使用ICD-10和ICD-11标准进行限制性食和饮食障碍的分布和临床比较
Dominik Düplois1, Luise Brosig1, Andreas Hiemisch2,3
1Department of Psychosomatic Medicine and Psychotherapy, Behavioral Medicine Research Unit, Integrated Research and Treatment Center AdiposityDiseases, Leipzig University Medical Center, Leipzig, Germany.
The International journal of eating disorders
|May 27, 2023
概括
与ICD-10相比,国际疾病分类第11版 (ICD-11) 标准增加了饮食障碍,特别是避免/限制性食物摄入障碍 (ARFID) 的全门诊断,与ICD-10相比. 这种轮班有助于为儿童和青少年提供更有针对性的治疗.
科学领域:
- 儿科医生精神病学 儿科精神病学
- 临床心理学 临床心理学
- 诊断分类系统是诊断分类系统.
背景情况:
- 国际疾病分类 (ICD-11) 的第11次修订引入了食和饮食障碍的修订诊断标准,包括避免/限制性食物摄入障碍 (ARFID) 的新分类.
- 这些修订后的ICD-11标准对限制性饮食障碍的患病率和临床特征的影响在很大程度上仍未知.
研究的目的:
- 为了比较ICD-10和ICD-11诊断系统之间的限制性食和饮食障碍的分布和临床特征.
- 评估更新的ICD-11标准如何影响儿科患者这些疾病的分类和临床表现.
主要方法:
- 使用饮食障碍检查 (EDE),其儿童版本,以及EDE ARFID模块进行评估.
- 对82名儿科患者 (0-17岁) 和他们的父母进行了评估.
- 从医疗记录,问卷和客观的人类测量测量中收集的临床数据.
主要成果:
- 从ICD-10到ICD-11观察到残留限制性饮食障碍 (rrED) 的显著下降,显著跨越到全门诊断,特别是神经性厌食症 (AN) 和ARFID.
- 与ICD-11AN重新分类的患者相比,被重新分类为ICD-11ARFID的患者更年轻,发病年龄更早,饮食行为更为限制,并呈现出更多的体质并发症.
- 根据ICD-10和ICD-11标准,患有rrED的患者比被重新分类到ICD-11的AN或ARFID的患者更年轻,发病年龄更早,形状担忧较小,并患有更多的体质并发症.
结论:
- ICD-11标准提供了更具包容性的方法,促进了食和饮食障碍的更有针对性的治疗方法,强调了ARFID的临床相关性.
- 更新的诊断框架有助于更好地识别和管理儿童和青少年的限制性饮食障碍,改善治疗提供.
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