Assessing severity in anorexia nervosa: Do the DSM‐5 and an alternative severity rating based on overvaluation of weight and shape severity differ in psychological and biological correlates?
Objective This study evaluated the severity ratings for anorexia nervosa (AN) in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM‐5) and an alternative severity rating based on overvaluation of weight/shape, on a range of psychological and biological variables. Met...
Gespeichert in:
| Veröffentlicht in: | European eating disorders review 2023-07, Vol.31 (4), p.447-461 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 461 |
|---|---|
| container_issue | 4 |
| container_start_page | 447 |
| container_title | European eating disorders review |
| container_volume | 31 |
| creator | Dang, An Binh Kiropoulos, Litza Castle, David J. Jenkins, Zoe Phillipou, Andrea Rossell, Susan L. Krug, Isabel |
| description | Objective
This study evaluated the severity ratings for anorexia nervosa (AN) in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM‐5) and an alternative severity rating based on overvaluation of weight/shape, on a range of psychological and biological variables.
Method
A sample of 312 treatment‐seeking patients with AN (mean age = 25.3, SD = 7.6; mean BMI = 16.8 kg/m2, SD = 2.4) were categorised using both DSM‐5 severity levels (mild/moderate/severe/extreme) and weight/shape (low/high) overvaluation. The severity categories were compared on a range of psychological (e.g., eating psychopathology) and biological (e.g., sodium) variables.
Results
Results showed that the overvaluation of weight/shape appeared better at indexing the level of severity in psychological variables among patients with AN compared to the DSM‐5 severity rating with moderate to large effect sizes. Moreover, the DSM‐5 mild and moderate severity groups experienced significantly higher eating and general psychopathology than the severe and extreme groups. Finally, neither the DSM‐5 nor the weight/shape severity groups differed on any of the biological variables.
Conclusions
This study provided no support for the DSM‐5 severity rating for AN, while initial support was found for the weight/shape overvaluation approach in indexing psychological but not biological correlates.
Highlights
This study assessed both the Diagnostic and Statistical Manual of Mental Disorders‐5 (DSM‐5) and the alternative severity indices for anorexia nervosa (AN) using overvaluation of weight and shape on a range of psychological (e.g., eating psychopathology) and biological (e.g., sodium, potassium level) correlates.
Overvaluation of weight/shape appeared to be better at indexing the level of severity in psychological variables among patients with AN compared to the DSM‐5 severity rating with moderate to large effect sizes.
Neither the DSM‐5 nor the weight/shape severity groups were able to index the level of severity in biological variables. |
| doi_str_mv | 10.1002/erv.2969 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2769592547</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2821389200</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3499-23c8d3a38c709fdc9bbac0fe6bde5ec2852cfdbdebf2048617a0eb4836483f453</originalsourceid><addsrcrecordid>eNp1kUtqHDEQhoVJsB3H4BMYgTfZtKOW-iFlY4wfScAhkIe3jVpdmpHRtCaq7nFm5yPkSDlLThL12LFDIAsh_cVXH6KKkIOcHeeM8dcQV8dcVWqL7OZMqYypSj6b3jXPilyIHfIC8YaxVC_lNtkRVaWKnJW75OcpIiC6fkYRVhDdsKaup7oPEb47TfukDqjf0PNAhznQ888fft39KBPQpUO1HyD2enAreOqPKSdfqxE6GnoaUn2l_ZjKU7L0FtxsPmwcONfLv1o7Zy3E6QdLXJt58GHmjPYbtHWP0YQYwesB8OQleW61R9h_uPfI18uLL2fvsquPb9-fnV5lRhRpIlwY2QktpKmZsp1RbasNs1C1HZRguCy5sV0KreWskFVeawZtIUWVji1KsUde3XuXMXwbAYdm4dCA97qHMGLD60qVipdFndCjf9CbMKYp-URJngupOGNPQhMDYgTbLKNb6LhuctZMW23S1Jppqwk9fBCO7QK6R_DPGhOQ3QO3zsP6v6Lm4tP1RvgbEsqxNg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2821389200</pqid></control><display><type>article</type><title>Assessing severity in anorexia nervosa: Do the DSM‐5 and an alternative severity rating based on overvaluation of weight and shape severity differ in psychological and biological correlates?</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><creator>Dang, An Binh ; Kiropoulos, Litza ; Castle, David J. ; Jenkins, Zoe ; Phillipou, Andrea ; Rossell, Susan L. ; Krug, Isabel</creator><creatorcontrib>Dang, An Binh ; Kiropoulos, Litza ; Castle, David J. ; Jenkins, Zoe ; Phillipou, Andrea ; Rossell, Susan L. ; Krug, Isabel</creatorcontrib><description>Objective
This study evaluated the severity ratings for anorexia nervosa (AN) in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM‐5) and an alternative severity rating based on overvaluation of weight/shape, on a range of psychological and biological variables.
