Severity levels of anorexia nervosa and atypical anorexia nervosa in a Korean cohort.
anorexia nervosa
atypical anorexia nervosa
diagnostic and statistical manual of mental disorders
fifth edition
medical emergencies in eating disorders guidance
severity specifier
Journal
European eating disorders review : the journal of the Eating Disorders Association
ISSN: 1099-0968
Titre abrégé: Eur Eat Disord Rev
Pays: England
ID NLM: 9436977
Informations de publication
Date de publication:
22 Oct 2024
22 Oct 2024
Historique:
revised:
27
08
2024
received:
28
06
2024
accepted:
13
10
2024
medline:
22
10
2024
pubmed:
22
10
2024
entrez:
22
10
2024
Statut:
aheadofprint
Résumé
Despite its potential for informing tailored treatments, the severity of eating disorders (EDs) lacks clear conceptualisation. The present retrospective cohort study examined the clinical validity and utility of severity specifiers for anorexia nervosa (AN) and atypical AN in a Korean population. Data from 696 Korean outpatients with AN or atypical AN were analysed. Severity criteria for AN from the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, and the Medical Emergencies in Eating Disorders (MEED) guidance were used. Severity criteria applied for atypical AN were the frequency of intermittent fasting (ED Diagnostic Scale item 17), Eating Disorder Examination Questionnaire global scores, and the degree of weight suppression. Prevalence of extreme cases of AN in our cohort was higher than in Western populations in previous studies. MEED guidance further subclassified extreme AN, revealing distinct psychopathological profiles across severity levels. The proposed severity classification for atypical AN based on the weight loss behaviour of intermittent fasting showed merit. These findings suggest a potential need for a more nuanced AN severity classification that better represents severe medical aspects and encompasses cultural and ethnic diversities. In atypical AN, there is a need to examine severity indices measuring pathological behaviours.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : National Research Foundation of Korea
ID : 2021R1A2C2009668
Informations de copyright
© 2024 The Author(s). European Eating Disorders Review published by Eating Disorders Association and John Wiley & Sons Ltd.
Références
American Psychiatric Association. (2022). Diagnostic and statistical Manual of mental disorders (5th ed.). (DSM‐5‐TR).
American Psychiatric Association, DSM‐5 Task Force. (2013). Diagnostic and statistical manual of mental disorders: DSM‐5™ (5th ed.). American Psychiatric Publishing, Inc. https://doi.org/10.1176/appi.books.9780890425596
Bang, E. B., Han, C. L., Joen, Y. L., & Kim, Y. R. (2018). The Korean version of eating disorder diagnostic scale DSM‐5 (K‐EDDS DSM‐5): A reliability and validity study. Anxiety and Mood, 14(2), 127–134.
Bang, E. B., Han, C. L., Kim, Y. R., Kim, M., Lee, Y. H., Heo, S. Y., & Kim, Y. R. (2018). A reliability and validity study of the Korean versions of the eating disorder examination questionnaire version 6.0 (EDE‐Q version 6.0) and the clinical impairment assessment questionnaire (CIA). Korean Journal of Psychosomatic Medicine, 26(2), 152–163.
Butryn, M. L., Lowe, M. R., Safer, D. L., & Agras, W. S. (2006). Weight suppression is a robust predictor of outcome in the cognitive‐behavioral treatment of bulimia nervosa. Journal of Abnormal Psychology, 115(1), 62–67. https://doi.org/10.1037/0021‐843x.115.1.62
Centers for Disease Control and Prevention, N. C. f. H. S. (2017). Clinical growth charts.
Dakanalis, A., Timko, C. A., Colmegna, F., Riva, G., & Clerici, M. (2018). Evaluation of the DSM‐5 severity ratings for anorexia nervosa in a clinical sample. Psychiatry Research, 262, 124–128. https://doi.org/10.1016/j.psychres.2018.02.009
Dang, A. B., Giles, S., Fuller‐Tyszkiewicz, M., Kiropoulos, L., & Krug, I. (2022). A systematic review and meta‐analysis on the DSM‐5 severity ratings for eating disorders. Clinical Psychology: Science and Practice, 29(4), 325–344. https://doi.org/10.1037/cps0000078
Fairburn, C. G., Cooper, Z., & O'Connor, M. (1993). The eating disorder examination. International Journal of Eating Disorders, 6, 1–8. https://doi.org/10.1002/1098‐108x(198701)6:1<1::aid‐eat2260060102>3.0.co;2‐9
Fairburn, C. G., Cooper, Z., & O'Connor, M. (2008). Eating disorder examination. In C. G. Fairburn (Ed.), Cognitive behavior therapy and eating disorders (pp. 265–308). Guilford Press. 16.0D).
