Unveiling severity indicators for anorexia and bulimia nervosa treatment success : DSM-5 versus ICD-11 versus drive for thinness
Dang, An Binh (University of Melbourne)
Granero, Roser (Universitat Autònoma de Barcelona. Departament de Psicobiologia i de Metodologia de les Ciències de la Salut)
Sánchez, Isabel (Instituto Salud Carlos III)
Gálvez Solé, Laura (Hospital Universitari de Bellvitge)
Jiménez-del Toro, Jessica (Hospital Universitari de Bellvitge)
Rosinska, Magda (Institut d'Investigació Biomèdica de Bellvitge)
Jiménez-Murcia, Susana (Hospital Universitari de Bellvitge)
Krug, Isabel (University of Melbourne)
Fernández Aranda, Fernando (Hospital Universitari de Bellvitge)

Publicació:	John Wiley and Sons Ltd, 2024
Descripció:	12 pàg.
Resum:	OBJECTIVE: This study aimed to compare treatment outcomes associated with three severity indicators-DSM-5 for anorexia nervosa (AN) and bulimia nervosa (BN), ICD-11 for AN, and drive for thinness (DT) for AN and BN-within a treatment-seeking population. METHOD: A total of 628 female participants diagnosed with either AN (n = 266; mean age = 26. 71) or BN (n = 362; mean age = 29. 49) were recruited from an ED unit. Upon admission, participants were classified based on DSM-5 (AN and BN) and ICD-11 severity categories. They underwent CBT-E comprehensive manualised programs, according to ED subtype, and were categorised into 'full remission', 'partial remission', 'non-remission' or 'drop-out' based on DSM-5 diagnostic criteria at discharge. RESULTS: Significant associations were found only for ICD-11 AN severity groups (p = 0. 03, Cramer's V = 0. 18), with 'dangerously low BMI' associated with poorer outcomes than 'significantly low BMI'. No other significant relationships were found with DSM-5 or DT severity groups. CONCLUSION: This study reveals the limitation of using a single severity indicator and emphasises the necessity of a comprehensive assessment to capture the complexities of AN and BN. Future research should also evaluate the validity of these severity measures across various factors, including biological correlates and psychopathology.
Nota:	Altres ajuts: This research paper is funded by Centres de Recerca de Catalunya, Ministerio de Asuntos Economicos y Transformacion Digital, Gobierno de Espana, Delegacion del Gobierno para el Plan Nacional sobre Drogas, Instituto de Salud Carlos III, Department of Health of the Generalitat de Catalunya, Biomedical Research Centre in Physiopathology of Obesity and Nutrition, FEDER funds/European Regional Development Fund, Centre for Mental Health Network (Centro de Investigacion Biomedica en Red de Salud Mental: CIBERSAM).
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Llengua:	Anglès
Document:	Article ; recerca ; Versió acceptada per publicar
Matèria:	Drive for thinness ; DSM-5 ; ICD-11 ; Severity ratings ; Treatment outcomes
Publicat a:	European eating disorders review, ISSN 1099-0968

DOI: 10.1002/erv.3156
PMID: 39578368

Disponible a partir de: 2025-11-22

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