Should amenorrhoea be necessary for the diagnosis of anorexia nervosa? Evidence from a Canadian community sample
This study compares the characteristics of women with anorexia nervosa with those of women who have all the diagnostic features of that disorder except amenorrhoea. The study uses data from a large community epidemiological survey of the mental health status of household residents in Ontario, Canada...
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| Veröffentlicht in: | British journal of psychiatry 1996-04, Vol.168 (4), p.500-506 |
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| container_title | British journal of psychiatry |
| container_volume | 168 |
| creator | Garfinkel, PE Lin, E Goering, P Spegg, C Goldbloom, D Kennedy, S Kaplan, AS Woodside, DB |
| description | This study compares the characteristics of women with anorexia nervosa with those of women who have all the diagnostic features of that disorder except amenorrhoea.
The study uses data from a large community epidemiological survey of the mental health status of household residents in Ontario, Canada. A multi-stage stratified sampling design generated a sample of 4285 females aged 15-64. DSM-III-R diagnoses were made using the Composite International Diagnostic interview.
Eighty-four out of 4285 female respondents met full or partial-syndrome criteria for anorexia nervosa. Comparison of these two groups revealed few statistically significant differences in terms of demographics, psychiatric comorbidity, family history or early experiences.
Amenorrhoea did not discriminate between women with anorexia nervosa and women with all the features except amenorrhoea across a number of relevant variables. The authors question the utility of amenorrhoea as a diagnostic criterion. |
| doi_str_mv | 10.1192/bjp.168.4.500 |
| format | Article |
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The study uses data from a large community epidemiological survey of the mental health status of household residents in Ontario, Canada. A multi-stage stratified sampling design generated a sample of 4285 females aged 15-64. DSM-III-R diagnoses were made using the Composite International Diagnostic interview.
Eighty-four out of 4285 female respondents met full or partial-syndrome criteria for anorexia nervosa. Comparison of these two groups revealed few statistically significant differences in terms of demographics, psychiatric comorbidity, family history or early experiences.
Amenorrhoea did not discriminate between women with anorexia nervosa and women with all the features except amenorrhoea across a number of relevant variables. The authors question the utility of amenorrhoea as a diagnostic criterion.</description><identifier>ISSN: 0007-1250</identifier><identifier>EISSN: 1472-1465</identifier><identifier>DOI: 10.1192/bjp.168.4.500</identifier><identifier>PMID: 8730948</identifier><identifier>CODEN: BJPYAJ</identifier><language>eng</language><publisher>England: RCP</publisher><subject>Adolescent ; Adult ; Amenorrhea ; Amenorrhea - epidemiology ; Amenorrhea - psychology ; Anorexia ; Anorexia nervosa ; Anorexia Nervosa - diagnosis ; Anorexia Nervosa - epidemiology ; Anorexia Nervosa - psychology ; Comorbidity ; Cross-Sectional Studies ; Demography ; Diagnosis ; Eating disorders ; Epidemiology ; Female ; Health status ; Humans ; Incidence ; Medical diagnosis ; Mental health ; Middle Aged ; Ontario ; Ontario - epidemiology ; Psychiatric Status Rating Scales - statistics & numerical data ; Psychometrics ; Reproducibility of Results ; Sampling ; Statistical analysis ; Women</subject><ispartof>British journal of psychiatry, 1996-04, Vol.168 (4), p.500-506</ispartof><rights>Copyright © Royal College of Psychiatrists, 1996</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c358t-23b59d37913ea18deeba6bb7831f625e052851f67da02819b50ec508122910b33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,12826,27903,27904,30978,30979</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8730948$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Garfinkel, PE</creatorcontrib><creatorcontrib>Lin, E</creatorcontrib><creatorcontrib>Goering, P</creatorcontrib><creatorcontrib>Spegg, C</creatorcontrib><creatorcontrib>Goldbloom, D</creatorcontrib><creatorcontrib>Kennedy, S</creatorcontrib><creatorcontrib>Kaplan, AS</creatorcontrib><creatorcontrib>Woodside, DB</creatorcontrib><title>Should amenorrhoea be necessary for the diagnosis of anorexia nervosa? Evidence from a Canadian community sample</title><title>British journal of psychiatry</title><addtitle>Br J Psychiatry</addtitle><description>This study compares the characteristics of women with anorexia nervosa with those of women who have all the diagnostic features of that disorder except amenorrhoea.