Fraga, A., Caggianesse, V., Carrera, O., Graell, M., Morandé, G., & Gutiérrez, E. (2015). Seasonal BMI differences between restrictive and purging anorexia nervosa subtypes. International Journal of Eating Disorders, 48(1), 35–41. https://doi.org/10.1002/eat.22357
Gianini, L., Roberto, C. A., Attia, E., Walsh, B. T., Thomas, J. J., Eddy, K. T., Grilo, C. M., Weigel, T., & Sysko, R. (2017). Mild, moderate, meaningful? Examining the psychological and functioning correlates of DSM‐5 eating disorder severity specifiers. International Journal of Eating Disorders, 50(8), 906–916. https://doi.org/10.1002/eat.22728
Hagan, K. E., Johnson, A., Venables, K., Makara, A., Chartier, K., & Haynos, A. F., & Spit for Science Working Group. (2024). Naturalistic symptom trajectories of atypical anorexia nervosa, anorexia nervosa, and bulimia nervosa in a prospective cohort study of United States college students. International Journal of Eating Disorders, 57(4), 924–936. https://doi.org/10.1002/eat.24152
Harrop, E. N., Mensinger, J. L., Moore, M., & Lindhorst, T. (2021). Restrictive eating disorders in higher weight persons: A systematic review of atypical anorexia nervosa prevalence and consecutive admission literature. International Journal of Eating Disorders, 54(8), 1328–1357. https://doi.org/10.1002/eat.23519
Hay, P., Chinn, D., Forbes, D., Madden, S., Newton, R., Sugenor, L., Touyz, S., & Ward, W. (2014). Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for the treatment of eating disorders. Australian and New Zealand Journal of Psychiatry, 48(11), 977–1008. https://doi.org/10.1177/0004867414555814
Heo, S. Y., Rhee, M. K., Choi, Y. M., Sohn, C. H., Lee, H. K., & Lee, Y. H. (2004). Reliability and factor analysis of the Korean version of eating disorder examination. Journal of Korean Society for the Study of Obesity, 13(1), 42–52.
Jun, D., Johnston, V., Kim, J. M., & O’Leary, S. (2018). Cross‐cultural adaptation and validation of the depression, anxiety and stress scale‐21 (DASS‐21) in the Korean working population. Work, 59(1), 93–102. https://doi.org/10.3233/WOR‐172661
Keel, P. K., & Heatherton, T. F. (2010). Weight suppression predicts maintenance and onset of bulimic syndromes at 10‐year follow‐up. Journal of Abnormal Psychology, 119(2), 268–275. https://doi.org/10.1037/a0019190
Lee, S. (2001). From diversity to unity: The classification of mental disorders in 21st‐century China. Psychiatric Clinics of North America, 24(3), 421–431. https://doi.org/10.1016/s0193‐953x(05)70238‐0
Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the depression anxiety stress scales (DASS) with the beck depression and anxiety inventories. Behaviour Research and Therapy, 33(3), 335–343. https://doi.org/10.1016/0005‐7967(94)00075‐u
Machado, P. P., Grilo, C. M., & Crosby, R. D. (2017). Evaluation of the DSM‐5 severity indicator for anorexia nervosa. European Eating Disorders Review, 25(3), 221–223. https://doi.org/10.1002/erv.2508
Meneguzzo, P., Antoniades, A., Garolla, A., Tozzi, F., & Todisco, P. (2024). Predictors of psychopathology response in atypical anorexia nervosa following inpatient treatment: A propensity score matching study of weight suppression and weight loss speed. International Journal of Eating Disorders, 57(4), 1002–1007. Advance online publication. https://doi.org/10.1002/eat.24135
Nakai, Y., Nin, K., Noma, S. I., Teramukai, S., Fujikawa, K., & Wonderlich, S. A. (2017). The impact of DSM‐5 on the diagnosis and severity indicator of eating disorders in a treatment‐seeking sample. International Journal of Eating Disorders, 50(11), 1247–1254. https://doi.org/10.1002/eat.22777
Reas, D. L., & Rø, Ø. (2017). Investigating the DSM‐5 severity specifiers based on thinness for adults with anorexia nervosa. International Journal of Eating Disorders, 50(8), 990–994. https://doi.org/10.1002/eat.22729
Reas, D. L., & Rø, Ø. (2018). Less symptomatic, but equally impaired: Clinical impairment in restricting versus binge‐eating/purging subtype of anorexia nervosa. Eating Behaviors, 28, 32–37. https://doi.org/10.1016/j.eatbeh.2017.12.004
Schmidt, U., Startup, H., & Treasure, J. (2019). A cognitive‐interpersonal therapy workbook for treating anorexia nervosa. Routledge.
