Age dependency of body mass index distribution in childhood and adolescent inpatients with anorexia nervosa with a focus on DSM-5 and ICD-11 weight criteria and severity specifiers

被引:19
|
作者
Engelhardt, Christian [1 ]
Foecker, Manuel [2 ]
Buehren, Katharina [3 ]
Dahmen, Brigitte [3 ]
Becker, Katja [4 ,5 ,6 ,7 ]
Weber, Linda [4 ,5 ]
Correll, Christoph U. [8 ,9 ,10 ]
Egberts, Karin Maria [11 ]
Ehrlich, Stefan [12 ,13 ]
Roessner, Veit [13 ]
Fleischhaker, Christian [14 ]
von Gontard, Alexander [15 ]
Hahn, Freia [16 ]
Jenetzky, Ekkehart [17 ,18 ]
Kaess, Michael [19 ,20 ]
Legenbauer, Tanja [21 ]
Renner, Tobias J. [22 ]
Schulze, Ulrike M. E. [23 ]
Sinzig, Judith [24 ]
Wessing, Ida [2 ,25 ]
Antony, Gisela [26 ]
Herpertz-Dahlmann, Beate [3 ]
Peters, Triinu [1 ]
Hebebrand, Johannes [1 ]
机构
[1] Univ Duisburg Essen, Univ Hosp Essen AoR, Dept Child & Adolescent Psychiat Psychotherapy &, Wickenburgstr 21, D-45147 Essen, Germany
[2] Univ Hosp Muenster, Dept Child & Adolescent Psychiat, Schmeddingstr 50, D-48149 Munster, Germany
[3] Rhein Westfal TH Aachen, Dept Child & Adolescent Psychiat Psychosomat & Ps, Univ Hosp, Neuenhofer Weg 21, D-52074 Aachen, Germany
[4] Philipps Univ Marburg, Fac Med, Dept Child & Adolescent Psychiat Psychosomat & Ps, Hans Sachs Str 6, D-35039 Marburg, Germany
[5] Univ Hosp Marburg, Hans Sachs Str 6, D-35039 Marburg, Germany
[6] Univ Marburg, Ctr Mind Brain & Behav CMBB, Giessen, Germany
[7] Justus Liebig Univ Giessen, Giessen, Germany
[8] Charite Univ Med Berlin, Dept Child & Adolescent Psychiat, Campus Virchow,Augustenburger Pl 1, D-13353 Berlin, Germany
[9] Zucker Sch Med Hofstra Northwell, Dept Psychiat & Mol Med, Hempstead, NY USA
[10] Northwell Hlth, Dept Psychiat, Zucker Hillside Hosp, Glen Oaks, NY USA
[11] Univ Hosp Wuerzburg, Ctr Mental Hlth, Dept Child & Adolescent Psychiat Psychosomat & Ps, Margarete Hoppel Pl 1, D-97080 Wurzburg, Germany
[12] Tech Univ Dresden, Div Psychol & Social Med & Dev Neurosci, Fac Med, Dresden, Germany
[13] Tech Univ Dresden, Eating Disorder Res & Treatment Ctr, Dept Child & Adolescent Psychiat, Translat Dev Neurosci Sect,Fac Med, Fetscherstr 74, D-01307 Dresden, Germany
[14] Univ Freiburg, Dept Child & Adolescent Psychiat & Psychotherapy, Hauptstr 8, D-79104 Freiburg, Germany
[15] Saarland Univ Hosp, Dept Child & Adolescent Psychiat, Kirrberger Str 1, D-66421 Homburg, Germany
[16] LVR Klin Viersen, Dept Child & Adolescent Psychiat & Psychotherapy, Horionstr 14, D-41749 Viersen, Germany
[17] Johannes Gutenberg Univ Mainz, Dept Child & Adolescent Psychiat & Psychotherapy, Univ Med Ctr, Langenbeckstr 1, D-55131 Mainz, Germany
[18] Witten Herdecke Univ, Fac Hlth, Sch Med, Alfred Herrhausen Str 50, D-58448 Witten, Germany
[19] Univ Bern, Univ Hosp Child & Adolescent Psychiat & Psychothe, Bolligenstr 111, CH-3000 Bern 60, Switzerland
[20] Univ Hosp Heidelberg, Ctr Psychosocial Med, Dept Child & Adolescent Psychiat, Sect Translat Psychobiol, Heidelberg, Germany
[21] Ruhr Univ Bochum, LWL Univ Hosp Hamm Child & Adolescent Psychiat Ps, Heithofer Allee 64, D-59071 Hamm, Germany
[22] Univ Tubingen, Dept Child & Adolescent Psychiat Psychosomat & Ps, Osianderstr 14-16, D-72076 Tubingen, Germany
[23] Univ Ulm, Univ Hosp Ulm, Dept Child & Adolescent Psychiat Psychotherapy, Steinhovelstr 5, D-89075 Ulm, Germany
[24] LVR Klin Bonn, Dept Child & Adolescent Psychiat, Kaiser Karl Ring 20, D-53111 Bonn, Germany
[25] Univ Hosp Munster, Inst Biomagnetism & Biosignalanal, Malmedyweg 15, D-48149 Munster, Germany
[26] CIO Marburg GmbH, Cent Informat Off, Struthweg 1, D-35112 Fronhausen, Germany
关键词
BMI-centile; BMI-SDS; Weight criterion; Early onset anorexia nervosa; Atypical anorexia nervosa; DISORDER; PERCENTILES; CHILDREN;
D O I
10.1007/s00787-020-01595-4
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Both DSM-5 and ICD-11 have provided weight cut-offs and severity specifiers for the diagnosis of anorexia nervosa (AN) in childhood, adolescence and adulthood. The aims of the current study focusing on inpatients aged < 19 years were to assess (1) the relationship between age and body mass index (BMI; kg/m(2)), BMI-centiles, BMI-standard deviation scores (BMI-SDS) and body height-SDS at referral, (2) the percentages of patients fulfilling the DSM-5 and ICD-11 weight criteria and severity categories for AN, and (3) the validity of the AN severity specifiers via analysis of both weight related data at discharge and inpatient treatment duration. The German Registry for Anorexia Nervosa encompassed complete data sets for 469 female patients (mean age = 15.2 years; range 8.9-18.9 years) with a diagnosis of AN (n = 404) or atypical AN (n = 65), who were ascertained at 16 German child and adolescent psychiatric hospitals. BMI at referral increased up to age 15 to subsequently plateau. Approximately one tenth of all patients with AN had a BMI above the fifth centile. The ICD-11 specifier based on a BMI-centile of 0.3 for childhood and adolescent AN entailed two equally sized groups of patients. Discharge data revealed limited validity of the specifiers. Height-SDS was not correlated with age thus stunting had no impact on our data. We corroborate the evidence to use the tenth instead of the fifth BMI-centile as the weight criterion in children and adolescents. Weight criteria should not entail major diagnostic shifts during the transition from adolescence to adulthood. The severity specifiers based on BMI or BMI-centiles do not seem to have substantial clinical validity.
引用
收藏
页码:1081 / 1094
页数:14
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