Eating disorder NOS (EDNOS): an example of the troublesome "not otherwise specified" (NOS) category in DSM-IV.
Eating disorder NOS (EDNOS): an example of the troublesome "not otherwise specified" (NOS) category in DSM-IV.
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DOI：
10.1016/j.brat.2004.06.011
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发表时间：
2005-06
影响因子：
4.1
通讯作者：
Bohn K
中科院分区：
文献类型：
--
作者：
Fairburn CG;Bohn K
DSM-IV中的“未另行指定”(NOS)类别是为在广泛的诊断类别中未指定的临床严重疾病而设计的。“一氧化氮合酶”的诊断是残差范畴，容易被研究人员忽视。这可能是不合适的。与某些一氧化氮合酶诊断相关的问题在“进食障碍一氧化氮合酶”(有时称为EDNOS)中得到了很好的说明，这是日常临床实践中遇到的最常见的进食障碍类别，但几乎没有人对它进行研究。事实上，还没有关于它的治疗方法的研究。针对进食障碍一氧化氮合酶的异常状态，提出了临时和长期的概念性和实践性解决方案，包括创建一种名为“混合进食障碍”的新诊断。这些解决方案中有几个总体上与NOS类别相关。所有的解决方案都应符合临床实用标准。
The “Not Otherwise Specified” (NOS) category within DSM-IV is designed for disorders of clinical severity that are not specified within broad diagnostic classes. “NOS” diagnoses are intended to be residual categories and they tend to be neglected by researchers. This can be inappropriate. The problems associated with certain NOS diagnoses are well illustrated by “Eating Disorder NOS” (sometimes termed EDNOS), which is the most common category of eating disorder encountered in routine clinical practice yet it has barely been studied. Indeed, there has been no research on its treatment. Interim and longer-term conceptual and practical solutions to the anomalous status of eating disorder NOS are proposed including the creation of a new diagnosis termed “mixed eating disorder”. Several of these solutions are of relevance to NOS categories in general. All the solutions should fulfil criteria for clinical utility.
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