too strict may exclude some patients at risk for anorexia and bulimia: according to a new study by Stanford University School of Medicine and Lucile Packard Children's Hospital (U.S.) for practices diagnosis of anorexia and bulimia may be too severe. This may not be included in the category of diseases chronic even those who are currently suffering from or has minor problems but erroneously believed that, if not caught early, it could carry the disease and not treated properly. Dr. Rebecka Peebles
who led the study believes that many patients who do not currently meet the criteria of practice to diagnose these problems can however still be sick. "There is growing evidence to suggest that we should reconsider the categorization of Eating Disorder Not Otherwise Specified (EDNOS) for young people," explained Dr. Peebles.
Many other doctors agree with the research and pointed out that the diagnostic process is often too selective and not distinguish between patients and their patients. Many of these may be confused and believe not to have a real nuisance, until perhaps it is too late.
Anorexia and bulimia affect a large percentage of adolescent girls, but it is estimated that other age groups will be increasingly involved, and not just the women.
Under the current criteria for a diagnosis of anorexia, among others, for example, should that body weight is below 85% of the weight that you should have that (for women) there is an absence at least three months of the menstrual cycle and the fear of gaining weight even though it is arguably already underweight. To understand
come potessero essere esclusi dalle diagnosi pazienti che in realtà erano affetti da disordini alimentari, i ricercatori hanno analizzato i dati di 1.310 pazienti di sesso femminile in cura presso l’ospedale Packard Children's per disturbi alimentari tra il gennaio 1997 e l’aprile 2008.
In base ai dati, hanno poi creato delle sottocategorie che includevano quelle pazienti che, secondo loro, appartenevano alla classe di “anoressia nervosa parziale” e “bulimia nervosa parziale”.
I criteri su cui si sono basati i ricercatori erano intesi a stabilire se le attuali procedure erano in grado di riconoscere realmente i pazienti a grave rischio di salute e di vita, anche se apparentemente non rientravano nei parametri deemed valid for the diagnosis.
The data showed that almost two thirds of the patients studied had EDNOS. As the researchers suspected, the EDNOS category was considered a sort of closet, patients with partial anorexia were more similar to those with full-blown anorexia EDNOS that other patients with partial bulimia. In addition, 60% of patients showed EDNOS medical criteria for admission and this group was, on average, sicker patients with a diagnosis of full-blown bulimia.
In general, the most serious EDNOS patients were the ones who had lost more than 25% of body weight prior to diagnosis. These same patients were before they lost weight and overweight, dangerously, too fast to appear in the eyes with a weight of "normal" when in fact they were suffering from the disease.
This "normal," he made sure that family and friends congratulated them, without realizing that they had taken a downhill road. We often notice these signs of the disease when it had become clear showing severe malnutrition and care has become increasingly difficult.
One of the problems related to non-recognition of EDNOS as a serious disease that is the relief of parents who are told by the doctor that their daughter or son does not fall within the parameters for the chronic anorexia or bulimia, often makes them blind and lower la guardia quando invece dovrebbero comunque tenerla alta, conclude Peebles.
(lm&sdp)
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