在一个横截面研究中,使用DSM-5的替代标准来评估厌食症神经症的严重程度
Esther Henriet1, Joanna Norton2, Maude Seneque1,3
1Department of Emergency Psychiatry and Acute Care, Lapeyronie Hospital, Montpellier, France.
The International journal of eating disorders
|September 10, 2025
概括
体重和形状的高估 (OWS) 和对瘦身的冲动 (DT) 比DSM-5标准更好地对神经性厌食症 (AN) 的严重程度进行分类. 在临床环境中,OWS-DT组合最有效地识别AN严重程度.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 饮食障碍 研究 研究 研究
背景情况:
- 精神疾病诊断和统计手册第五版 (DSM-5) 对神经性厌食症 (AN) 严重程度的分类有局限性.
- 其他严重程度分类,包括重量和形状 (OWS) 的高估和瘦身 (DT) 的驱动,需要进一步调查.
研究的目的:
- 将OWS,DT及其组合 (OWS-DT) 的临床实用性与AN的DSM-5严重性分类进行比较.
- 根据与临床和功能严重性指标的关联来评估这些分类.
主要方法:
- 312名AN门诊患者使用DSM-5标准,OWS,DT和OWS-DT进行分类.
- 评估了与精神病相关疾病,精神病理学 (饮食障碍检查问卷,饮食障碍清单),功能障碍 (饮食障碍生活质量问卷,工作和社会适应量表) 和生物标志物的关联.
主要成果:
- OWS和DT与增加的精神病并发症,精神病理学和功能障碍密切相关.
- 在OWS-DT组 (既不,只有OWS,OWS和DT) 中,严重程度增加,DT在没有OWS的情况下很少发生.
- DSM-5分类显示临床相关性有限,主要反映了能量摄入限制;在生物标记者之间没有发现显著差异.
结论:
- 仅仅根据DSM-5的严重性标准,对AN的临床有用性有限.
- OWS和DT,特别是它们的组合,在确定AN严重程度方面显示出更明显的临床实用性.
- 在临床实践中,对OWS的逐步评估,其次是DT,可能是捕捉AN严重性的最有效方法.
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