Method
A sample of 312 treatment‐seeking patients with AN (mean age = 25.3, SD = 7.6; mean BMI = 16.8 kg/m2, SD = 2.4) were categorised using both DSM‐5 severity levels (mild/moderate/severe/extreme) and weight/shape (low/high) overvaluation. The severity categories were compared on a range of psychological (e.g., eating psychopathology) and biological (e.g., sodium) variables.
Results
Results showed that the overvaluation of weight/shape appeared better at indexing the level of severity in psychological variables among patients with AN compared to the DSM‐5 severity rating with moderate to large effect sizes. Moreover, the DSM‐5 mild and moderate severity groups experienced significantly higher eating and general psychopathology than the severe and extreme groups. Finally, neither the DSM‐5 nor the weight/shape severity groups differed on any of the biological variables.
Conclusions
This study provided no support for the DSM‐5 severity rating for AN, while initial support was found for the weight/shape overvaluation approach in indexing psychological but not biological correlates.
Highlights
This study assessed both the Diagnostic and Statistical Manual of Mental Disorders‐5 (DSM‐5) and the alternative severity indices for anorexia nervosa (AN) using overvaluation of weight and shape on a range of psychological (e.g., eating psychopathology) and biological (e.g., sodium, potassium level) correlates.
Overvaluation of weight/shape appeared to be better at indexing the level of severity in psychological variables among patients with AN compared to the DSM‐5 severity rating with moderate to large effect sizes.
Neither the DSM‐5 nor the weight/shape severity groups were able to index the level of severity in biological variables.</description><identifier>ISSN: 1072-4133</identifier><identifier>EISSN: 1099-0968</identifier><identifier>DOI: 10.1002/erv.2969</identifier><identifier>PMID: 36694105</identifier><language>eng</language><publisher>England: John Wiley and Sons, Limited</publisher><subject>Adult ; Anorexia ; anorexia nervosa ; Anorexia Nervosa - diagnosis ; biological factors ; Body Image ; Diagnostic and Statistical Manual of Mental Disorders ; DSM‐5 ; Humans ; Psychopathology ; severity rating ; weight and shape overvaluation</subject><ispartof>European eating disorders review, 2023-07, Vol.31 (4), p.447-461</ispartof><rights>2023 Eating Disorders Association and John Wiley & Sons Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3499-23c8d3a38c709fdc9bbac0fe6bde5ec2852cfdbdebf2048617a0eb4836483f453</citedby><cites>FETCH-LOGICAL-c3499-23c8d3a38c709fdc9bbac0fe6bde5ec2852cfdbdebf2048617a0eb4836483f453</cites><orcidid>0000-0002-5275-3595 ; 0000-0002-8551-0792 ; 0000-0001-7961-6913</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Ferv.2969$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Ferv.2969$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,781,785,1418,27929,27930,45579,45580</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36694105$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dang, An Binh</creatorcontrib><creatorcontrib>Kiropoulos, Litza</creatorcontrib><creatorcontrib>Castle, David J.</creatorcontrib><creatorcontrib>Jenkins, Zoe</creatorcontrib><creatorcontrib>Phillipou, Andrea</creatorcontrib><creatorcontrib>Rossell, Susan L.</creatorcontrib><creatorcontrib>Krug, Isabel</creatorcontrib><title>Assessing severity in anorexia nervosa: Do the DSM‐5 and an alternative severity rating based on overvaluation of weight and shape severity differ in psychological and biological correlates?</title><title>European eating disorders review</title><addtitle>Eur Eat Disord Rev</addtitle><description>Objective
This study evaluated the severity ratings for anorexia nervosa (AN) in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM‐5) and an alternative severity rating based on overvaluation of weight/shape, on a range of psychological and biological variables.
Method
A sample of 312 treatment‐seeking patients with AN (mean age = 25.3, SD = 7.6; mean BMI = 16.8 kg/m2, SD = 2.4) were categorised using both DSM‐5 severity levels (mild/moderate/severe/extreme) and weight/shape (low/high) overvaluation. The severity categories were compared on a range of psychological (e.g., eating psychopathology) and biological (e.g., sodium) variables.
