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Eating disorders
Published in Laeth Sari Nasir, Arwa K Abdul-Haq, Caring for Arab Patients, 2018
Other disorders included in the ICD-10 are atypical anorexia nervosa, atypical bulimia nervosa, overeating and vomiting associated with other psychological disorders. The DSM-IV uses the term “eating disorder not otherwise specified” (EDNOS) for an eating disorder which does not quite meet the criteria for either anorexia nervosa or bulimia nervosa (atypical eating disorder).
Magnitude of the problem
Published in Kathleen M Berg, Dermot J Hurley, James A McSherry, Nancy E Strange, ‘Rose’, Eating Disorders, 2018
The DSM-IV category ‘EDNOS’ is essentially a classification that captures individuals whose behaviors are clearly abnormal and clinically significant, but fail to match exact diagnostic criteria for anorexia nervosa and bulimia nervosa, the so-called ‘atypical eating disorders’. Diagnostic criteria are artificial concepts at best, arbitrary constructs that define conditions of unequivocal severity where abnormal eating attitudes and behaviors are clearly pathological and have recognizable consequences that are harmful to the affected person. The 10th edition of the World Health Organization’s International Classification of Diseases (ICD-10) identifies ‘atypical eating disorders’ as those conditions in which the general features support a diagnosis of anorexia nervosa or bulimia nervosa, but one or more of the key features are missing or present only in minor degree.
Self-help treatment for eating disorders
Published in Stephen Wonderlich, James E Mitchell, Martina de Zwaan, Howard Steiger, Eric F van Furth, Annual Review of Eating Disorders Part 1 – 2007, 2018
Cornelia Thiels, Martina de Zwaan
The aim of the present review is to report on studies published or presented during 2004 and 2005 relevant to self-help (SH) treatments with or without guidance by a professional. The following eating disorders (ED) were included: anorexia nervosa (AN), bulimia nervosa (BN), binge eating disorder (BED), and eating disorders not otherwise specified (EDNOS). Excluded were studies of people at risk of developing an ED. SH was defined as a psychological treatment based on a clear model presented in the form of books, CD-ROMs, or via the internet with the aim of helping sufferers of ED to help themselves. Research on supportive SH groups without a treatment program, internet e-health portals offering information about ED, and the opportunity to exchange experience with other sufferers of ED (Leiberich et al. 2004; Nedoschill et al. 2005) and articles about SH books (Quilliam 2005) were not included.
Male eating disorders in midlife—possible links between excessive sports and hormones
Published in The Aging Male, 2023
Kai K. Kummer, Barbara Mangweth-Matzek
Already in 2015, Reas and Stedal have reviewed data on male EDs in midlife and beyond [21]. They identified 16 clinical case reports that documented ED diagnoses of AN, BN, EDNOS, and BED in men aged 40 years and above, with the majority showing psychiatric comorbidities including depressive and anxiety disorders as well as suicidal ideation. Epidemiological data on this age group are still sparse, with the majority coming either from US [22] or UK national surveys [23] or military veteran discharge diagnoses [24,25]. Interestingly, the US National Comorbidity Replication study found that while prevalence rates of AN, BN and BED were still dramatically more frequent in women than in men, the lifetime prevalence of sub-threshold binge eating behavior was even higher in males than in females [22]. This lack of full ED diagnoses might be related to the diagnostic tools in use, of which the majority has been developed and validated in females, and which do not reflect sex-differences in the presentation of ED symptoms [5]. Although recent revisions of the diagnostic criteria for EDs try to adapt this catalog of symptoms used for diagnosis, like the removal of the occurrence of amenorrhea as one of the diagnostic hallmark criteria for AN [26], we are still far from sex or gender-specific diagnostics of EDs.
A systematic review of treatment approaches for compulsive exercise among individuals with eating disorders
Published in Eating Disorders, 2022
Laura Hallward, Annissa Di Marino, Lindsay R. Duncan
The population included individuals diagnosed with eating disorders according to the DSM-3 to DSM-5 (depending on the time the study was conducted). These eating disorders include anorexia nervosa, bulimia nervosa, BED, and other specified feeding or eating disorder (OSFED) as described in the DSM-5, formerly EDNOS in previous DSM versions. Studies with participants of all ages and both males and/or females were included. Studies were eligible if the control or comparison group included clinical and/or non-clinical samples. There was also no restriction for participant eligibility based on baseline scores of compulsive or excessive exercise. The authors were not only interested in improvements for participants classified as compulsive exercisers, but also for improvements among sub-clinical cases as these improvements can also be informative of treatment effectiveness.
Predictors of improvement in a family-based partial hospitalization/intensive outpatient program for eating disorders
Published in Eating Disorders, 2021
Kendra J. Homan, Susan L. Crowley, Renee D. Rienecke
The results of this study provide an examination of variables that predict differential improvement in an FBT-based PHP/IOP. This is the first multilevel analysis of predictors of improvement in patients with AN or EDNOS participating in an FBT-based PHP/IOP. The extant research investigating the efficacy of FBT in an outpatient setting has led to the incorporation of FBT principles into higher levels of care. Determining variables that consistently predict differential improvement or treatment effectiveness in an FBT-based PHP/IOP provides an opportunity to identify those for whom treatment works, tailor treatment accordingly, and adjust treatment for those who have not responded. These results provide clinically useful information to better treat both adolescent and young adult patients with AN and EDNOS and improve outcomes.