A critical examination of the amenorrhea and weight criteria for diagnosing anorexia nervosa

T. L. Watson, Arnold E. Andersen

Research output: Contribution to journalArticle

Abstract

Background: Amenorrhea and weight loss to below 15% of 'healthy' weight are current diagnostic criteria for anorexia nervosa (AN). This study compares females who meet current International Statistical Classification of Diseases and Related Health Problems, tenth revision (ICD-10) and Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV) criteria for AN with females who meet the essential psychopathology and significant self-starvation, but lack either amenorrhea or weight loss below 85%. Method: This study retrospectively examined the medical charts of 588 consecutive admissions to an in-patient treatment program. All diagnoses conformed to ICD-10 and DSM-IV. Results: Of 588 admissions, 297 females had some form of AN with 77.4% (230 of 297) meeting current criteria, while 22.6% (67 of 297) with core psychopathology and self-starvation were classified as eating disorders not otherwise specified or 'atypical' because of some menstrual function or final weight above 85%. The groups showed few statistically significant differences on demographics, illness history, and treatment response, psychopathology, or bone density. Conclusion: Amenorrhea may not be a useful diagnostic criterion. Also, requiring below 85% of healthy weight may need generalization.

Original languageEnglish (US)
Pages (from-to)175-182
Number of pages8
JournalActa Psychiatrica Scandinavica
Volume108
Issue number3
DOIs
StatePublished - Sep 1 2003
Externally publishedYes

Fingerprint

Anorexia Nervosa
Amenorrhea
International Classification of Diseases
Psychopathology
Diagnostic and Statistical Manual of Mental Disorders
Starvation
Weights and Measures
Weight Loss
Bone Density
History
Demography
Therapeutics

Keywords

  • Amenorrhea
  • Anorexia nervosa
  • Atypical
  • Diagnostic criteria
  • Weight

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Neuroscience(all)

Cite this

A critical examination of the amenorrhea and weight criteria for diagnosing anorexia nervosa. / Watson, T. L.; Andersen, Arnold E.

In: Acta Psychiatrica Scandinavica, Vol. 108, No. 3, 01.09.2003, p. 175-182.

Research output: Contribution to journalArticle

Watson, T. L. ; Andersen, Arnold E. / A critical examination of the amenorrhea and weight criteria for diagnosing anorexia nervosa. In: Acta Psychiatrica Scandinavica. 2003 ; Vol. 108, No. 3. pp. 175-182.
@article{0ab05f68ec394463857781876d23aec9,
title = "A critical examination of the amenorrhea and weight criteria for diagnosing anorexia nervosa",
abstract = "Background: Amenorrhea and weight loss to below 15{\%} of 'healthy' weight are current diagnostic criteria for anorexia nervosa (AN). This study compares females who meet current International Statistical Classification of Diseases and Related Health Problems, tenth revision (ICD-10) and Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV) criteria for AN with females who meet the essential psychopathology and significant self-starvation, but lack either amenorrhea or weight loss below 85{\%}. Method: This study retrospectively examined the medical charts of 588 consecutive admissions to an in-patient treatment program. All diagnoses conformed to ICD-10 and DSM-IV. Results: Of 588 admissions, 297 females had some form of AN with 77.4{\%} (230 of 297) meeting current criteria, while 22.6{\%} (67 of 297) with core psychopathology and self-starvation were classified as eating disorders not otherwise specified or 'atypical' because of some menstrual function or final weight above 85{\%}. The groups showed few statistically significant differences on demographics, illness history, and treatment response, psychopathology, or bone density. Conclusion: Amenorrhea may not be a useful diagnostic criterion. Also, requiring below 85{\%} of healthy weight may need generalization.",
keywords = "Amenorrhea, Anorexia nervosa, Atypical, Diagnostic criteria, Weight",
author = "Watson, {T. L.} and Andersen, {Arnold E.}",
year = "2003",
month = "9",
day = "1",
doi = "10.1034/j.1600-0447.2003.00201.x",
language = "English (US)",
volume = "108",
pages = "175--182",
journal = "Acta Psychiatrica Scandinavica",
issn = "0001-690X",
publisher = "Wiley-Blackwell",
number = "3",

}

TY - JOUR

T1 - A critical examination of the amenorrhea and weight criteria for diagnosing anorexia nervosa

AU - Watson, T. L.

AU - Andersen, Arnold E.

PY - 2003/9/1

Y1 - 2003/9/1

N2 - Background: Amenorrhea and weight loss to below 15% of 'healthy' weight are current diagnostic criteria for anorexia nervosa (AN). This study compares females who meet current International Statistical Classification of Diseases and Related Health Problems, tenth revision (ICD-10) and Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV) criteria for AN with females who meet the essential psychopathology and significant self-starvation, but lack either amenorrhea or weight loss below 85%. Method: This study retrospectively examined the medical charts of 588 consecutive admissions to an in-patient treatment program. All diagnoses conformed to ICD-10 and DSM-IV. Results: Of 588 admissions, 297 females had some form of AN with 77.4% (230 of 297) meeting current criteria, while 22.6% (67 of 297) with core psychopathology and self-starvation were classified as eating disorders not otherwise specified or 'atypical' because of some menstrual function or final weight above 85%. The groups showed few statistically significant differences on demographics, illness history, and treatment response, psychopathology, or bone density. Conclusion: Amenorrhea may not be a useful diagnostic criterion. Also, requiring below 85% of healthy weight may need generalization.

AB - Background: Amenorrhea and weight loss to below 15% of 'healthy' weight are current diagnostic criteria for anorexia nervosa (AN). This study compares females who meet current International Statistical Classification of Diseases and Related Health Problems, tenth revision (ICD-10) and Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV) criteria for AN with females who meet the essential psychopathology and significant self-starvation, but lack either amenorrhea or weight loss below 85%. Method: This study retrospectively examined the medical charts of 588 consecutive admissions to an in-patient treatment program. All diagnoses conformed to ICD-10 and DSM-IV. Results: Of 588 admissions, 297 females had some form of AN with 77.4% (230 of 297) meeting current criteria, while 22.6% (67 of 297) with core psychopathology and self-starvation were classified as eating disorders not otherwise specified or 'atypical' because of some menstrual function or final weight above 85%. The groups showed few statistically significant differences on demographics, illness history, and treatment response, psychopathology, or bone density. Conclusion: Amenorrhea may not be a useful diagnostic criterion. Also, requiring below 85% of healthy weight may need generalization.

KW - Amenorrhea

KW - Anorexia nervosa

KW - Atypical

KW - Diagnostic criteria

KW - Weight

UR - http://www.scopus.com/inward/record.url?scp=0042405042&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0042405042&partnerID=8YFLogxK

U2 - 10.1034/j.1600-0447.2003.00201.x

DO - 10.1034/j.1600-0447.2003.00201.x

M3 - Article

C2 - 12890271

AN - SCOPUS:0042405042

VL - 108

SP - 175

EP - 182

JO - Acta Psychiatrica Scandinavica

JF - Acta Psychiatrica Scandinavica

SN - 0001-690X

IS - 3

ER -