Unveiling Severity Indicators for Anorexia and Bulimia Nervosa Treatment Success: DSM-5 Versus ICD-11 Versus Drive for Thinness.

IF 3.9 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review Pub Date : 2024-11-22 DOI:10.1002/erv.3156

An Dang, Roser Granero, Isabel Sanchez, Laura Gálvez Solé, Jessica Jimenez-Del Toro, Magda Rosinska, Susana Jimenez-Murcia, Isabel Krug, Fernandez-Aranda Fernando

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引用次数: 0

Abstract

Objective: This study aimed to compare treatment outcomes associated with three severity indicators-DSM-5 for anorexia nervosa (AN) and bulimia nervosa (BN), ICD-11 for AN, and drive for thinness (DT) for AN and BN-within a treatment-seeking population.

Method: A total of 628 female participants diagnosed with either AN (n = 266; mean age = 26.71) or BN (n = 362; mean age = 29.49) were recruited from an ED unit. Upon admission, participants were classified based on DSM-5 (AN and BN) and ICD-11 severity categories. They underwent CBT-E comprehensive manualised programs, according to ED subtype, and were categorised into 'full remission', 'partial remission', 'non-remission' or 'drop-out' based on DSM-5 diagnostic criteria at discharge.

Results: Significant associations were found only for ICD-11 AN severity groups (p = 0.03, Cramer's V = 0.18), with 'dangerously low BMI' associated with poorer outcomes than 'significantly low BMI'. No other significant relationships were found with DSM-5 or DT severity groups.

Conclusion: This study reveals the limitation of using a single severity indicator and emphasises the necessity of a comprehensive assessment to capture the complexities of AN and BN. Future research should also evaluate the validity of these severity measures across various factors, including biological correlates and psychopathology.

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揭示神经性厌食症和贪食症治疗成功的严重程度指标：DSM-5 Versus ICD-11 Versus Drive for Thinness.

目的：本研究旨在比较寻求治疗人群中与三个严重性指标相关的治疗结果--神经性厌食症（AN）和神经性贪食症（BN）的严重性指标为《美国医学会病理学分类》（SSM-5），神经性厌食症的严重性指标为《国际疾病分类》（ICD-11），而神经性厌食症和神经性贪食症的严重性指标为 "瘦"（DT）：从急诊科共招募了 628 名女性患者，她们被诊断为 AN（n = 266；平均年龄 = 26.71）或 BN（n = 362；平均年龄 = 29.49）。入院时，根据 DSM-5（AN 和 BN）和 ICD-11 严重程度对参与者进行分类。他们根据ED亚型接受了CBT-E综合手册项目，出院时根据DSM-5诊断标准被分为 "完全缓解"、"部分缓解"、"未缓解 "或 "退出"：结果：仅在 ICD-11 AN 严重程度组别中发现了显著关联（p = 0.03，Cramer's V = 0.18），"危险低体重指数 "比 "明显低体重指数 "的疗效更差。没有发现其他与DSM-5或DT严重程度组别有关的重要关系：本研究揭示了使用单一严重程度指标的局限性，并强调有必要进行全面评估，以了解自闭症和严重自闭症的复杂性。未来的研究还应评估这些严重程度测量在不同因素（包括生物学相关因素和精神病理学）下的有效性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Eating Disorders Review PSYCHOLOGY, CLINICAL-

CiteScore

8.90

自引率

7.50%

发文量

期刊介绍： European Eating Disorders Review publishes authoritative and accessible articles, from all over the world, which review or report original research that has implications for the treatment and care of people with eating disorders, and articles which report innovations and experience in the clinical management of eating disorders. The journal focuses on implications for best practice in diagnosis and treatment. The journal also provides a forum for discussion of the causes and prevention of eating disorders, and related health policy. The aims of the journal are to offer a channel of communication between researchers, practitioners, administrators and policymakers who need to report and understand developments in the field of eating disorders.