How to assess eating disorder severity in males?The DSM-5 severity index versus severity based on drive for thinness

Using a male eating disorder (ED) sample, this study assessed the clinical utility of the Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5) severity indices for males with anorexia nervosa (AN) and bulimia nervosa (BN) and compared it to an alternative transdiagnostic severity categori...

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Detalhes bibliográficos
Autores: Krug, Isabel|||0000-0002-5275-3595, Dang, An Binh, Sánchez Díaz, Isabel María|||0000-0001-5874-8204, Granero, Roser|||0000-0001-6308-3198, Agüera, Zaida|||0000-0003-4453-4939, Gaspar Pérez, Anahí|||0000-0002-1427-3697, Jiménez Murcia, Susana|||0000-0002-3596-8033, Fernández Aranda, Fernando|||0000-0002-2968-9898
Formato: artículo
Fecha de publicación:2023
País:España
Recursos:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:302082
Acesso em linha:https://ddd.uab.cat/record/302082
https://dx.doi.org/urn:doi:10.1080/10640266.2023.2259682
Access Level:acceso abierto
Palavra-chave:Anorexia-nervosa
Body-image
Bulimia-nervosa
Females
Indicator
Inventory
Men
Size
Specifiers
SDG 3 - Good Health and Well-being
Descrição
Resumo:Using a male eating disorder (ED) sample, this study assessed the clinical utility of the Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5) severity indices for males with anorexia nervosa (AN) and bulimia nervosa (BN) and compared it to an alternative transdiagnostic severity categorisation based on drive for thinness (DT). The participants included 143 males with an ED (60 [42.0%] AN and 83 [58.0%] BN) diagnosis, who were classified using these two severity classifications. The different severity categories were then compared based on ED symptoms, general psychopathology, and personality traits. Our results revealed that the DSM-5 " mild" and DT "low" severity categories were most prevalent in the AN and BN male patients. Clinically significant findings were strongest for the DT categorisation for both AN and BN. The current findings provide initial support for an alternative transdiagnostic DT severity classification for males that may be more clinically meaningful than the DSM-5 severity indices.

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