Does the composite international diagnostic interview underdiagnose the eating disorders?

Article Abstract:

The procedural validity of the Composite International Diagnostic Interview (CIDI) as a diagnostic tool for eating disorders is examined. CIDI results for 44 eating disorder patients were compared with clinical diagnoses contained in their files. The findings show that CIDI and clinical diagnosis differed in 39% of the cases examined. The diagnostic instrument failed to detect eating disorders diagnosed by clinicians in 17 cases and gave a diagnosis that was not given by clinicians in three cases. The disagreement between the CIDI and clinical diagnosis is discussed.

Methods, Diagnosis, Test validity, Psychological tests

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Obsessive compulsive comorbidity in the dieting disorders

Article Abstract:

Obsessive compulsive symptoms and obsessional personality are comorbid with the dieting disorders. Individuals with anorexia nervosa have higher rates of comorbidity for obsessive compulsive disorder (OCD) and obsessive compulsive personality disorder (OCPD), than those with bulimia nervosa. In patients with anorexia nervosa, OCPD is premorbid. Mean age of onset for OCD is earlier than that for the eating disorder. Most of the individuals meet criteria for OCD, prior to the diagnosis of an eating disorder.

Analysis, Evaluation, Observations, Obsessive-compulsive disorder, Obsessive compulsive disorder, Compulsive personality disorder

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Insulin response in bulimia nervosa as a marker of nutritional depletion

Article Abstract:

A glucose tolerance test was performed on patients afflicted with bulimia nervosa to determine the effect of glucose loads on the insulin, glucose and cortisol levels of said patients. Three patterns of insulin response emerged from the test: a blunted pattern, a normative response and an exaggerated response. The normative responses are similar to the responses exhibited by the control subjects.

Research, Physiological aspects, Bulimia, Glucose tolerance tests, Glucose tolerance test, Glucose

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