Results
Results showed that the overvaluation of weight/shape appeared better at indexing the level of severity in psychological variables among patients with AN compared to the DSM‐5 severity rating with moderate to large effect sizes. Moreover, the DSM‐5 mild and moderate severity groups experienced significantly higher eating and general psychopathology than the severe and extreme groups. Finally, neither the DSM‐5 nor the weight/shape severity groups differed on any of the biological variables.
Conclusions
This study provided no support for the DSM‐5 severity rating for AN, while initial support was found for the weight/shape overvaluation approach in indexing psychological but not biological correlates.
Highlights
This study assessed both the Diagnostic and Statistical Manual of Mental Disorders‐5 (DSM‐5) and the alternative severity indices for anorexia nervosa (AN) using overvaluation of weight and shape on a range of psychological (e.g., eating psychopathology) and biological (e.g., sodium, potassium level) correlates.
Overvaluation of weight/shape appeared to be better at indexing the level of severity in psychological variables among patients with AN compared to the DSM‐5 severity rating with moderate to large effect sizes.
Neither the DSM‐5 nor the weight/shape severity groups were able to index the level of severity in biological variables.</description><subject>Adult</subject><subject>Anorexia</subject><subject>anorexia nervosa</subject><subject>Anorexia Nervosa - diagnosis</subject><subject>biological factors</subject><subject>Body Image</subject><subject>Diagnostic and Statistical Manual of Mental Disorders</subject><subject>DSM‐5</subject><subject>Humans</subject><subject>Psychopathology</subject><subject>severity rating</subject><subject>weight and shape overvaluation</subject><issn>1072-4133</issn><issn>1099-0968</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kUtqHDEQhoVJsB3H4BMYgTfZtKOW-iFlY4wfScAhkIe3jVpdmpHRtCaq7nFm5yPkSDlLThL12LFDIAsh_cVXH6KKkIOcHeeM8dcQV8dcVWqL7OZMqYypSj6b3jXPilyIHfIC8YaxVC_lNtkRVaWKnJW75OcpIiC6fkYRVhDdsKaup7oPEb47TfukDqjf0PNAhznQ888fft39KBPQpUO1HyD2enAreOqPKSdfqxE6GnoaUn2l_ZjKU7L0FtxsPmwcONfLv1o7Zy3E6QdLXJt58GHmjPYbtHWP0YQYwesB8OQleW61R9h_uPfI18uLL2fvsquPb9-fnV5lRhRpIlwY2QktpKmZsp1RbasNs1C1HZRguCy5sV0KreWskFVeawZtIUWVji1KsUde3XuXMXwbAYdm4dCA97qHMGLD60qVipdFndCjf9CbMKYp-URJngupOGNPQhMDYgTbLKNb6LhuctZMW23S1Jppqwk9fBCO7QK6R_DPGhOQ3QO3zsP6v6Lm4tP1RvgbEsqxNg</recordid><startdate>202307</startdate><enddate>202307</enddate><creator>Dang, An Binh</creator><creator>Kiropoulos, Litza</creator><creator>Castle, David J.</creator><creator>Jenkins, Zoe</creator><creator>Phillipou, Andrea</creator><creator>Rossell, Susan L.</creator><creator>Krug, Isabel</creator><general>John Wiley and Sons, Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5275-3595</orcidid><orcidid>https://orcid.org/0000-0002-8551-0792</orcidid><orcidid>https://orcid.org/0000-0001-7961-6913</orcidid></search><sort><creationdate>202307</creationdate><title>Assessing severity in anorexia nervosa: Do the DSM‐5 and an alternative severity rating based on overvaluation of weight and shape severity differ in psychological and biological correlates?</title><author>Dang, An Binh ; Kiropoulos, Litza ; Castle, David J. ; Jenkins, Zoe ; Phillipou, Andrea ; Rossell, Susan L. ; Krug, Isabel</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3499-23c8d3a38c709fdc9bbac0fe6bde5ec2852cfdbdebf2048617a0eb4836483f453</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adult</topic><topic>Anorexia</topic><topic>anorexia nervosa</topic><topic>Anorexia Nervosa - diagnosis</topic><topic>biological factors</topic><topic>Body Image</topic><topic>Diagnostic and Statistical Manual of Mental Disorders</topic><topic>DSM‐5</topic><topic>Humans</topic><topic>Psychopathology</topic><topic>severity rating</topic><topic>weight and shape overvaluation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dang, An Binh</creatorcontrib><creatorcontrib>Kiropoulos, Litza</creatorcontrib><creatorcontrib>Castle, David J.</creatorcontrib><creatorcontrib>Jenkins, Zoe</creatorcontrib><creatorcontrib>Phillipou, Andrea</creatorcontrib><creatorcontrib>Rossell, Susan L.</creatorcontrib><creatorcontrib>Krug, Isabel</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European eating disorders review</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dang, An Binh</au><au>Kiropoulos, Litza</au><au>Castle, David J.</au><au>Jenkins, Zoe</au><au>Phillipou, Andrea</au><au>Rossell, Susan L.</au><au>Krug, Isabel</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessing severity in anorexia nervosa: Do the DSM‐5 and an alternative severity rating based on overvaluation of weight and shape severity differ in psychological and biological correlates?</atitle><jtitle>European eating disorders review</jtitle><addtitle>Eur Eat Disord Rev</addtitle><date>2023-07</date><risdate>2023</risdate><volume>31</volume><issue>4</issue><spage>447</spage><epage>461</epage><pages>447-461</pages><issn>1072-4133</issn><eissn>1099-0968</eissn><abstract>Objective
This study evaluated the severity ratings for anorexia nervosa (AN) in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM‐5) and an alternative severity rating based on overvaluation of weight/shape, on a range of psychological and biological variables.
