Ponce de León Hernández C, Montejo Iglesias M L, Berenguer Reula J C, Ruiz Fernández M V, Scigliano Herbón R
Servicio de Psiquiatría del Hospital Universitario de San Carlos.
Actas Luso Esp Neurol Psiquiatr Cienc Afines. 1995 Jan-Feb;23(1):29-33.
Some patients seen for the treatment of an eating disorder do not fulfill criteria for either of the two established disorders (Anorexia Nervosa and Bulimia Nervosa). This large number of patients currently can only be diagnosed as eating disorder not otherwise specified-EDNOS-(in DSM-III-R) or as atypical disorder (in ICD-19). The authors study some proposal of definition and classification of the Eating Disorders chapter for EDNOS and atypical disorders would be far smaller than they are now. Problems associated with the inclusion of weight concern as a necessary and defining criterion (the crucial diagnostic issue) are reviewed.
一些因饮食失调前来治疗的患者并不符合两种已确定的疾病(神经性厌食症和神经性贪食症)的标准。目前,这大量患者只能被诊断为未另行规定的饮食失调症(在《精神疾病诊断与统计手册》第三版修订本中)或非典型疾病(在国际疾病分类第19版中)。作者研究了一些关于饮食失调章节中未另行规定的饮食失调症和非典型疾病的定义和分类提案,这些提案中的病例数量将比现在少得多。文中回顾了将体重问题作为必要且决定性标准(关键诊断问题)所带来的相关问题。