Development of criteria for a diagnosis: lessons from the night eating syndrome.
Development of criteria for a diagnosis: lessons from the night eating syndrome.
复制标题
诊断标准的制定：夜食综合症的教训。
DOI：
10.1016/j.comppsych.2008.09.013
复制
发表时间：
2009
影响因子：
7.3
通讯作者：
O'Reardon,JohnP
中科院分区：
文献类型：
--
作者：
Stunkard,AlbertJ;Allison,KellyC;Geliebter,Allan;Lundgren,JenniferD;Gluck,MarciE;O'Reardon,JohnP
正在考虑将 Axis I 疾病的诊断纳入即将出版的美国精神病学协会诊断和统计手册 (DSM-V) 中的标准。 Blashfield 等人提出的纳入 DSM-IV 所必需的 5 个标准经过审查，夜食综合症 (NES) 均满足该标准。过去 10 年，在参考期刊上发表的 77 篇文章表明 NES 的认可度不断提高。已经建立了两个核心诊断标准：夜间进食过多（晚餐后消耗至少每日食物摄入量的 25%）和/或因摄入而出现夜间觉醒。这些标准已在使用自我报告、结构化访谈和症状量表的研究中得到验证。夜食综合症可以与暴食症和睡眠相关的饮食症区分开来。其他四个特征证明了 NES 诊断的有用性：（1）其患病率，（2）其与肥胖的关联，（3）其广泛的合并症，以及（4）其生物学方面。总之，NES 研究支持该诊断的有效性及其纳入 DSM-V 中。
Criteria for inclusion of diagnoses of Axis I disorders in the forthcoming Diagnostic and Statistical Manual (DSM-V) of the American Psychiatric Association are being considered. The 5 criteria that were proposed by Blashfield et al as necessary for inclusion in DSM-IV are reviewed and are met by the night eating syndrome (NES). Seventy-seven publications in refereed journals in the last decade indicate growing recognition of NES. Two core diagnostic criteria have been established: evening hyperphagia (consumption of at least 25% of daily food intake after the evening meal) and/or the presence of nocturnal awakenings with ingestions. These criteria have been validated in studies that used self-reports, structured interviews, and symptom scales. Night eating syndrome can be distinguished from binge eating disorder and sleep-related eating disorder. Four additional features attest to the usefulness of the diagnosis of NES: (1) its prevalence, (2) its association with obesity, (3) its extensive comorbidity, and (4) its biological aspects. In conclusion, research on NES supports the validity of the diagnosis and its inclusion in DSM-V.