Smith, K. E., Ellison, J. M., Crosby, R. D., Engel, S. G., Mitchell, J. E., Crow, S. J., Peterson, C. B., Le Grange, D., & Wonderlich, S. A. (2017). The validity of DSM‐5 severity specifiers for anorexia nervosa, bulimia nervosa, and binge‐eating disorder. International Journal of Eating Disorders, 50(9), 1109–1113. https://doi.org/10.1002/eat.22739
Smithuis, L., Kool‐Goudzwaard, N., de Man‐van Ginkel, J. M., van Os‐Medendorp, H., Berends, T., Dingemans, A., Claes, L., van Elburg, A. A., & van Meijel, B. (2018). Self‐injurious behaviour in patients with anorexia nervosa: A quantitative study. Journal of Eating Disorders, 6, 1–10.
Soh, N. L., Touyz, S., A Dobbins, T., Clarke, S., Kohn, M. R., Lee, E. L., Leow, V., Ung, K. E., & Walter, G. (2009). The relationship between skinfold thickness and body mass index in north European caucasian and east asian women with anorexia nervosa: Implications for diagnosis and management. European Eating Disorders Review: The Professional Journal of the Eating Disorders Association, 17(1), 31–39. https://doi.org/10.1002/erv.893
Stice, E., Fisher, M., & Martinez, E. (2004). Eating disorder diagnostic scale: Additional evidence of reliability and validity. Psychological Assessment, 16(1), 60–71. https://doi.org/10.1037/1040‐3590.16.1.60
Stice, E., Telch, C. F., & Rizvi, S. L. (2000). Development and validation of the eating disorder diagnostic scale: A brief self‐report measure of anorexia, bulimia, and binge eating disorder. Psychological Assessment, 12(2), 123–131. https://doi.org/10.1037//1040‐3590.12.2.123
The Royal College of Psychiatrists. (2023). Medical emergencies in eating disorders: Guidance on recognition and management. Retrieved March 20, 2024, from https://www.rcpsych.ac.uk/docs/default‐source/improving‐care/better‐mh‐policy/collegereports/college‐report‐cr233‐medical‐emergencies‐in‐eating‐disorders‐(meed)guidance.pdf
The Royal College of Psychiatrists, Royal College Physicians, Royal College of Pathologists. (2014). Marsipan: Management of really sick patients with anorexia nervosa. College Report CR189 (2nd ed.). Royal College of Psychiatrists.
Thomas, J. J., Roberto, C. A., & Berg, K. C. (2014). The eating disorder examination: A semi structured interview for the assessment of the specific psychopathology of eating disorders. Advances in Eating Disorders: Theory, Research and Practice, 2(2), 190–203. https://doi.org/10.1080/21662630.2013.840119
Toppino, F., Longo, P., Martini, M., Abbate‐Daga, G., & Marzola, E. (2022). Body mass index specifiers in anorexia nervosa: Anything below the “extreme”. Journal of Clinical Medicine, 11(3), 542. https://doi.org/10.3390/jcm11030542
Ung, E. K. (2003). Eating disorders in Singapore: A review. Annals Academy of Medicine Singapore, 32(1), 19–24. https://doi.org/10.47102/annals‐acadmedsg.v32n1p19
Walsh, B. T., Hagan, K. E., & Lockwood, C. (2023). A systematic review comparing atypical anorexia nervosa and anorexia nervosa. International Journal of Eating Disorders, 56(4), 798–820. https://doi.org/10.1002/eat.23856
Zimmerman, M., Morgan, T. A., & Stanton, K. (2018). The severity of psychiatric disorders. World Psychiatry, 17(3), 258–275. https://doi.org/10.1002/wps.20569