Journal of the American Academy of Child and Adolescent Psychiatry, 2010-03, Vol.49 (3), p.277-287
2010
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Details
- Autor(en) / Beteiligte
- Titel
- Diagnostic Classification of Eating Disorders in Children and Adolescents: How Does DSM-IV-TR Compare to Empirically-Derived Categories?
- Ist Teil von
- Journal of the American Academy of Child and Adolescent Psychiatry, 2010-03, Vol.49 (3), p.277-287
- Ort / Verlag
- Maryland Heights, MO: Elsevier Inc
- Erscheinungsjahr
- 2010
- Quelle
- Applied Social Sciences Index & Abstracts (ASSIA)
- Beschreibungen/Notizen
- Objective The purpose of this study was to empirically derive eating disorder phenotypes in a clinical sample of children and adolescents using latent profile analysis (LPA), and to compare these latent profile (LP) groups to the DSM-IV-TR eating disorder categories. Method Eating disorder symptom data collected from 401 youth (aged 7 through 19 years; mean 15.14 ± 2.35 years) seeking eating disorder treatment were included in LPA; general linear models were used to compare LP groups to DSM-IV-TR eating disorder categories on pretreatment and outcome indices. Results Three LP groups were identified: LP1 (n = 144), characterized by binge eating and purging (“Binge/purge”); LP2 (n = 126), characterized by excessive exercise and extreme eating disorder cognitions (“Exercise-extreme cognitions”); and LP3 (n = 131), characterized by minimal eating disorder behaviors and cognitions (“Minimal behaviors/cognitions”). Identified LPs imperfectly resembled DSM-IV-TR eating disorders. LP1 resembled bulimia nervosa; LP2 and LP3 broadly resembled anorexia nervosa with a relaxed weight criterion, differentiated by excessive exercise and severity of eating disorder cognitions. The LP groups were more differentiated than the DSM-IV-TR categories across pretreatment eating disorder and general psychopathology indices, as well as weight change at follow-up. Neither LP nor DSM-IV-TR categories predicted change in binge/purge behaviors. Validation analyses suggest these empirically derived groups improve upon the current DSM-IV-TR categories. Conclusions In children and adolescents, revisions for DSM-V should consider recognition of patients with minimal cognitive eating disorder symptoms.
- Sprache
- Englisch
- Identifikatoren
- ISSN: 0890-8567eISSN: 1527-5418DOI: 10.1016/j.jaac.2009.10.012Titel-ID: cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2904981
- Format
- –
- Schlagworte
- Adolescent, Adolescents, Anorexia Nervosa - classification, Anorexia Nervosa - diagnosis, Anorexia Nervosa - psychology, Attitude to Health, Behavior Change, Binge-Eating Disorder - classification, Binge-Eating Disorder - diagnosis, Binge-Eating Disorder - psychology, Biological and medical sciences, Body Image, Body Weight, Bulimia Nervosa - classification, Bulimia Nervosa - diagnosis, Bulimia Nervosa - psychology, Chicago, Child, Child & adolescent psychiatry, Child clinical studies, Children, Children & youth, Classification, Cognition, Comparative Analysis, Depression - classification, Depression - diagnosis, Depression - psychology, Diagnosis, Diagnostic and Statistical Manual of Mental Disorders, Eating Disorders, Exercise, Exercise - psychology, Feeding and Eating Disorders - classification, Feeding and Eating Disorders - diagnosis, Female, Genetics, Humans, Identification, Latent profile analysis, Male, Medical sciences, Outpatient Clinics, Hospital, Patients, Pediatrics, Personality Inventory, Phenotype, Prediction, Profiles, Psychiatry, Psychology. Psychoanalysis. Psychiatry, Psychopathology, Psychopathology. Psychiatry, Self Concept, Social Cognition, Symptoms, Symptoms (Individual Disorders)