Eating disorder not otherwise specified (EDNOS): Profiles of clients presenting at a Community Eating Disorder Service
Eating disorder not otherwise specified (EDNOS): Profiles of clients presenting at a Community Eating Disorder Service
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DOI：
10.1002/erv.552
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发表时间：
2004-01-01
影响因子：
5.3
通讯作者：
Bryant-Waugh, R
中科院分区：
文献类型：
--
作者：
Turner, H;Bryant-Waugh, R
目的：相当大比例的饮食失调患者被DSM-IV诊断为非特定饮食失调（EDNOS），但将EDNOS与神经性厌食症（AN）和神经性贪食症（BN）进行比较的研究有限。本研究的目的是进一步调查英国社区饮食失调服务中心客户的EDNOS。方法：采用进食障碍检查（EDE）生成DSM-lV诊断。将EDNOS患者的临床资料与AN和BN患者的临床资料进行比较，并使用聚类分析根据表现特征而不是诊断来确定亚组。结果：200名参与者中有190人有临床饮食失调：11人有AN， 45人有BN， 134人有EDNOS。聚类分析表明临床样本中有四个亚组：三个具有相似的认知精神病理，但行为表现不同，一个具有较轻的认知和行为特征，但平均体重指数较低。讨论：这些结果强调需要进一步研究EDNOS及其作为诊断的有效性。版权所有(C) 2004约翰威利父子有限公司和饮食失调协会。
Objective: A substantial proportion of eating disorder presentations receive a DSM-IV diagnosis of eating disorder not otherwise specified (EDNOS), yet research comparing EDNOS with anorexia nervosa (AN) and bulimia nervosa (BN) is limited. The aim of this study was to further investigate EDNOS in clients at a UK Community Eating Disorder Service.Method: The Eating Disorder Examination (EDE) was used to generate DSM-lV diagnoses. Clinical profiles of EDNOS clients are compared with those of patients with AN and BN and cluster analysis used to identify subgroups based on presenting features rather than diagnosis.Results: 190 of 200 participants had a clinical eating disorder: 11 had AN, 45 had BN, 134 had EDNOS. Cluster analysis suggested four subgroups within the clinical sample: three with similar cognitive psychopathology but varied behavioural presentation, and one with less severe cognitive and behavioural features, but low mean BMI.Discussion: These results highlight the need for further investigation into EDNOS and its usefulness as a diagnosis. Copyright (C) 2004 John Wiley & Sons, Ltd and Eating Disorders Association.