Literature DB >> 8730948

Should amenorrhoea be necessary for the diagnosis of anorexia nervosa? Evidence from a Canadian community sample.

P E Garfinkel1, E Lin, P Goering, C Spegg, D Goldbloom, S Kennedy, A S Kaplan, D B Woodside.   

Abstract

BACKGROUND: This study compares the characteristics of women with anorexia nervosa with those of women who have all the diagnostic features of that disorder except amenorrhoea.
METHOD: The study uses data from a large community epidemiological survey of the mental health status of household residents in Ontario, Canada. A multi-stage stratified sampling design generated a sample of 4285 females aged 15-64. DSM-III-R diagnoses were made using the Composite International Diagnostic interview.
RESULTS: Eighty-four out of 4285 female respondents met full or partial-syndrome criteria for anorexia nervosa. Comparison of these two groups revealed few statistically significant differences in terms of demographics, psychiatric comorbidity, family history or early experiences.
CONCLUSIONS: Amenorrhoea did not discriminate between women with anorexia nervosa and women with all the features except amenorrhoea across a number of relevant variables. The authors question the utility of amenorrhoea as a diagnostic criterion.

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Mesh:

Year:  1996        PMID: 8730948     DOI: 10.1192/bjp.168.4.500

Source DB:  PubMed          Journal:  Br J Psychiatry        ISSN: 0007-1250            Impact factor:   9.319


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