The culmination of several years of collaborative effort among
eating disorders investigators from around the world, Developing an
Evidence-Based Classification of Eating Disorders: Scientific
Findings for DSM-5 provides summaries of the research presentations
and discussions of the conceptual and methodological issues
involved in diagnosing and classifying eating disorders. The
mission of the DSM-5 Eating Disorder Work Group was to improve the
clinical utility of eating disorder diagnoses by recommending
revisions based on sound empirical evidence. Although the objective
was to provide empirical information to the DSM-5 Eating Disorders
Work Group, the research presented in this book should be
invaluable to the eating disorders research and clinical community
at large and, by extension, to their patients.
Eating disorders are serious, difficult to treat, and often lead
to multiple medical complications, high rates of psychiatric
comorbidity, and mortality. It is critical, then, that clinicians
be aware of the most current research, as well as understand the
foundation of the soon-to-be-released DSM-5.
Improving the definition of symptoms and syndromes is one of the
critical challenges the authors tackle -- in particular the
validity of the eating disorders not otherwise specified category,
into which 60% of patients diagnosed with an eating disorder now
fall. In addition, other mental disorders, particularly mood
disorders and anxiety disorders, co-occur at a higher rate than
would be expected. These findings indicate the need for greater
specificity in the nosology, an issue which the investigators
address. Other topics addressed include: - Eating disorders in
children and adolescents, including diagnostic differences and
classification. Also included is a chapter on the validity of
applying a classification for feeding disorders in infants and
young children, as well as one that covers latent profile analysis
to identify eating disorder phenotypes in the adolescent
population.- Cultural considerations and cross-cultural variation
in the classification of eating disorders, including Native
American, Japanese, Canadian, and Pacific Fijian populations.- A
discussion of non-fat-phobic anorexia nervosa and its suitability
for inclusion in DSM-5.- Current and future directions for the
assessment of the cognitive criteria for anorexia nervosa.- A
chapter on loss of control eating, including implications for
future weight gain, depression, binge drinking, and substance
abuse.
Key terms, references, summaries, charts, tables, and other
illustrative features are abundant and assist the reader in
understanding the research and putting it in context. Developing an
Evidence-Based Classification of Eating Disorders: Scientific
Findings for DSM-5 is required reading for both investigators and
clinicians in the rapidly evolving field of eating disorders.
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