Suggested guidelines for including or excluding categories in the DSM-IV

Blashfield, Roger K.; Sprock, June; Fuller, A. Kenneth

doi:10.1016/0010-440x(90)90049-x

Cited by 75 publications

(93 citation statements)

References 13 publications

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“…First, with regard to clinical description, the specific literature on NFP-AN is modest with relatively few papers published in the past 10 years-in fact, far fewer than the 50 papers Blashfield et al suggest as a standard for adequate literature to establish a diagnosis. 43 Lee et al's studies dominate the literature on NFP-AN, notwithstanding their call for further investigation of this variant. 62 Second, available data support that NFP-AN is heterogeneous with diverse rationales for food refusal.…”

Section: Discussionmentioning

confidence: 99%

“…17,18 In summary, descriptive data establish the wide geographical distribution of NFP-AN, but the small number of papers recently published does not meet Blashfield et al's suggested standard of at least 50 in the past 10 years. 43 Moreover, descriptive data neither specify clearly whether the absence of fat phobia is regarded as a categorical or dimensional 44 construct nor how to classify cases that cross over. Finally, the characterization of NFP-AN is most often based on clinical data from nonWestern populations.…”

Section: Clinical Descriptionmentioning

confidence: 99%

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Should non‐fat‐phobic anorexia nervosa be included in DSM‐V?

Becker

Thomas

Pike

2009

Intl J Eating Disorders

153

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Objective: Cross-cultural data suggest that rationales for food refusal vary in anorexia nervosa (AN), and a variant, termed non-fat-phobic AN (NFP-AN), has been described. This review evaluates whether data support modification of the requirement for intense fear of weight gain to meet AN criterion B in DSM-V.Method: We performed a systematic search of the Medline and PsychInfo literature and evaluated the relevant publications by Robins and Guze's (Am J Psychiatry 126, [983][984][985][986][987] 1970) criteria as a standard for diagnostic validity. We also performed a meta-analysis comparing the severity of eating pathology in AN to (a) NFP-AN and (b) AN with low drive for thinness (low-DT-AN).Results: A modest literature indicates that NFP-AN has wide geographic distribution and occurs in both Western and non-Western populations alongside cases of typical AN. Aggregating across eligible studies, patients with NFP-AN or low-DT-AN score at least 2/3 of a standard deviation lower on measures of eating pathology than patients with conventional AN. Transcultural comparison of drive for thinness suggests significantly lower norms in non-Western cultures.Discussion: NFP-AN occurs with wide distribution. Further research is necessary on the course and outcomes of NFP-AN to characterize its congruence with, or distinction from, conventional AN. We discuss several options for including a description of NFP-AN in DSM-V. V

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Section: Discussionmentioning

confidence: 99%

Section: Clinical Descriptionmentioning

confidence: 99%

Should non‐fat‐phobic anorexia nervosa be included in DSM‐V?

Becker

Thomas

Pike

2009

Intl J Eating Disorders

153

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“…One of the criteria used to determine whether a diagnostic classification belongs in the diagnostic nomenclature is whether a disorder presents a unique syndrome (Blashfield, Sprock, & Fuller, 1990). Currently, binge eating disorder (BED) is presented in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV; American Psychiatric Association, 1994) as a diagnostic category in need of further study.…”

Section: Introductionmentioning

confidence: 99%

Self‐harm and substance use in a community sample of Black and White women with binge eating disorder or bulimia nervosa

Dohm

Striegel‐Moore

Wilfley

et al. 2002

Intl J Eating Disorders

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Objective: This study evaluated rates of self-harm and substance use in women with either bulimia nervosa (BN) or binge eating disorder (BED) and assessed whether differences in self-harm and substance use are related to sexual or physical abuse. Method: Alcohol abuse, self-harm, and use or abuse of various illicit drugs were evaluated in a sample of 53 women with BN and 162 women with BED. Results: Self-harm and substance use generally did not differentiate BED and BN cases, but rates of self-harm and substance use were elevated among women with a history of sexual or physical abuse relative to women without such a history. Discussion: Elevated rates of self-harm and substance use may not be related uniquely to BN diagnostic status, but may be related to a characteristic shared by women with BN and BED, such as a history of sexual or physical abuse. Ó 2002 by Wiley Periodicals, Inc. Int J Eat Disord 32: 389À400, 2002.

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“…Although some validating factors (Blashfield, Sprock, & Fuller, 1990) such as specific etiologies or interventions remain to be demonstrated, others have received support, such as diagnostic reliability and syndromal status. Blashfield et al (1990) describe a "syndrome" as a group of co-occurring symptoms.…”

mentioning

confidence: 99%