The study uses data from a large community epidemiological survey of the mental health status of household residents in Ontario, Canada. A multi-stage stratified sampling design generated a sample of 4285 females aged 15-64. DSM-III-R diagnoses were made using the Composite International Diagnostic interview.
Eighty-four out of 4285 female respondents met full or partial-syndrome criteria for anorexia nervosa. Comparison of these two groups revealed few statistically significant differences in terms of demographics, psychiatric comorbidity, family history or early experiences.
Amenorrhoea did not discriminate between women with anorexia nervosa and women with all the features except amenorrhoea across a number of relevant variables. The authors question the utility of amenorrhoea as a diagnostic criterion.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Amenorrhea</subject><subject>Amenorrhea - epidemiology</subject><subject>Amenorrhea - psychology</subject><subject>Anorexia</subject><subject>Anorexia nervosa</subject><subject>Anorexia Nervosa - diagnosis</subject><subject>Anorexia Nervosa - epidemiology</subject><subject>Anorexia Nervosa - psychology</subject><subject>Comorbidity</subject><subject>Cross-Sectional Studies</subject><subject>Demography</subject><subject>Diagnosis</subject><subject>Eating disorders</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Health status</subject><subject>Humans</subject><subject>Incidence</subject><subject>Medical diagnosis</subject><subject>Mental health</subject><subject>Middle Aged</subject><subject>Ontario</subject><subject>Ontario - epidemiology</subject><subject>Psychiatric Status Rating Scales - statistics & numerical data</subject><subject>Psychometrics</subject><subject>Reproducibility of Results</subject><subject>Sampling</subject><subject>Statistical analysis</subject><subject>Women</subject><issn>0007-1250</issn><issn>1472-1465</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkU2LFDEQhoMo67h69ChEBG895qNrkj6JDOsHLHhQzyFJV29n6E7aZHp1_r2RGUS8eEpCPXmLqoeQ55xtOe_EG3dYtnynt-0WGHtANrxVouHtDh6SDWNMNVwAe0yelHKoT9kKdUWutJKsa_WGLF_GtE49tTPGlPOY0FKHNKLHUmw-0SFlehyR9sHexVRCoWmgtrL4M9jK5ftU7Ft6cx96jB7pkNNMLd3baOuXSH2a5zWG44kWOy8TPiWPBjsVfHY5r8m39zdf9x-b288fPu3f3TZegj42Qjroeqk6LtFy3SM6u3NOacmHnQBkIDTUq-otE5p3Dhh6YJoL0XHmpLwmr8-5S07fVyxHM4ficZpsxLQWozQH0Fr_FwQFAji0FXz1D3hIa451CCOkrJ1bBl2lmjPlcyol42CWHOa6ScOZ-S3MVGGmCjOtqcIq_-KSuroZ-z_0xVCtvzzXx3A3_ggZTfZLOfnxr4xfEYmb9A</recordid><startdate>19960401</startdate><enddate>19960401</enddate><creator>Garfinkel, PE</creator><creator>Lin, E</creator><creator>Goering, P</creator><creator>Spegg, C</creator><creator>Goldbloom, D</creator><creator>Kennedy, S</creator><creator>Kaplan, AS</creator><creator>Woodside, DB</creator><general>RCP</general><general>Cambridge University Press</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>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7TK</scope><scope>7XB</scope><scope>88G</scope><scope>88J</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>M2M</scope><scope>M2O</scope><scope>M2R</scope><scope>M2S</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>19960401</creationdate><title>Should amenorrhoea be necessary for the diagnosis of anorexia nervosa? Evidence from a Canadian community sample</title><author>Garfinkel, PE ; Lin, E ; Goering, P ; Spegg, C ; Goldbloom, D ; Kennedy, S ; Kaplan, AS ; Woodside, DB</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c358t-23b59d37913ea18deeba6bb7831f625e052851f67da02819b50ec508122910b33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Amenorrhea</topic><topic>Amenorrhea - epidemiology</topic><topic>Amenorrhea - psychology</topic><topic>Anorexia</topic><topic>Anorexia nervosa</topic><topic>Anorexia Nervosa - diagnosis</topic><topic>Anorexia Nervosa - epidemiology</topic><topic>Anorexia Nervosa - psychology</topic><topic>Comorbidity</topic><topic>Cross-Sectional Studies</topic><topic>Demography</topic><topic>Diagnosis</topic><topic>Eating disorders</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Health status</topic><topic>Humans</topic><topic>Incidence</topic><topic>Medical diagnosis</topic><topic>Mental health</topic><topic>Middle Aged</topic><topic>Ontario</topic><topic>Ontario - epidemiology</topic><topic>Psychiatric Status Rating Scales - statistics & numerical data</topic><topic>Psychometrics</topic><topic>Reproducibility of Results</topic><topic>Sampling</topic><topic>Statistical analysis</topic><topic>Women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Garfinkel, PE</creatorcontrib><creatorcontrib>Lin, E</creatorcontrib><creatorcontrib>Goering, P</creatorcontrib><creatorcontrib>Spegg, C</creatorcontrib><creatorcontrib>Goldbloom, D</creatorcontrib><creatorcontrib>Kennedy, S</creatorcontrib><creatorcontrib>Kaplan, AS</creatorcontrib><creatorcontrib>Woodside, DB</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Garfinkel, PE</au><au>Lin, E</au><au>Goering, P</au><au>Spegg, C</au><au>Goldbloom, D</au><au>Kennedy, S</au><au>Kaplan, AS</au><au>Woodside, DB</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Should amenorrhoea be necessary for the diagnosis of anorexia nervosa? Evidence from a Canadian community sample</atitle><jtitle>British journal of psychiatry</jtitle><addtitle>Br J Psychiatry</addtitle><date>1996-04-01</date><risdate>1996</risdate><volume>168</volume><issue>4</issue><spage>500</spage><epage>506</epage><pages>500-506</pages><issn>0007-1250</issn><eissn>1472-1465</eissn><coden>BJPYAJ</coden><abstract>This study compares the characteristics of women with anorexia nervosa with those of women who have all the diagnostic features of that disorder except amenorrhoea.
The study uses data from a large community epidemiological survey of the mental health status of household residents in Ontario, Canada. A multi-stage stratified sampling design generated a sample of 4285 females aged 15-64. DSM-III-R diagnoses were made using the Composite International Diagnostic interview.
Eighty-four out of 4285 female respondents met full or partial-syndrome criteria for anorexia nervosa. Comparison of these two groups revealed few statistically significant differences in terms of demographics, psychiatric comorbidity, family history or early experiences.
Amenorrhoea did not discriminate between women with anorexia nervosa and women with all the features except amenorrhoea across a number of relevant variables. The authors question the utility of amenorrhoea as a diagnostic criterion.</abstract><cop>England</cop><pub>RCP</pub><pmid>8730948</pmid><doi>10.1192/bjp.168.4.500</doi><tpages>7</tpages></addata></record> |
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| identifier | ISSN: 0007-1250 |
| ispartof | British journal of psychiatry, 1996-04, Vol.168 (4), p.500-506 |
| issn | 0007-1250 1472-1465 |
| language | eng |
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| source | MEDLINE; Cambridge Journals; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Adolescent Adult Amenorrhea Amenorrhea - epidemiology Amenorrhea - psychology Anorexia Anorexia nervosa Anorexia Nervosa - diagnosis Anorexia Nervosa - epidemiology Anorexia Nervosa - psychology Comorbidity Cross-Sectional Studies Demography Diagnosis Eating disorders Epidemiology Female Health status Humans Incidence Medical diagnosis Mental health Middle Aged Ontario Ontario - epidemiology Psychiatric Status Rating Scales - statistics & numerical data Psychometrics Reproducibility of Results Sampling Statistical analysis Women |
| title | Should amenorrhoea be necessary for the diagnosis of anorexia nervosa? Evidence from a Canadian community sample |
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