Does the broad categories for the diagnosis of eating disorders (BCD-ED) scheme reduce the frequency of eating disorder not otherwise specified?

Does the broad categories for the diagnosis of eating disorders (BCD-ED) scheme reduce the frequency of eating disorder not otherwise specified?
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DOI:
10.1002/eat.20860
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发表时间:
2011-11
影响因子:
5.5
通讯作者:
Walsh, B. Timothy
Walsh, B. Timothy
中科院分区:
医学2区
文献类型:
--
作者:
Sysko, Robyn;Walsh, B. Timothy

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这项研究评估了饮食失调诊断大类(BCD-ED)建议(沃尔什和Sysko,2009)是否减少了接受DSM-IV饮食失调(EDNOS)诊断的人数。致电三级医疗机构的个人完成了简短的电话采访,并被归类为DSM-IV饮食失调类别(神经性厌食症,神经性贪食症,EDNOS)。随后,拟议的DSM-5饮食失调标准和BCD-ED计划也被应用。共有247人的电话采访数据符合饮食失调的标准,其中97人(39.3%)患有EDNOS。在诊断为EDNOS的患者中,97.6%使用BCD-ED方案重新分类。BCD-ED方案有可能实际上消除DSM-IV EDNOS的使用;然而,需要更多数据来证明其有效性和临床实用性。
This study evaluated whether the Broad Categories for the Diagnosis of Eating Disorders (BCD-ED) proposal (Walsh & Sysko, 2009) reduces the number of individuals who receive a DSM-IV eating disorder not otherwise specified (EDNOS) diagnosis. Individuals calling a tertiary care facility completed a brief telephone interview and were classified into a DSM-IV eating disorder category (anorexia nervosa, bulimia nervosa, EDNOS). Subsequently, the proposed DSM-5 criteria for eating disorders and the BCD-ED scheme were also applied. A total of 247 individuals with telephone interview data met criteria for an eating disorder, including 97 (39.3%) with an EDNOS. Of patients with an EDNOS diagnosis, 97.6% were re-classified using the BCD-ED scheme. The BCD-ED scheme has the potential to virtually eliminate the use of DSM-IV EDNOS; however, additional data are needed to document its validity and clinical utility.
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