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EDNOS classification

Malvina Gualandi, Marzia Simoni, Emilia Manzato, Giovanni Scanelli
PURPOSE: To compare the relative prevalence of eating disorders moving from DSM-IV to DSM-5, and to reassess the overall medical impairment in the revised diagnostic classes. METHODS: We applied DSM-5 to 206 patients (age 15-56 years) previously studied and classified according to DSM-IV. Medical impairment was classified as low, medium, or high, based on a cumulative score of clinical severity (SCS), computed as the sum of specific weights assigned to different pathological conditions and their ascertained prognostic impact...
August 29, 2016: Eating and Weight Disorders: EWD
Stefano Erzegovesi, Laura Bellodi
Twenty years have passed from the International Classification of Diseases, Tenth Revision (ICD-10) to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) and, in the meanwhile, a lot of research data about eating disorders has been published. This article reviews the main modifications to the classification of eating disorders reported in the "Feeding and Eating Disorders" chapter of the DSM-5, and compares them with the ICD-10 diagnostic guidelines. Particularly, we will show that DSM-5 criteria widened the diagnoses of anorexia and bulimia nervosa to less severe forms (so decreasing the frequency of Eating Disorders, Not Otherwise Specified (EDNOS) diagnoses), introduced the new category of Binge Eating Disorder, and incorporated several feeding disorders that were first diagnosed in infancy, childhood, or adolescence...
August 2016: CNS Spectrums
A E Dingemans, E F van Furth
BACKGROUND: The category 'eating disorder 'not otherwise specified'' (EDNOS) in DSM-IV is restricted to eating disorders of clinical severity that do not completely fulfil the criteria for anorexia and bulimia nervosa. The EDNOS category is, by definition, often regarded as a a residual category and in principle designed to incorporate a small group of patients with atypical characteristics. Health insurance companies argue that the treatment of patients diagnosed with EDNOS should not be treated in mental health institutions and therefore should not get their treatment costs reimbursed by the insurance companies...
2015: Tijdschrift Voor Psychiatrie
Elke D ter Huurne, Hein A de Haan, Marieke C ten Napel-Schutz, Marloes G Postel, Juliane Menting, Job van der Palen, Maartje S Vroling, Cor A J DeJong
BACKGROUND: The Eating Disorder Questionnaire-Online (EDQ-O) is an online self-report questionnaire, which was developed specifically to provide a DSM-IV-TR classification of anorexia nervosa (AN), bulimia nervosa (BN), binge-eating disorder (BED), and eating disorder not otherwise specified (EDNOS), without using a face-to-face clinical interview. OBJECTIVE: The purpose of the present study was to examine the psychometric quality of the EDQ-O. METHODS: The validity of the EDQ-O was determined by examining the agreement with the diagnoses obtained from the Longitudinal, Expert, and All DATA (LEAD) standard...
February 2015: Comprehensive Psychiatry
Michael Wm MacGregor, Paige Lamborn
BACKGROUND: Eating disorders are complex disorders that involve medical and psychological symptoms. Understanding the psychological factors associated with different eating disorders is important for assessment, diagnosis, and treatment. METHODS: This study sought to determine on which of the 22 Personality Assessment Inventory (PAI) scales patients with anorexia nervosa, bulimia nervosa, and eating disorder not otherwise specified (EDNOS) differed, and whether the PAI can be used to classify eating disorder subtypes...
2014: Journal of Eating Disorders
Kerstin Ekeroth, David Clinton, Claes Norring, Andreas Birgegård
BACKGROUND: DSM-IV eating disorder (ED) diagnoses have been criticized for lack of clinical utility, diagnostic instability, and over-inclusiveness of the residual category "ED not otherwise specified" (EDNOS). Revisions made in DSM-5 attempt to generate a more scientifically valid and clinically relevant system of ED classification. The aim with the present study was to examine clinical characteristics and distinctiveness of the new DSM-5 ED diagnoses, especially concerning purging disorder (PD)...
2013: Journal of Eating Disorders
Antonios Dakanalis, C Alix Timko, M Assunta Zanetti, Lucio Rinaldi, Antonio Prunas, Giuseppe Carrà, Giuseppe Riva, Massimo Clerici
Although 96-100% of individuals with eating disorders (EDs) report insecure attachment, the specific mechanisms by which adult insecure attachment dimensions affect ED symptomatology remain to date largely unknown. This study examined maladaptive perfectionism as both a mediator and a moderator of the relationship between insecure attachment (anxiety and avoidance) and ED symptomatology in a clinical, treatment seeking, sample. Insecure anxious and avoidant attachment, maladaptive perfectionism, and ED symptomatology were assessed in 403 participants from three medium size specialized care centres for EDs in Italy...