Method
A sample of 312 treatment‐seeking patients with AN (mean age = 25.3, SD = 7.6; mean BMI = 16.8 kg/m2, SD = 2.4) were categorised using both DSM‐5 severity levels (mild/moderate/severe/extreme) and weight/shape (low/high) overvaluation. The severity categories were compared on a range of psychological (e.g., eating psychopathology) and biological (e.g., sodium) variables.
Results
Results showed that the overvaluation of weight/shape appeared better at indexing the level of severity in psychological variables among patients with AN compared to the DSM‐5 severity rating with moderate to large effect sizes. Moreover, the DSM‐5 mild and moderate severity groups experienced significantly higher eating and general psychopathology than the severe and extreme groups. Finally, neither the DSM‐5 nor the weight/shape severity groups differed on any of the biological variables.
Conclusions
This study provided no support for the DSM‐5 severity rating for AN, while initial support was found for the weight/shape overvaluation approach in indexing psychological but not biological correlates.
Highlights
This study assessed both the Diagnostic and Statistical Manual of Mental Disorders‐5 (DSM‐5) and the alternative severity indices for anorexia nervosa (AN) using overvaluation of weight and shape on a range of psychological (e.g., eating psychopathology) and biological (e.g., sodium, potassium level) correlates.
Overvaluation of weight/shape appeared to be better at indexing the level of severity in psychological variables among patients with AN compared to the DSM‐5 severity rating with moderate to large effect sizes.
Neither the DSM‐5 nor the weight/shape severity groups were able to index the level of severity in biological variables.</abstract><cop>England</cop><pub>John Wiley and Sons, Limited</pub><pmid>36694105</pmid><doi>10.1002/erv.2969</doi><tpages>15</tpages><orcidid>https://orcid.org/0000-0002-5275-3595</orcidid><orcidid>https://orcid.org/0000-0002-8551-0792</orcidid><orcidid>https://orcid.org/0000-0001-7961-6913</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1072-4133 |
| ispartof | European eating disorders review, 2023-07, Vol.31 (4), p.447-461 |
| issn | 1072-4133 1099-0968 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2769592547 |
| source | MEDLINE; Access via Wiley Online Library |
| subjects | Adult Anorexia anorexia nervosa Anorexia Nervosa - diagnosis biological factors Body Image Diagnostic and Statistical Manual of Mental Disorders DSM‐5 Humans Psychopathology severity rating weight and shape overvaluation |
| title | Assessing severity in anorexia nervosa: Do the DSM‐5 and an alternative severity rating based on overvaluation of weight and shape severity differ in psychological and biological correlates? |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-14T20%3A30%3A30IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Assessing%20severity%20in%20anorexia%20nervosa:%20Do%20the%20DSM%E2%80%905%20and%20an%20alternative%20severity%20rating%20based%20on%20overvaluation%20of%20weight%20and%20shape%20severity%20differ%20in%20psychological%20and%20biological%20correlates?&rft.jtitle=European%20eating%20disorders%20review&rft.au=Dang,%20An%20Binh&rft.date=2023-07&rft.volume=31&rft.issue=4&rft.spage=447&rft.epage=461&rft.pages=447-461&rft.issn=1072-4133&rft.eissn=1099-0968&rft_id=info:doi/10.1002/erv.2969&rft_dat=%3Cproquest_cross%3E2821389200%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2821389200&rft_id=info:pmid/36694105&rfr_iscdi=true |