Full syndromal versus subthreshold anorexia nervosa, bulimia nervosa, and binge eating disorder: A multicenter study

Full syndromal versus subthreshold anorexia nervosa, bulimia nervosa, and binge eating disorder: A multicenter study
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DOI:
10.1002/eat.10088
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发表时间:
2002-11-01
影响因子:
5.5
通讯作者:
Kraemer, HC
Kraemer, HC
中科院分区:
医学2区
文献类型:
--
作者:
Crow, SJ;Agras, WS;Kraemer, HC

文献摘要

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目的:神经性厌食症(AN)、神经性贪食症(BN)和暴食症(BED)的诊断标准建立了症状严重程度水平,用于区分全部病例和部分病例。然而,这些区别的价值并不清楚。方法:385名患有完全或部分AN,BN或BED的女性在进入饮食失调纵向研究时进行了评估。结果如下:逐步判别分析显示,完全和部分BN由耶鲁-布朗-康奈尔饮食失调量表总分(kappa = .46)区分。然而,不可能区分完全和部分AN或BED。判别分析也证明了完全AN,BN和BED之间的明显差异。讨论内容:完全BN可以通过更严重的进食障碍症状与部分BN区分开,而完全和部分AN以及完全和部分BED看起来非常相似。这些结果强调了AN,BN和BED的不同性质,以及完整和部分情况之间的相似性。(C)出版社:Wiley Periodicals,Inc.
Objective: The diagnostic criteria for anorexia nervosa (AN), bulimia nervosa (BN), and binge eating disorder (BED) establish symptom severity levels, which are used to separate full cases from partial cases. However, the value of these distinctions is unclear. Method: Three hundred eighty-five women with full or partial AN, BN, or BED were assessed at entry into a longitudinal study of eating disorders. Results: Stepwise discriminant analysis revealed that full and partial BN were discriminated by the Yale-Brown-Cornell Eating Disorders Scale total scores (kappa = .46). However, it was not possible to discriminate between full and partial AN or BED. Discriminant analysis also demonstrated clear differences between full AN, BN, and BED. Discussion: Full BN can be differentiated from partial BN by more severe eating disorder symptoms, whereas both full and partial AN and full and partial BED appear quite similar. These results emphasize the distinct nature of AN, BN, and BED, as well as the similarities between full and partial cases. (C) 2002 by Wiley Periodicals, Inc.