January 30, 2014: Psychiatry Research
Brandon K Bellows, Joanne LaFleur, Aaron W C Kamauu, Thomas Ginter, Tyler B Forbush, Stephen Agbor, Dylan Supina, Paul Hodgkins, Scott L DuVall
Binge eating disorder (BED) does not have an International Classification of Diseases, 9th or 10th edition code, but is included under 'eating disorder not otherwise specified' (EDNOS). This historical cohort study identified patients with clinician-diagnosed BED from electronic health records (EHR) in the Department of Veterans Affairs between 2000 and 2011 using natural language processing (NLP) and compared their characteristics to patients identified by EDNOS diagnosis codes. NLP identified 1487 BED patients with classification accuracy of 91...
February 2014: Journal of the American Medical Informatics Association: JAMIA
Diann M Ackard, Sara Richter, Amber Egan, Scott Engel, Catherine L Cronemeyer
OBJECTIVE: Compare general and disease-specific health-related quality of life (HRQoL) among female patients with an eating disorder (ED). METHOD: Female patients (n = 221; 95.3% Caucasian; 94.0% never married) completed the Medical Outcome Short Form Health Survey (SF-36) and Eating Disorders Quality of Life (EDQoL) as part of a study of treatment outcomes. Multivariate regression models were used to compare HRQoL differences across initial ED diagnosis (85 AN-R, 19 AN-B/P, 27 BN, 90 EDNOS) and ED diagnostic classification at time of outcome assessment (140 no ED, 38 subthreshold ED, 43 full threshold ED)...
April 2014: International Journal of Eating Disorders
F Dazzi, F G Di Leone
The current nosography of eating disorders (ED) has various limitations in terms of validity and accuracy. The changes adopted in the DSM-5 limit some of the current problems, such as excessive prevalence of ED not otherwise specified (EDNOS) and the lack of longitudinal stability, but are unlikely to adequately capture the clinical complexity of ED. Many authors suggest the need for a thorough review of the current nosography to support evidence-based classification. In this paper, we discuss the validity of the current diagnostic categories and their possible reorganization...
March 2014: Eating and Weight Disorders: EWD
Samantha Jane Brooks, Mathias Rask-Andersen, Christian Benedict, Helgi Birgir Schiöth
BACKGROUND: Sixty percent of eating disorders do not meet criteria for anorexia- or bulimia nervosa, as defined by the Diagnostic and Statistical Manual version 4 (DSM-IV). Instead they are diagnosed as 'eating disorders not otherwise specified' (EDNOS). Discrepancies between criteria and clinical reality currently hampering eating disorder diagnoses in the DSM-IV will be addressed by the forthcoming DSM-V. However, future diagnoses for eating disorders will rely on current advances in the fields of neuroimaging and genetics for classification of symptoms that will ultimately improve treatment...
2012: BMC Psychiatry
M de Zwaan, W Herzog
The diagnostic criteria of the classic eating disorders anorexia nervosa (AN) and bulimia nervosa (BN) are characterized by both a high validity and clinical utility. However, up to 50% of patients in specialized eating disorder centers do not meet the full diagnostic criteria and are relegated to the residual diagnosis "eating disorders not otherwise specified (EDNOS)". Eating disorders are more varied and variable than the ICD-10 or DSM-IV criteria suggest. This article describes the suggested modifications of the diagnostic criteria for eating disorders for the DSM-5...
September 2011: Der Nervenarzt
Susanne Knoll, Cynthia M Bulik, Johannes Hebebrand
The purpose of this article is to discuss the proposed criteria of the fifth version of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) for anorexia nervosa (AN) and to compare these with an alternative proposal which is based on a broader conception of the AN phenotype (Hebebrand and Bulik, in press). The proposed DSM-5 criteria seem to only insufficiently resolve the problems inherent to the current classification of AN because (1) the A criterion does not include a reference to allow the clinician to decide if the (young) patient meets the weight criterion, (2) the AN patient first must have evolved the cognitive capacity for complex abstract reasoning in order to fulfill the criteria B and C (Bravender et al...
