间的可靠性，调查了这些疾病的患病率。
方法
参与者为 1062 名接受专科饮食障碍计划评估的儿童和青少年（91.6%为女性，平均年龄为 14.5 岁，标准差=1.75）。测量结果来自常规的入组评估。
结果
与 DSM-IV 相比，DSM-5 分类导致未特指的 ED 患病率降低。特定 ED 几乎完全重叠。Kappa 值表明，在所有三种诊断系统上，两位编码员之间的一致性几乎非常好，尽管与 DSM-IV 相比，DSM-5 和 ICD-10 的评分者间可靠性更高。
讨论
DSM-5 命名法在对儿科临床样本进行饮食障碍分类方面是有用的。
Zotero 插件