February 2011: European Child & Adolescent Psychiatry
Erin C Dunn, Josie Geller, Krista E Brown, Mollie E Bates
OBJECTIVE: To compare the descriptive and clinical utility of two classification systems: DSM-IV eating disorder diagnoses and proposed symptom profiles. The symptom profiles are based on the presence of overvalued ideas about shape/weight, as well as combinations of three key eating disorder symptoms (e.g. body mass index (BMI) above or below threshold and the presence or absence of bingeing and purging behaviours). METHOD: The two systems were compared on their ability to offer descriptively useful information in classifying individuals with eating disorders...
July 2010: European Eating Disorders Review: the Journal of the Eating Disorders Association
B Timothy Walsh, Robyn Sysko
OBJECTIVE: Eating Disorder Not Otherwise Specified (EDNOS), a residual category in DSM-IV, is the most commonly used eating disorder diagnosis in clinical settings. A diagnostic scheme, termed Broad Categories for the Diagnosis of Eating Disorders (BCD-ED), is proposed to diminish use of the EDNOS category while preserving the existing eating disorder categories. The objective of this review was to examine the advantages and disadvantages of adopting this scheme for DSM-V. METHOD: We reviewed published studies to assess the proportion of individuals with DSM-IV EDNOS that would be reclassified under the BCD-ED system, support for the hierarchy of the three categories, and the potential risk of "overdiagnosis...
December 2009: International Journal of Eating Disorders
Edno Moacir Piovesan, Flávio Fernando Demarco, Evandro Piva
The aim of this study was to evaluate the clinical performance (retention rate) of fiber-reinforced composite fixed partial dentures (FPDs). Polyethylene fiber (Ribbond) was used combined with restorative composite during FPDs fabrication. FPDs were placed in thirteen patients in a private clinic. Nineteen FPDs were evaluated. The prosthetic space was filled with only one pontic using extracted teeth (2 cases), acrylic resin teeth (11 cases), or with composite resin (6 cases), combined with Polyethylene fiber...
April 2006: Journal of Applied Oral Science: Revista FOB
Amanda J Antczak, Teresa L Brininger
The objective of this study was to determine the incidence of three types of eating disorders (ED); anorexia nervosa (AN), bulimia nervosa (BN) and eating disorder not otherwise specified (EDNOS), diagnosed in the U.S. Military. Diagnosed cases of ED were obtained from the Defense Medical Epidemiology Database for all Service Members (SM) from 1998-2006. The percentage per year of SM with an ED diagnosis was .30%. Eating disorders were diagnosed significantly more in 2006 (.41%) compared to 1998 (.23%) (p < ...
October 2008: Eating Disorders
David Clinton, Claes Norring
INTRODUCTION: The classification of eating disorders has been a matter of considerable debate. The present paper extends previous work and aimed to compare the utility of statistically derived clusters of eating disorders and conventional diagnoses. METHODS: Adult female eating disorder patients who had previously been classified on the basis of cluster analysis of key diagnostic variables were examined on measures of eating disorder symptomatology and psychiatric comorbidity at intake (N=601) and subsequent follow-up after 6 and 36 months (N=349, N=322, respectively)...
December 2005: Eating Behaviors
Denise M Sloan, J Scott Mizes, Eva M Epstein
Although the eating disorder nosology has become refined over the years, considerable problems remain. The purpose of the present study was to empirically examine eating disorder classification using a sample of treatment-seeking eating-disorder patients. One hundred and fifty-nine patients with diagnoses of anorexia nervosa (AN), bulimia nervosa (BN), and eating disorder, not otherwise specified (EDNOS), were included in a cluster analysis using a variety of eating disorder variables. Findings revealed four clusters, with three clusters resembling AN, restricting type, BN, and binge-eating disorder (BED)...
January 2005: Eating Behaviors
J M Thaw, D A Williamson, C K Martin
The diagnostic criteria used to define eating disorders have been the focus of debate for many years. The primary aim of this study was to evaluate the impact of altering DSM-IV diagnostic criteria upon the base rates of anorexia nervosa (AN), bulimia nervosa (BN) and eating disorder not otherwise specified (EDNOS). Five controversial criteria were systematically modified and the impact of these changes on base rates of full-syndrome and partial-syndrome eating disorders was assessed in 193 patients referred to two specialty eating disorder clinics...
September 2001: Eating and Weight Disorders: EWD
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